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Assault Rates and Implementation of a Workplace Violence Prevention Program in the Veterans Health Care Administration

Mohr, David C. PhD; Warren, Nicholas ScD, MAT; Hodgson, Michael J. MD, MPH; Drummond, David J. PhD

Journal of Occupational and Environmental Medicine: May 2011 - Volume 53 - Issue 5 - p 511–516
doi: 10.1097/JOM.0b013e31820d101e

Objective: This study examined the relationship between changes in assault rates over time and the implementation of a workplace violence prevention (WVP) program in 138 Department of Veterans Affairs health care facilities.

Methods: Data on WVP implementation were assessed for each facility by a three-person team. We computed three WVP dimension scores: training, workplace practices, and environmental control and security. We obtained 6 years of assault rate data from the national injury system. Using a linear mixed model, we analyzed whether the WVP implementation was associated with lower assault rates controlling for time and organizational characteristics.

Results: Training implementation was negatively associated with assault rates. Facilities with smaller bed sizes and without academic affiliates had lower assault rates.

Conclusions: Particular attention should be given to these dimensions because they may be associated with lower facility-level assault rates.

From the Center for Organization, Leadership and Management Research, Department of Veterans Affairs, VA Boston Healthcare System and Department of Health Policy and Management, Boston University School of Public Health, Boston, Mass (Dr Mohr); Division of Public Health and Population Science, University of Connecticut Health Center, Farmington, Conn (Dr Warren); and Office of Public Health and Environmental Hazards, Department of Veterans Affairs, Washington, DC (Dr Hodgson, Dr Drummond).

Address corresponding to: David C. Mohr, PhD, VA Boston Healthcare System (152M), 150 South Huntington Ave, Boston, MA 02130; E-mail:

The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.

©2011The American College of Occupational and Environmental Medicine