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Addiction Psychiatry 2018 Journal of Addiction Research & Therapy
ISSN: 2155-6105 Page 19
August 13-14, 2018
Madrid, Spain
8th International Conference on
Addiction Psychiatry
Recent statistics show that violence has increased 23% in
recent years to become the second most common cause of
death at work. Unfortunately, there is suggestion from recent
studies that suggest the number of injuries may be much higher
than even reported. The violence affects the entire emergency
system, with up to 100% of nurses and 78% of physicians being
affected in the past year. My lecture includes data on the huge
financial impacts of workplace violence on hospitals, with
costs involving lost wages, lost productivity, recruiting, hiring
and training. Fortunately, there are ways to prevent workplace
violence at a practice level identifying characteristics of the
high-risk individuals, identification of patients with practice
alerts and armbands, and emergency department security
procedures including metal detectors and improved security
procedures. Other ways to improve safety in the workplace
include national regulations (currently only recommendations),
state regulations (in process), and national groups (the veterans
administration is currently way in front with this). Training staff
will become mandatory in the future in the United States and
there are already some good training programs that should be
modeled to prevent workplace violence.
Recent Publications
1. Claudius I, Desai S, Davis E, and Henderson S (2017)
Case controlled analysis of patient-based risk factors
for assault in the healthcare workplace. West J Emerg
Med. 18(6):1153-58.
2. CopelandDandHenryM(2017)Workplaceviolenceand
perceptions of safety among emergency department
staff members: Experiences, expectations, tolerance,
reporting, and recommendations. Journal of Trauma
Nursing 24(2):6-77.
3. Schnapp B, Slovis B, Shah A, et al. (2016) Workplace
violence and harassment against emergency medicine
residents. West J Emerg Med. 17(5):567-573.
4. Guay S, Gonalves J and Boyer R (2016) Evaluation
of an education and training program to prevent and
manage patients’ violence in a mental health setting:
a pretest-posttest intervention study. Healthcare
4(3):49.
5. Kowalenko T, Cunningham R, Sachs C, et al. (2012)
Workplace violence in emergency medicine:
Current knowledge and future directions. Journal of
Emergency Medicine 43(3):523-531.
Biography
Karen Nolan Kuehl is an Emergency Physician and full-time Clinical Faculty
at the Virginia Tech Carilion School of Medicine in Roanoke, Virginia. She
currently serves as the Medical Director of Emergency Psychiatry at Carilion
Roanoke Memorial Hospital and has set up multiple processes to improve
the care of psychiatry patients within the emergency department, which
sees almost 100,000 patients annually. She is also serving on the communi-
ty-based opioid task force and the medical screening work group for mental
health patients. She attended Medical School at the University of Colorado
Health Sciences Center and trained in Emergency Medicine at the Stanford/
Kaiser Emergency Medicine residency program in Stanford, California.
Workplace violence in the emergency department setting:
the numbers, the financial effects, and how to prevent it on
multiple levels
Karen Nolan Kuehl
Carilion Clinic, USA
Karen Nolan Kuehl, J Addict Res Ther 2018, Volume 9
DOI: 10.4172/2155-6105-C2-039