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Biomedical subjects

H Carmel

Publications and source records attributed to H Carmel.

10 recordsLinked to original sources
PubMed1991

Psychiatrists injured by patient attack.

The seven staff psychiatrists injured by patient attack in a large forensic hospital in five years were compared with the 47 who were not injured by attack. Thirteen percent of the psychiatrists were injured by patient attack (2.6 percent per year); 5.5 injuries per 100 person-years occurred. This rate is comparable to the rate of injury from patient attack noted among ward nursing staff during the same period. Younger psychiatrists, and psychiatrists more recently out of residency, were more likely to be injured. Male psychiatrists were injured at a rate approximately 50 percent higher than female psychiatrists, and graduates of university-affiliated residencies were three times as likely to be injured as graduates of public-sector residencies, though these differences did not reach statistical significance. A slightly higher rate of injury was noted among graduates from non-North American medical schools. Board-certification and length of service in the hospital were not related to being injured.

Adult↗
PubMed1991

Physician staffing and patient violence.

We found an inverse relation between physical aggression by patients and physician staffing--when more physicians were available, physical aggression decreased. Episodes of nonphysical aggression increased with higher levels of psychiatrist staffing, but were not related to general physician staffing.

Aggression↗
PubMed1989

Staff injuries from inpatient violence.

A one-year study of staff injuries from inpatient violence at a large forensic state hospital found that 121 staff members sustained 135 injuries. Nursing staff sustained 120 of the injuries, for a rate of 16 injuries per 100 staff, and professional staff sustained three injuries, for a rate of 1.9 injuries per 100 staff. The majority of injuries to nursing staff (9.9 per 100 staff) were sustained while containing patient violence, and the rest were the result of assault (6.1 per 100 staff). Male nursing staff were nearly twice as likely as female staff to be injured and nearly three times as likely to receive containment-related injuries. The highest rates of injury were noted among ward nursing leadership. Injuries by assault were more likely than containment-related injuries to be head injuries, to cause more than three weeks' absence from work, and to affect more recently hired staff. The usefulness of the methodology in analyzing patterns of staff injury from inpatient violence is discussed.

Absenteeism↗