The Effect of Abuse and Mistreatment on Healthcare Providers (TEAM) A Survey Assessing the Prevalence of Aggression From Patients and Their Families and Its Impact

Objective: Aggression from patients and families on health care providers (HCP) is common yet understudied. We measured its prevalence and impact on HCPs in inpatient and outpatient settings. Methods: Four thousand six hundred seven HCPs employed by a community teaching hospital received an anonymous survey with results analyzed. Results: Of 1609 HCPs (35%) completing the survey, 88% of inpatient staff reported experiencing different types of aggression compared to 82% in outpatient setting. Almost half did not report it to their supervisor. Younger staff were more likely to report abuse. Negative impacts on productivity and patient care were reported. A third of all responders' indicated negative effects on mental health. Conclusions: Despite negative impacts on staff wellbeing and productivity, patient/family aggression toward HCPs is highly prevalent and underreported. Our healthcare system needs measures to address staff security and wellness.