Alison McMillan, Department of Health Victoria: Prevention and Minimisation of Aggression in Hospitals

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Assoc Prof Alison J McMillan, Chief Nurse and Midwifery Officer, Department of Health Victoria delivered this presentation at the 2013 Safe and Secure Hospital Conference. The comprehensive program addressed the following issues:

Early intervention via early reporting of disruptive, aggressive, and bullying behaviour to minimise work place violence
An innovative training model to help clinicians, security and policy makers respond to the problems of challenging behaviours
Therapeutic sedation in the Emergency Department: Best practice in managing the highly agitated patient
A systems approach to the prevention of Occupational Violence and Aggression (OVA)
Contract management security: The change from in-house security to contract security
Role of the Risk Based Approach throughout the design process
Preventing and managing clinical aggression in the paediatric and youth health setting
The roles, functions and training provided by the Mental Health Intervention Team (MHIT), New South Wales Police Force
Interactions between Police, Health staff, Ambulance and Hospital Security and future directions
A Legal Perspective: Prevention and management of violence in hospitals
Code Grey responses - Are they legal?

For more information about the annual event, please visit the conference website: http://www.healthcareconferences.com.au/safehospitals

Published in: Health & Medicine
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Alison McMillan, Department of Health Victoria: Prevention and Minimisation of Aggression in Hospitals

  1. 1. Prevention and Minimisation of Aggression in Hospitals Associate Professor Alison J McMillan Chief Nurse and Midwifery Officer
  2. 2. Outline of the Presentation • Reporting • Reduction of Risk • Building the Evidence Base
  3. 3. Recent History in Victoria Recommendation 57: “The Department of Human Services, in conjunction with key stakeholders, evaluates work currently in progress in the health care industry to assess the prevalence and control of workplace violence (physical and verbal) both directed at nurses, and from within nursing, and to consider whether a coordinated state-wide campaign is required”. http://wcm-cache.dhs.vic.gov.au/__data/assets/pdf_file/0008/17657/recruit.pdf
  4. 4. Victorian Taskforce on Violence in Nursing Strategy 1 - Setting the framework Strategy 2 - Raising awareness Strategy 3 - Enhancing the Justice interface Strategy 4 - Supporting Education and training Strategy 5 - Effective Reporting and Monitoring http://www.health.vic.gov.au/__data/assets/pdf_file/0007/17674/victaskforcevio.pdf
  5. 5. Further Work Major findings:• Operational issues • Prevalence • Influences http://www.health.vic.gov.au/__data/assets/pdf_file/0008/17585/codeblackgrey.pdf
  6. 6. The Policy Context This document explains the overarching policy framework for the prevention and management of occupational violence and bullying within Victorian public health services. It contains the guiding framework and rationale for health services to ensure that safe, healthy and productive workplaces are maintained. In this context, the workplace is more than just the health services’ ‘bricks and mortar’; it includes all settings where health services provide care or services, such as in community and residential.
  7. 7. Risk Control Measures
  8. 8. Crime Prevention Approach Dec 2011 “The Committee recommends that Protective Service Officers (PSOs) not be employed in Victorian hospitals and health services. Such a measure is inappropriate and contrary to the good management of security in hospitals and poses a greater safety risk”.
  9. 9. Reporting VHIMS: data set components Streamlining incident reporting requirements: •Sentinel Event Reporting •Radiation Safety Reporting •Serious Transfusion Incident Reporting •Allegations of physical and/or sexual assault in residential aged care •Occupational violence •Pressure ulcer clinical indicators
  10. 10. Reporting Low numbers, early data has been stratified by service type, and what was going on at the time of the incident. “Work in progress”
  11. 11. Improving Hospital Safety and Security Ministerial Advisory Committee Progress to date • Legislation • Hospital engagement – Policy instruments – Victorian Government checklist – Sector forum • Funding to improve the safety and security in Victorian hospitals • Training for clinical staff and security staff
  12. 12. Building the Evidence Base To encourage and support research into the incidence, prevalence, nature and consequences of occupational violence where possible To encourage and support research into the incidence, prevalence, nature and consequences of occupational violence where possible
  13. 13. Questions http://www.health.vic.gov.au/nursing/promoting/noviolence

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