With all eyes and ears focused on the mass shooting of schoolchildren in Newtown, Conn., it was not surprising that the Dec. 15 shooting at an Alabama hospital received little national attention. That shootout at St. Vincent Hospital in Birmingham – in which the gunman was killed by a police officer and two hospital employees were injured – was far from the first incident of violence occurring in a healthcare setting during the past year.
According to Dr. Victoria Mikow-Porto, the principal researcher and writer on the recently-released 2012 Crime and Security Trends Survey underwritten by the Foundation of the International Association for Healthcare Security and Safety (IAHSS, the international organization for professionals in the healthcare security, safety and management fields), 2012 holds the dubious distinction of being the year with the greatest number of fatalities reported by IAHSS members since IAHSS began surveying its members nearly 20 years ago. Eight homicides were reported among member facilities during the year.
Porto explains that the Crime Survey provides a kind of compass to trends as well as provides information identified by healthcare security professionals as critical to their needs in a rapidly changing environment. The data are useful not only to security and safety professionals but also to their administrators, the media and others. The survey can inform and assist in the identification of areas most vulnerable to crime and violence, which crimes are most likely to occur, and resource allocation to remedy these incidents. It helps IAHSS in developing professional training, education, policy and procedures strategies to address the HCFs’ current and future needs. The public and the media can draw upon this background for discussions of crime and violence incidents and their prevention at HCF campuses.
The spike in crime is not isolated to fatalities. The results of the 2012 Crime Survey, which was based upon responses from 208 member health care organizations to an online questionnaire, indicates that HCF crime increased in nearly every category since the most recent survey in 2010, with significant rise in the number of simple assaults, larceny and thefts, vandalism, and rape and sexual assaults. It’s also the highest number of crimes ever recorded in the history of the IAHSS Crime Survey, with 20,515 crimes reported: an increase of 5,524 over 2010.
According to the research evidence, 98% of healthcare facilities now experience violence and criminal incidents. Porto attributes the surge to a number of factors, among them:
- greater access to weapons, particularly guns
- generally 24/7, open access to an expanding number of large and small healthcare complexes
- long, frustrating waits in emergency rooms
- increased size and violence of gangs, and carry over of gang warfare into HCFs
- deinstitutionalization of psychiatric patients who are unable or unwilling to take meds
- increasing treatment of forensics patients who are at high risk for violence
- rise in substance abuse, and easily-accessed hospital pharmacies
“It’s important for the public to know that, by and large, HCF’s are safe places; homicides, while rising, are still considered statistically rather rare events like a school shooting,” she reassures. “When these violent incidents do occur, they impact everyone and make us all afraid.”
Porto points out that the numbers of criminal, violent and aggressive incidents are based on reported crimes, adding that the US Department of Justice estimates that at least half of all crimes go unreported. “If that’s the case, these statistics are truly huge” she says of the 2012 Crime Survey.
While the need for accurate crime statistics is obvious, Porto claims that collection is hampered because of litigation concerns faced by HCFs over potential liabilities. She urges legislation to hold harmless such institutions for the purpose of encouraging comprehensive reporting of incidents, and the standardization of crime definitions to further enhance accuracy.
Approach any hospital security project with the understanding that you will be a participant in saving lives.
Specific security concerns are controlled access to specialized areas, supply rooms and medical carts, especially to control the access to medications, drugs, syringes, and needles.
According to the Federal Bureau of Investigation from 1991 through the 2010 calendar year, crime is down in the United States. Nationwide, law enforcement made an estimated 13,120,947 arrests...