Document Detail

Reducing inpatient aggression: does paying attention pay off?
MedLine Citation:
PMID:  17952595     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Inpatient aggression is poorly documented in official records. Video technology can improve detection, but is labor-intensive and costly. We examined the effectiveness of interventions to improve reporting on a secure inpatient research unit equipped with audio/video surveillance. METHOD: Systematic review of all video recorded during a six-week period in 2000 revealed that official documentation omitted 16/71 aggressive incidents (23%). Subsequent interventions to improve reporting involved therapy aides, whose jobs entail continuous direct contact with patients. We reviewed the corresponding period in 2005 to investigate changes in aggression and reporting. RESULTS: Although the number of aggressive incidents did not change significantly, reporting improved: 59/62 (95%) events detected in 2005 had been reported. Physical aggression decreased and verbal aggression increased. CONCLUSIONS: Improved reporting may have the unanticipated benefit of reducing physical aggression, perhaps by fostering recognition of and intervention in events that might otherwise escalate into more serious aggression.
Karen A Nolan; Leslie Citrome
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Psychiatric quarterly     Volume:  79     ISSN:  0033-2720     ISO Abbreviation:  Psychiatr Q     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-26     Completed Date:  2008-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376465     Medline TA:  Psychiatr Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  91-5     Citation Subset:  IM    
Nathan S Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY 10962, USA.
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MeSH Terms
Aggression / psychology*
Child, Preschool
Dangerous Behavior
Hospital Units / standards,  statistics & numerical data
Psychiatric Aides / organization & administration
Psychotic Disorders / psychology*
Risk Management / standards,  statistics & numerical data*
Schizophrenia / therapy*
Schizophrenic Psychology*
Verbal Behavior / classification
Video Recording / methods
Violence / prevention & control*,  statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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