Issue link: https://beckershealthcare.uberflip.com/i/1529883
7 PATIENT SAFETY & OUTCOMES AHA, FBI partner to mitigate healthcare targeted violence: 4 things to know By Elizabeth Gregerson T he American Hospital Association and the FBI's Behavioral Analysis Unit have collaborated to create resources to mitigate targeted violence in healthcare settings, including threat assessment and prevention strategies. Healthcare industry workers experience the highest rate of injury from workplace violence and are five times as likely to suffer a workplace violence injury compared to workers overall, according to the U.S. Bureau of Labor Statistics. Targeted violence in healthcare occurs when care teams, patients and facilities are intentionally singled out and subjected to harmful acts such as physical and verbal assaults, harassment and large-scale attacks, according to an Oct. 22 news release from the AHA. In a recent Emergency Nurses Association survey of nearly 500 members, 56% of respondents said they had been physically or verbally assaulted or faced threats of violence in the 30 days prior. Here are four things to know about recent news regarding healthcare targeted violence: 1. e AHA and FBI resources are available in an issue brief that covers threat assessment, management and identification as well as on a dedicated webpage. 2. e AHA and FBI guidance provides actionable steps for hospitals and health systems to help identify ways to improve the workplace environment and implement or enhance existing efforts risk assessment and mitigation measures 3. e AHA's Hospitals Against Violence advisory group released guidelines on community-based violence interventions Oct. 15. 4. Implementing reporting tools and strategies such as quick-scan codes on walls and badges increased reporting of workplace violence from emergency nurses by 1,080% in two months at an unnamed academic medical center, according to a recent study. n The prevalence of harmful diagnostic errors: Study By Paige Twenter A mong 9,147 hospitalized patients who received general medical care, an estimated 653 experienced a harmful diagnostic error, according to research published in BMJ. e study, led by researchers at Brigham and Women's Hospital in Boston, analyzed cases of adult patients who either transferred to an intensive care unit, died within 90 days of admission, had complex clinical events or did not meet those criteria. Among 675 randomly sampled cases, 7.2% of the diagnostic errors were harmful, 6.1% were preventable and 1.1% were severely harmful. Based on the sample, the researchers estimated 1 in 14 patients received a harmful diagnostic error. About 62% of harmful errors were characterized by delays. e researchers recommended interventions for process failures oen associated with harmful diagnostic errors, such as uncertainty in initial assessments, complex testing and interpretation, suboptimal subspecialty consultation, patient-reported concerns and history- taking. ey also suggested the rapid adoption of AI to detect complex patterns of risk factors. n ChatGPT overprescribed emergency treatment: UCSF study By Mariah Taylor C hatGPT is more likely to overprescribe medications and imaging and is less effective than a resident in emergency department care, a University of California San Francisco study found. The study, published Oct. 8 in Nature Communications, compiled a set of 1,000 of UCSF Health's ED visits with the same ratio of "yes" to "no" responses for decision on admission, radiology and antibiotics. Researchers entered the physician's notes on each patient's symptoms and examination findings into ChatGPT-3.5 and ChatGPT-4. The study found ChatGPT tended to recommend services more often than needed. ChatGPT-4 was also 8% less accurate than resident physicians, and ChatGPT-3.5 was 24% less accurate. "This is a valuable message to clinicians not to blindly trust these models," the study's lead author, Chris Williams, MD, said in the release. "ChatGPT can answer medical exam questions and help draft clinical notes, but it's not currently designed for situations that call for multiple considerations, like the situations in an emergency department." n