{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:32:19Z","timestamp":1790602339363,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:00:00Z","timestamp":1737331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>An improved understanding of patient\u2010related violent events toward healthcare workers (HCWs) is a critical step in mitigating patient violence in the pediatric medical hospital setting. Therefore, we sought to describe the timing\/setting, potential antecedents to, and management of pediatric patient\u2010related violence toward HCW. Using our electronic health record (EHR), we performed a retrospective study of patient\u2010related physical violent events from 2017 to 2022 among youth hospitalized at our free\u2010standing children's hospital. We identified 144 violent events associated with 75 patients. Most (66.7%) events occurred after a youth was medically cleared for discharge, and most (55%) events were preceded by an aversive experience the youth was trying to avoid. Most (77.1%) youth received medications for de\u2010escalation, and nearly one\u2010half (47.9%) experienced mechanical restraints. Our results highlight the challenges hospitals face while caring for youth at risk for behavioral escalations and support the need for both comprehensive in\u2010patient behavioral health teams.<\/jats:p>","DOI":"10.1002\/jhm.13592","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T05:54:12Z","timestamp":1737352452000},"page":"971-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Patient physical violence toward healthcare workers at a US children's hospital"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2156-9119","authenticated-orcid":false,"given":"Adrienne G.","family":"DePorre","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Department of Pediatrics Children's Mercy Kansas City Kansas City Missouri USA"},{"name":"University of Missouri \u2013 Kansas City School of Medicine Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Troy","family":"Richardson","sequence":"additional","affiliation":[{"name":"Children's Hospital Association Lenexa Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5436-7965","authenticated-orcid":false,"given":"Henry T.","family":"Puls","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Pediatrics Children's Mercy Kansas City Kansas City Missouri USA"},{"name":"University of Missouri \u2013 Kansas City School of Medicine Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec M.","family":"Bernstein","sequence":"additional","affiliation":[{"name":"University of Missouri \u2013 Kansas City School of Medicine Kansas City Missouri USA"},{"name":"Division of Developmental and Behavioral Health, Department of Pediatrics Children's Mercy Kansas City Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Ebbers","sequence":"additional","affiliation":[{"name":"Division of Developmental and Behavioral Health, Department of Pediatrics Children's Mercy Kansas City Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cy","family":"Nadler","sequence":"additional","affiliation":[{"name":"University of Missouri \u2013 Kansas City School of Medicine Kansas City Missouri USA"},{"name":"Division of Developmental and Behavioral Health, Department of Pediatrics Children's Mercy Kansas City Kansas City Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2017.01.009"},{"key":"e_1_2_6_3_1","unstructured":"The Joint Commission. The importance of workplace violence prevention in health care settings. Accessed June 17 2024.https:\/\/www.jointcommission.org\/-\/media\/tjc\/idevimports\/topics-assets\/workplace-violence-prevention-implementing-strategies-for-saferhealthcareorganizations\/pdf_sea_osha_wpv_july_webinar_2018_slides_pollak_bran_ded_lh_2pdf.pdf"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55090553"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-065041"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2023-007714"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.13009"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.1992"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.6.e693"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2023-007210"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-063809"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-019-1256-2"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.62116\/PNJ.2022.48.6.283"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2308"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2021-006431"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.13592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T14:41:42Z","timestamp":1760625702000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.13592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,20]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/jhm.13592"],"URL":"https:\/\/doi.org\/10.1002\/jhm.13592","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,20]]},"assertion":[{"value":"2024-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}