The tragic recent school shootings have shined a bright light on the threats that exist in our society, particularly within settings where mass casualties are possible. Hospitals have long been a target for workplace violence, and a place where people go for help. Emergency rooms are a particularly vulnerable target, which leaves hospitals with dual challenges of preparing to treat victims of a mass shooting in their communities and protecting their own environments from the same threat.

A 2012 Annals of Emergency Medicine study found 154 hospital shootings occurred from 2000 to 2011 across 40 states. Roughly 30% of those incidents occurred in emergency departments.

These numbers point to the fact that while active assailant incidents are relatively rare, they are nonetheless “predictable” in the sense that hospital administrators must know the threat exists and actively work to manage it. Across all facets of society, those responsible for protecting people can no longer simply ignore the threat of active assailants.

So, how should hospital security evolve to address the threat of workplace violence and active assailants? The answer is multi-faceted and detail-laden, but here are four high-level components:

1. Prioritize training and management that is specific to the threat of active assailants.

A recent study found that 69% of organizations view an active shooter incident as a potential top threat, but 79% feel their organizations are not fully prepared for this type of event. Active assailant events in a hospital environment are particularly unique and challenging. The International Association of Emergency Medical Services Chiefs (IAEMSC) published an in-depth document designed to help healthcare professionals address the threat. While the publication acknowledges there is no single method to respond to an incident, prior planning can help staff make the right decisions to achieve the goal of maximizing lives saved.

This is where it is worth bringing in experienced outside help to provide training and incident response planning specific to the threat of active assailants in your unique hospital or clinic environment.

2. Maintain a strong security presence.

An effective hospital security program is an ever-present one, highlighted by access control with robust training protocols and an always-active security approach. Access control is perhaps the strongest component of a healthcare security system and the greatest contributor to minimizing the risk of violence within a facility. In any healthcare environment, it is critical to limit access to only those patients, staff, and visitors with appropriate security clearance for the level of access they are seeking. This holds true for access to medications, newborns, patient rooms, patient data, and patients themselves.

For an always-active presence, hospitals should combine tangible security measures (e.g. patrols and presence at lobbies and other key entry points and recording cameras) with intangible practices (e.g. tight security protocols including badge for access control and a consistent check-in and check-out process). Implementing effective security protocols also must take into consideration the importance of training and background checks. For a safer hospital environment, staff must be appropriately screened and trained to execute all necessary security measures.

3. Keep security highly visible.

To design the visibility of your security system, look at it from the eyes of your patients. By adopting a patient-centered approach, you can better appreciate what a patient needs to feel secure when they are in a vulnerable position. For patients to feel secure, it helps to have visible security measures in place. These include physical signage, such as signs that explain security protocols, or visible cameras or security officers. These send the message that the hospital is there and ready to act to protect the safety of its patients.

4. Ensure prompt and complete response to all security incidents.

In a secure healthcare environment, no issue is too big or small. When a door lock breaks, it should be promptly fixed. Ignoring even small details can open the floodgates to bigger details being ignored as people begin to think no one is really paying attention.

This attention to detail should be applied to all hospital security practices, as every issue involving the safety of patients, visitors, and staff should be taken seriously. In response, this will permeate a culture of security, attentiveness, responsibility, and responsiveness across the entire healthcare security team.

A third-party risk management provider can be helpful to perform a thorough assessment of the above factors and to make a prioritized list of recommendations. They can even help you find and implement the right solutions. If you are in a situation where you don’t have the resources to take your security to the next level, or to address the specific threats of active assailants, then considering an external support partner may be the right next step.

Learn more about Lowers & Associates’ security and safety risk mitigation solutions for healthcare.

Doctors, nurses, and other healthcare professionals go into the caregiving role for many reasons, but most reasons center on helping people. Unfortunately, by putting themselves in this role they also face the risks of violence.

Research published by Dr. James Phillips in the New England Journal of Medicine in April 2016 found “health care violence is an underreported, ubiquitous, and persistent problem that has been tolerated and largely ignored.”  In his research, Dr. Phillips found:

• almost 75% of all workplace assaults between 2011 and 2013 happened in healthcare settings;
• 1% of emergency department nurses reported physical assault during the last year; and
• psychiatric aides experience workplace violence 69 times the national rate for all workplaces.

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We make many assumptions about our healthcare. We assume our doctors and nurses are well trained and know what they are doing. We assume that the ER is open when we need it and the facility where we receive care is clean as well as safe and secure. While legitimate expectations, they are not always the case.

To be fulfilled, these standards require intention and diligent implementation. Security today is especially critical as the face of our society is shifting in a more volatile direction. Patient privacy and security is at risk if entry protocols aren’t tight or if a facility isn’t maintained properly.

When it comes to healthcare security, having an effective program requires planning, training and consistent implementation. Our latest whitepaper, 3 Key Components of an Effective Healthcare Security Program, walks through the most critical aspects of healthcare security and introduces some ways to ensure your program delivers.

Learn how to make your healthcare security program as effective as possible: