White Paper

on

59th RFHHA Sunday Panel discussion on 26 Mar 2017

Violence against healthcare workers in India part 2

Dr Madhav Madhusudan Singh et al

RFHHA www.rfhha.org Page 1

59th RFHHA Sunday Panel discussion on 26 Mar 2017 , 1000- 1300 hrs

Topic : Violence against healthcare workers in India part 2

The discussion will be held on Whatsapp / Google Allo / Telegram ( +919560852592 )

10.00 10.30 Hrs : Legal Provision for prevention of violence 10.30- 11.00 hrs :
11.00 -11.30 hrs : Role of Medical association & bodies
11.30 -12.00 hrs: What can be done ?
12.00 13.00 hrs : Questions from members

All members are requested to invite your hospital administrators / Quality managers / management
students to join this discussion on social media platform of RFHHA. To join this forum please sends your
request on 9560852592. Anybody interested to join as panelist , you are welcome.
Dr M M SINGH

http://rfhhaconclave.blogspot.in/

The sessions started with the some video on violence in Hospitals :

Why is Mob Violence Handled With Kid Gloves in India?

https://www.youtube.com/watch?v=TweEL5Dh_lg

Aggression, Violence Against Doctors- How to Avoid Confronting Situation?

https://www.youtube.com/watch?v=s7MnbqHMZXE

Safety Training - Violence Against Nurses and Medical Staff

https://www.youtube.com/watch?v=J5QlcqWhkOg

Violence Against Nurses in the Workplace

https://www.youtube.com/watch?v=8WzDowpqIbo

RFHHA www.rfhha.org Page 2

Dear Panelist , What is the exact definition of assault as per law ?

Law Encyclopedia states that Assault is an act that creates an apprehension in another of an imminent,
harmful, or offensive contact. The act consists of a threat of harm accompanied by an apparent, present
ability to carry out the threat, whereas Battery is a harmful or offensive touching of another. The main
distinction between the two offenses is the existence or nonexistence of a touching or contact. While
contact is an essential element of battery, there must be an absence of contact for assault.

Violent acts against workers have been defined as any event that the worker is threatened or attacked
by another person due to his job .

So violence as any incident in which an employee is threatened or assaulted by a member of the public
in circumstances arising out of the course of his/her employment .

Dr M M Singh

Dear Panelist , What are the main causes for the increased violence against doctors ?

This figure depict all possible factors :

Dr Anirudh Singh

Ref : Pak J Med Sci. 2015 Jan-Feb; 31(1): 48. doi: 10.12669/pjms.311.6446

RFHHA www.rfhha.org Page 3

Dear Panelist , Can you tell me with compare to other industries , healthcare setup is how vulnerable
?

Of all work settings, medical sites carry the greatest risk to staff of verbal abuse and threats, with 73% of
staff on medical premises suffering abuse, compared to 65% on recreational premises and 63% for
transport and public administration.

Dr M M Singh

Dear Panelist , Can you tell you which areas are more vulnerable in Hospital ?

Physicians in emergency medicine, psychiatrists and those involved with primary care are at increased
risk of violent acts from patients and families.

Dr M M Singh

Dear Panelist , What are the Patient, Client and Setting-Related Risk Factors which can lead to
violence in hospitals ?

Patient, Client and Setting-Related Risk Factors

Working directly with people who have a history of violence, abuse drugs or alcohol, gang
members, and relatives of patients or clients;
Transporting patients and clients;
Working alone in a facility or in patients homes;
Poor environmental design of the workplace that may block employees vision or interfere with
their escape from a violent incident;
Poorly lit corridors, rooms, parking lots and other areas;
Lack of means of emergency communication;
Prevalence of firearms, knives and other weapons among patients and their families and friends;
and Working in neighborhoods with high crime rates.

Dr M M Singh

Dear Panelist , What are the Organizational Risk Factors which can lead to violence in hospitals ?

Organizational Risk Factors

Lack of facility policies and staff training for recognizing and managing escalating hostile and
assaultive behaviors from patients, clients, visitors, or staff;
Working when understaffedespecially during mealtimes and visiting hours;
High worker turnover;
Inadequate security and mental health personnel on site;
Long waits for patients or clients and overcrowded, uncomfortable waiting rooms;
Unrestricted movement of the public in clinics and hospitals; and

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 Perception that violence is tolerated and victims will not be able to report the incident to police
and/or press charges.

DR M M SINGH

Dear Panelist , what are the three most common cause percentage wise of Violence in Hospital ?

Long waiting time (46.2%),

Dissatisfaction with treatment (15.4%),
Disagreement with the physician (10.3%).
Lack of Communication between doctor and patient or their anxious relatives .

Dr Anirudh Singh

Dear Panelist, What are the effects of Violence on doctors, Nurses and their families?

Studies from around the world show that acts of violence have a negative effect on the physicians
family life and quality of life.

In the study conducted in Kuwait 86% of the physicians who experienced violence reported that it
caused insomnia, depressions and other effects.

A study in Israel showed that 36.2% of the community based physicians reported a negative impact on
their family life and quality of life who were victims of violence.

Those who were victims of aggression had a change in behavior. Among the coping strategies among
GPs included increasing prescribing, referring threatening patients to secondary care services and taking
threatening patients off their lists.

Among hospital doctors 27% reported that their approach to work was changed due to violence or the
fear of violence, although the nature of this change was not specified.

Dr M .M. Singh

Dear Panelist , what should be the Role of community in such situation to avoid such incidents ?

It was clear that over the years, expectations have increased. Everyone needs to understand that
science has conquered a lot of things but not death. It is important everyone needs to understand that
death is part of life. And health sector should be promoted in a positive manner. Few nuisance creators
(wrong elements) have actually malign the profession. Community should take responsibility in
preventing all such act in their vicinity.

Dr Anirudh Singh

RFHHA www.rfhha.org Page 5

Dear Panelist , What is the role of doctors in preventing violence ?

Not just patients, its doctors who also need to change their attitude. Time to time attendants must be
counseled. The positive Image of a medical practitioner needs to be strengthened. All would agree by
consensus that while the majority of the medical profession is pure but there are a few doctors bringing
the bad name for all doctors. In hospitals, Senior doctors must be present in casualty to take care of any
unexpected situation. A good counselling does a great job in patient satisfaction.

Dr Anirudh Singh

Dear Panelist , How Quality of healthcare system affect violence in hospitals ?

Quality of healthcare system is poor and needs to be improved While the population growth has seen
sharp growth in the past few decades, same has not been the case with healthcare institutions.
Instances of attacks of doctors and staff occur, majorly on account of lack of sufficient infrastructure
with the government hospitals, be it with the availability of ICU beds, ventilators, diagnostics test,
medicine etc. It is important that the governments, both state and center, shift their focus in enhancing
the quality of healthcare in the government setups of the country.

Dr M M Singh

Dear Panelist , What are the role of Media , police & Politicians in Violence in hospitals ?

Role of media Media plays an important role in bringing to light the happenings of the
healthcare sector. In this light, it is imperative for the media to cover the positive news of the
medical profession from time to time and not do media trial of the profession all the time.
Role of police In cases of Violence in healthcare organisations, the police needs to act swiftly.
The police must instill confidence among the society and doctors even and strictly enforce the
law in non partisan manner. First and foremost, they must act as crime prevention agency.
Role of politicians They must not back the bad elements of the society. Instead they must
explain them about the possible outcomes. Many government doctors have pointed out of the
VIP culture persistent in the government hospitals, with many cases of violence across the
country being reported with the involvement of kins with political clout. It is imperative that
there should be a political will to bring about congenial environment which helps both doctor
and patient and their relationship.

Dr Anirudh Singh

Dear Panelist , What should be the role of Medical / Nursing Councils in case of Violence in hospital ?

The State / Indian Medical & Nursing councils have taken up the issue at a deeper level. They always
trying to make the doctor patient relationship better for the society. All the councils should formulate
guidelines to avoid assault on doctors. Since long this is pending and an uniform guideline should be
there to prevent such incidence.

Dr M M Singh

RFHHA www.rfhha.org Page 6

Dear Panelist , What are the existing rule against violence in Hospitals passed by various states?

Eighteen States and Union Territories have their respective State/UT legislations on the issue of violence
/ assault on doctors. For e.g. Delhi Medicare Service Personnel and Medicare Service Institutions Act
2008, Bihar Medical Service Institution and Person Protection Act 2011, etc. In all these legislations,
punishment is imprisonment which may extend to 3 years or with fine up to Rs. 10,000/- or both and
Compensation of twice the purchase price of property damaged and loss caused to be recovered as
arrears of land revenue on default.

As per Karnataka Act No. 1 OF 2009 (First Published in the Karnataka Gazette Extra-ordinary on the
Second day of March, 2009) the Karnataka prohibition of violence against Medicare service personnel
and damage to property in Medicare service institutions act , 2009

Prohibition of violence.- Any violence against medicare service personnel or damage to

property in a medicare service institution is prohibited.
Penalty.- Any person who commits any act in contravention of section 3, shall be punished with
imprisonment for a period of three years with fine which may extend to fifty thousand rupees.
Cognizance of offence.- Any offence committed under section 3 shall be cognizable and non-
bailable.
Recovery of loss for the damage caused to the property.-
o In addition to the punishment specified in section 4, the offender shall also be liable to a
penalty of twice the amount of purchase price of medical equipment damaged and loss
caused to the property as determined by the Court trying the offender.
o If the offender has not paid the penal amount under sub-section (1), the said sum shall
be recovered under the provisions of the Karnataka Land Revenue Act, 1964 (Karnataka
Act 12 of 1964) as if it were to be an arrears of land revenue.

Dr M M Singh

Rules in Kerala

The Kerala Health Service Persons and Healthcare Services Institutions (Prevention of Violence and
Damage to Property) Act 2012 protects the rights of patients, doctors and hospital properties in the
event of an attack.

The patient will also have the power to redress grievances about the lapses in medical service. The act
prescribes clauses for taking criminal proceedings against the doctor in case of medical negligence. As
per the act, violence means activities causing harm, injury or endangering the life or intimidation,
obstruction or hindrance to any healthcare service person in discharge of duty in the healthcare service
institution or damage or loss to property in healthcare service institution.

Healthcare service persons include registered medical practitioners working in healthcare institutions
(includes those with provisional registration), registered nurses, medical students, nursing students,
paramedical workers employed and working in medical service institutions.

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Any more attack against the duty bound doctor or an attack against the hospitals or its staff would invite
an imprisonment up to three years and a fine of Rs.50,000. The law giving protection to the patients,
doctors, hospitals and it staff was passed by the state Assembly on Friday.

In addition to the punishment, the offender shall be liable to pay to the healthcare service institution a
compensation of twice the amount of purchase price of medical equipment damaged and loss caused to
the property as determined by the Court trying the offender.

If a person fails to pay the compensation then the government could go for a revenue recovery against
the assaulter. The major highlight of the Act is that any offence committed under Section shall be
cognisable and non-bailable.''

The Kerala Health Service Persons and Healthcare Services Institutions (Prevention of Violence and
Damage to Property) Act 2012 protects the rights of the patients, doctors and the hospital properties in
the event of an attack.

In addition to this, the patient will have the right and power to redress the grievances about the lapses
in medical treatment or service. The Act also prescribes clauses for taking criminal proceedings against
the doctor in case of any medical negligence reported.

As per the Act, violence will mean activities causing any harm, injury or endangering the life or
intimidation, obstruction or hindrance to any healthcare service person in discharge of duty in the
healthcare service institution or damage or loss to property in healthcare service institution.

The healthcare service persons will include registered medical practitioners working in healthcare
institutions (including those having provisional registration), registered nurses, medical students,
nursing students, para medical workers employed and working in medical service institutions.

Dr M M Singh

Dear Panelist , What all Acts can be put against offenders in case of Violence in Hospitals ?

If any person commits any of the below mentioned offences, one can lodge an FIR under
Section 154 of the Criminal Procedure Code.
Criminal Conspiracy Sections 120 A and 120 B of IPC
Offences Against The Public Tranquility
Unlawful Assembly Sections 141, 143 and 144 of IPC.
Rioting - Sections 146 , 147 and Section 148 of IPC
Affray - Sections 159 and 160 of IPC
Offences Affecting The Public Health, Safety, Convenience, Decency And Morals: Public
Nuisance: Sections 268, 269 and 294 of IPC

Offences Affecting Human Body

Hurt: Sections 319, 323 and 324 of IPC

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 Grievous Hurt: Sections 320, 325, 326 and 326 A of IPC.
Act Endangering Life or Personal Safety of Others: Sections 336, 337 and 338 of IPC
Wrongful Restraint: Sections 339 and 341 of IPC
Criminal Force and Assault: Sections 350, 351 352 and 355 of IPC.

Offences Against Property

Theft: Sections 378 and 379 of IPC

Robbery: Sections 390, 392, 393 and 394 of IPC
Dacoity: Sections 391 and 395 of IPC.
Mischief: Sections 425 and 426 of IPC
Criminal Trespass: Sections 441 and 447 of IPC

Others acts applicable are

Offence of Defamation: Sections 499 and 500 of IPC.

Offences of Criminal Intimidation, Insult and Annoyance: Sections 503, 504 and 506 of IPC
Offences of outraging, insulting the modesty of women: Sections 354, 354 A, 354 B, 354 C
and 509 OF IPC.
Women can make a complaint against the offence of sexual harassment at workplace as per
the provisions of The Sexual Harassment of Women at Workplace (Prevention, Prohibition
and Redressal) Act, 2013.

Dr M M Singh

Dear Panelist , What all should be taken care to prevent Violence in healthcare ?

The most important step in providing professional safety is to ensure that violence against
doctors is made a non bailable offence. Some of the state has already passed the bill for this.
Notably Delhi , Karnataka , J & K , Bihar and Andhra Pradesh .
Since the press has taken a stance against members of medical profession, concept of medical
press should be emphasized where we publish our own news; we tell people our version of the
truth.
It must be ensured that only limited number relatives should be allowed at the patients
bedside.
Entry should be restricted strictly by passes and this must be implemented through good
security.
Improving doctor patient relationship is another important factor. There must be no
communication gap between the doctors and the patient or their relatives.
The previous hospital or referring doctor be should not be criticized under any circumstance.
This is happening in all hospitals across globe.
When the prognosis is serious the senior doctor must talk to the relatives.

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 In the short term it is important to organize workshops to train physicians to prevent and deal
with violent incidents. In these training sessions physicians will be taught to be patient, to
provide appropriate and relevant information, and to show respect towards patients and family
members .
In the light of recent events, private practitioners should also be prepared by ensuring the basic
principle of practice-a chaperone should always be present while attending a female patient.
Predicting the human nature is not easy, and predicting the nature of Indian people is even
more difficult. So even after taking all these steps, things still can go wrong .
In Lighter vein there is something to be said for young doctors who should learn martial arts.
The world is increasingly progressing towards violence. So karate, taekondo and other martial
arts are worthwhile learning for self defense. It will boost the doctors confidence even if not
used.

Dr M M Singh

Dear Panelist , What should core elements or building blocks for development of workplace
violence prevention program ?

As per OSHA , following component should be there as core element :

Management commitment and employee participation.

Worksite analysis and hazard identification
Safety and health training
Recordkeeping and program evaluation
Hazard prevention and control.

Dr Anirudh Singh

Dear Panelist , What all Patient Input can helpful to workplace violence prevention team ?

Patients and their families can also provide valuable input to help the workplace violence prevention
team identify risk factors, understand patients perspectives, and design effective solutions. Facilities
have sought patient input in many different ways, such as:

Patient surveys or other formal surveys.

Informal surveys or focus groups. For example, one behavioral health hospital asked patients for
input about what type of security presence in their unit (uniformed, etc.) would make them feel most
comfortable and safe.

Interviewing or surveying patients both before and after an intervention. For example, one
behavioral health hospital installed a metal detector at its methadone clinic, and learned from clients
that this intervention made many of them feel safer.

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 Enlisting patients to participate in research to identify triggers to violence, daily activities that
may lead to violence, and effective responses.

Dr M M Singh

Dear Panelist ,How Walkthrough Assessment can be done for violence prevention ?

Regular walkthrough assessments (such as environment of care rounds) can play a vital role in
identifying and assessing workplace hazards. Walkthroughs may be conducted by members of the
workplace violence prevention committee, including staff from each area and each shift, as well as facil-
ity maintenance or management personnel. They should cover all facility areas. The walkthrough itself is
not the end of the assessment and review process: a complete process also includes post-assessment
feedback and follow-up.

Violence can occur anywhere, but psychiatric services, geriatric units, and high-volume urban EDs,
admission areas, and waiting rooms often present the highest risks. The key to protecting employees
and patients is inspecting all work areas, including exterior building areas and parking areas, as well as
evaluating security measures.

Dr M M Singh

Dear Panelist , Can you tell me or any idea about panic button use in hospitals for prevention of
Violence ?

Dr Anirudh Singh

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Dear Panelist , What Engineering controls and workplace adaptations are required to minimize risk in
hospitals ?

Engineering controls are physical changes that either remove the hazard from the workplace or create a
barrier between the worker and the hazard.

In facilities where it is appropriate, there are several engineering control measures that can effectively
prevent or control workplace hazards.

Engineering control strategies include:

(a) using physical barriers (such as enclosures or guards) or door locks to reduce employee exposure to
the hazard;

(b) metal detectors;

(c) panic buttons,

(d) better or additional lighting; and

(e) more accessible exits (where appropriate).

The measures taken should be site specific and based on the hazards identified in the worksite analysis
appropriate to the specific therapeutic setting. For example, closed circuit videos and bulletproof glass
may be appropriate in a hospital or other institutional setting, but not in a community care facility.
Similarly, it should be noted that services performed in the field (e.g., home health or social services)
often occur in private residences where some engineering controls may not be possible or appropriate.

Dr M M Singh

Dear Panelist , At what type of Security/ silenced alarm systems can be used ?

Panic buttons or paging system at workstations or personal alarm devices worn by employees
Paging system
GPS tracking
Cell phones
Security/silenced alarm systems should be regularly maintained and managers and staff should
fully understand the range and limitations of the system.

Dr Anirudh Singh

Dear Panelist , What security arrangement at Exit routes to provide better security ?

Where possible, rooms should have two exits

Provide employee safe room for emergencies
Arrange furniture so workers have a clear exit route
Where possible, counseling rooms should have two exits

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 Arrange furniture so workers have a clear exit route
Managers and workers should assess homes for exit routes

Dr M M Singh

Dear Panelist , How Metal detectors hand-held or installed should be installed for security ?

Employers and workers will have to determine the appropriate balance of creating the suitable
atmosphere for services being provided and the types of barriers put in place.
Metal detectors should be regularly maintained and assessed for effectiveness in reducing the
weapons brought into a facility.
Staff should be appropriately assigned, and trained to use the equipment and remove weapons.

Dr M M Singh

Dear Panelist , What all Monitoring systems & natural surveillance can be placed for security ?

Closed-circuit video inside and outside

Curved mirrors
Proper placement of nurses stations to allow visual scanning of areas
Glass panels in doors/walls for better monitoring
Employers and workers will have to determine the appropriate balance of creating the suitable
atmosphere for services being provided and the types of barriers put in place.
Staff should know if video monitoring is in use or not and whether someone is always
monitoring the video or not.

Dr M M Singh

Dear Panelist , How I should conduct the Investigation of Incidents of violence in hospital ?

Once these immediate needs are taken care of, the investigation should begin promptly. The basic steps
in conducting incident investigations are:

1. Report as required : Determine who needs to be notified, both within the organization and
outside (e.g., authorities), when there is an incident. Understand what types of incidents must
be reported, and what information needs to be included. If the incident involves hazardous
materials additional reporting requirements may apply.
2. Involve workers in the incident investigation : The employees who work most closely in the area
where the event occurred may have special insight into the causes and solutions.
3. Identify Root Causes: Identify the root causes of the incident. Dont stop an investigation at
worker error or unpredictable event. Ask why the patient or client acted, why the
worker responded in a certain way, etc.
4. Collect and review other information : Depending on the nature of the incident, records related
to training, maintenance, inspections, audits, and past incident reports may be relevant to
review.

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 5. Investigate Near Misses : In addition to investigating all incidents resulting in a fatality, injury or
illness, any near miss (a situation that could potentially have resulted in death, injury, or illness)
should be promptly investigated as well. Near misses are caused by the same conditions that
produce more serious outcomes, and signal that some hazards are not being adequately
controlled, or that previously unidentified hazards exist.

Dr M M Singh

Dear Panelist , What type of Training topics should be included for trg to prevent violence ?

Training topics may include management of assaultive behavior, professional/police assault-response

training, or personal safety training on how to prevent and avoid assaults.

A combination of training programs may be used, depending on the severity of the risk.

In general, training should cover the policies and procedures for a facility as well as de-escalation and
self-defense techniques. Both de-escalation and self-defense training should include a handson
component. The following provides a list of possible topics:

The workplace violence prevention policy;

Risk factors that cause or contribute to assaults;
Policies and procedures for documenting patients or clients change in behavior;
The location, operation, and coverage of safety devices such as alarm systems, along with the
required maintenance schedules and procedures;
Early recognition of escalating behavior or recognition of warning signs or situations that may
lead to assaults;
Ways to recognize, prevent or diffuse volatile situations or aggressive behavior, manage anger
and appropriately use medications;
Ways to deal with hostile people other than patients and clients, such as relatives and visitors;
Proper use of safe roomsareas where staff can find shelter from a violent incident;
A standard response action plan for violent situations, including the availability of assistance,
response to alarm systems and communication procedures;
Self-defense procedures where appropriate;
Progressive behavior control methods and when and how to apply restraints properly and
safety when necessary;
Ways to protect oneself and coworkers, including use of the buddy system;
Policies and procedures for reporting and recordkeeping;
Policies and procedures for obtaining medical care, trauma informed care, counseling, workers
compensation or legal assistance after a violent episode or injury.

DR M M SINGH

RFHHA www.rfhha.org Page 14

Dear Panelist , Can you suggest some checklist by which I can identify the risk factors for workplace
violence ?

Cal/OSHA and NIOSH have identified the following risk factors that may contribute to violence in the
workplace. If you have one or more of these risk factors in your workplace, there may be a potential for
violence.

The checklist is as under :

Do employees have contact with the public? : Yes / No

Do they exchange money with the public? Yes / No
Do they work alone? Yes / No
Do they work late at night or during early morning hours? Yes / No
Is the workplace often understaffed? Yes / No
Is the workplace located in an area with a high crime rate? Yes / No
Do employees enter areas with a high crime rate? Yes / No
Do they have a mobile workplace (patrol vehicle, work van, etc.)? Yes / No
Do they deliver passengers or goods? Yes / No
Do employees perform jobs that might put them in conflict with others? Yes / No
Do they ever perform duties that could upset people (deny benefits, confiscate property,
terminate child custody, etc.)? Yes / No
Do they deal with people known or suspected of having a history of violence? Yes / No
Do any employees or supervisors have a history of assault, verbal abuse, harassment, or other
threatening behavior? Yes / No
Other risk factors please describe:

Dr M M Singh

Dear Panelist , What should be the checklist include while inspecting work areas in hospitals to
prevent violence as security ?

As per OSHA guidelines

Who is responsible for building security?

Are workers told or can they identify who is responsible for security? Yes / No

You or your workplace violence/crime prevention committee should now begin a walkaround
inspection to identify potential security hazards. This inspection can tell you which hazards are already
well controlled, and what control measures need to be added. Not all of the following questions may be
answered through simple observation. You may also need to talk to workers or investigate in other
ways.

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Checklist should include:

Are nametags or ID cards required for employees (omitting personal information such as last
name and home address)?
Are workers notified of past violent acts in the workplace?
Are trained security and counseling personnel accessible to workers in a timely manner?
Do security and counseling personnel have sufficient authority to take all necessary action to
ensure worker safety?
Is there an established liaison with state police and/or local police and counseling agencies?
Are bullet-resistant windows or similar barriers used when money is exchanged with the public?
Are areas where money is exchanged visible to others who could help in an emergency? (For
example, can you see cash register areas from outside?)
Is a limited amount of cash kept on hand, with appropriate signs posted?
Could someone hear a worker who calls for help?
Can employees observe patients or clients in waiting areas?
Do areas used for patient or client interviews allow co-workers to observe any problems?
Are waiting areas and work areas free of objects that could be used as weapons?
Are chairs and furniture secured to prevent their use as weapons?
Is furniture in waiting areas and work areas arranged to prevent entrapment of workers?
Are patient or client waiting areas designed to maximize comfort and minimize stress?
Are patients or clients in waiting areas clearly informed how to use the departments services so
they will not become frustrated?
Are waiting times for patient or client services kept short to prevent frustration?
Are private, locked restrooms available for employees?
Is there a secure place for workers to store personal belongings ?

Dr M M SINGH

Dear Panelist , What all we should include in checklist while inspecting exterior building areas for
checking security and vulnerability ?

The checklist should include :

Do workers feel safe walking to and from the workplace?

Are the entrances to the building clearly visible from the street?
Is the area surrounding the building free of bushes or other hiding places?
Is lighting bright and effective in outside areas?
Are security personnel provided outside the building?
Is video surveillance provided outside the building?
Are remote areas secured during off shifts?
Is a buddy escort system required to remote areas during off shifts?
Are all exterior walkways visible to security personnel?

Dr M M Singh

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Dear Members

This conclude 59th RFHHA Sunday Panel discussion on 26 Mar 2017 , 1000- 1300 hrs
Topic : Violence against healthcare workers in India part 2. Next week we will meet again on some other
topic on Healthcare administration. I request all members to invite your Seniors and juniors to join this
forum to share their experience and practical problems.

I thank all panelists to provide tech input and Administrative staff for all adm support. Your critical input
good or bad are essentially required to improve this unique platform.

Please register yourself for medico legal conclave.

Regards

Dr M M Singh

http://rfhhaconclave.blogspot.in/

Dear Colleagues,
Are you worried about legal issues in your hospital?
Join us on
AIIMS RFHHA Conclave on Legal and Ethical Challenges in Healthcare Ecosystem from 18th to 20th
May, 2017 at New Delhi. For further details, please visit: www.rfhhaconclave.blogspot.com
Call : 9560687350 , 9643035278

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