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Implementation of a violence risk screening tool in the emergency department
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La Roche, Reasiemae. Implementation of a violence risk screening tool in the emergency department. Retrieved from https://doi.org/doi:10.7282/t3-wp7k-dh42

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TitleImplementation of a violence risk screening tool in the emergency department
NameLa Roche, Reasiemae (author); Kamienski, Mary (chair); Cruz, Clare (member); Badillo, Jessica (member); Rutgers University; RBHS School of Nursing
Date Created2023
Other Date2023-01 (degree)
SubjectNursing, Agitated, Emergency department, Screening tool, Violence, Violence risk, Workplace violence
Extent52 pages : illustrations
DescriptionPurpose: To determine whether the STAMP violence risk screening tool in could reduce the number of code grey (combative/violent patient) calls in an emergency department and to evaluate the STAMP screening tool. Methodology: Retrospective and prospective chart review was performed on behavioral health patients over 18 years who were evaluated in the emergency department for a mental health evaluation.
Results: Pre-implementation there were 187 patients totaling 3,471 patient hours with a total of 56 code grey calls. Post-implementation there were 172 patients totaling 2,670 patient hours with a total 40 code grey calls. Using the negative binomial regression, p=0.725, showing no statistically significant reduction in code grey calls post implementation of the screening tool. Post implementation had a total of 172 patients of those 113 were in the low risk category of which 3 had code grey calls, moderate risk category had 21 patients of which 6 had code grey calls, high risk category had 22 patients of which 18 had code grey calls. Using the Goodman Kruskal gamma statistic, the p value of < 0.001 means there is a statistically significant relationship between STAMP category and whether a code grey occurs; the higher the STAMP category, the more likely at least one code grey will occur.
Implications for Practice: A violence screening tool is needed in nursing assessment to evaluate the potential for a patient to become violent. The project results found that the STAMP violence risk screening tool can help nursing staff anticipate the occurrence of a code grey. To reduce the number of violent incidences, further investigation is needed to study the effectiveness of techniques used to deescalate agitated patients.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-wp7k-dh42
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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