RT Book, Section A1 Kondracke, Andrea M. A1 M. Lewin, Justin A1 A. Kondas, Cathy A1 Zerbo, Erin A. A2 Nelson, Lewis S. A2 Howland, Mary Ann A2 Lewin, Neal A. A2 Smith, Silas W. A2 Goldfrank, Lewis R. A2 Hoffman, Robert S. SR Print(0) ID 1163006111 T1 Patient Violence T2 Goldfrank's Toxicologic Emergencies, 11e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259859618 LK accesspharmacy.mhmedical.com/content.aspx?aid=1163006111 RD 2024/04/16 AB The aggressive and/or violent patient presents unique challenges. Like suicidal patients, aggressive individuals are difficult to treat and they tend to elicit strong negative reactions in hospital personnel ranging from anger to fear.42 Workplace violence is unfortunately commonplace within the health care setting, and is particularly prominent in the inpatient psychiatry ward and emergency department settings.20 Of the approximately 24,000 annual workplace assaults occurring between the years of 2011 and 2013 in the United States, approximately 75% were within the health care and social service settings.37 The prevalence of verbal and physical assaults reported by emergency nurses within a 12-month period is as high as 100% and 82%, respectively.34 Additionally, a survey of emergency physicians within the state of Michigan showed that 25% of emergency physicians reported being a target of physical assault within 12 months.27 These statistics on workplace violence in health care settings are likely underestimates as events are often underreported to health care supervisors and administrators. Workplace violence occurs so frequently that there is a perception among health care workers that violence is “the norm” and an expected part of their job.44