TJC De-escalation in Health Care Quick Safety

Issue 47 | January 2019

The need for using de-escalation techniques has become more prevalent as violence in health care settings increases. De-escalation is a first-line response to potential violence and aggression in health care settings. The Centers for Disease Control and Prevention (CDC) has noted a rise in workplace violence, with the greatest increases of violence occurring against nurses and nursing assistants. A three-year study in the American Journal of Nursing noted that 25 percent of nurses reported being assaulted by patients or the patient’s family members. Statistically, higher rates of health care violence are reported to occur in the emergency department (ED), geriatric and psychiatric settings.

The purpose of this Quick Safety is to present some de-escalation models and interventions for managing aggressive and agitated patients in the ED and inpatient settings. There are many different de-escalation techniques; this Quick Safety is intended to guide health care professionals to resources for more information and training.

https://www.jointcommission.org/assets/1/23/QS_Deescalation_1_28_18_FINAL.pdf

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