The U.S. Department of Labor's Occupational Safety and Health Administration has cited Danbury Hospital in Danbury, Conn., for failing to provide its employees with adequate safeguards against workplace violence. OSHA's action follows an inspection begun in January 2010, in response to worker complaints.

OSHA's inspection identified several instances during the past 18 months in which employees in the hospital's psychiatric ward, emergency ward and general medical floors were injured by violent patients. In addition, there have been about 25 cases over the past five years in which hospital employees lost workdays or were put on restricted duty after being injured by patients. OSHA found that the hospital's workplace violence program was incomplete and ineffective at preventing these incidents.

As a result, OSHA has cited the hospital for an alleged serious violation of OSHA's general duty clause for failing to provide a workplace free from recognized hazards likely to cause death or serious injury to workers, in this case the hazard of employees being injured by violent patients.

"This citation points to the need for the hospital to develop a comprehensive, continuous and effective program that will proactively evaluate, identify, prevent and minimize situations and conditions that place workers in harm's way," said Marthe Kent, OSHA's New England regional administrator.

OSHA's citation encompasses several suggested means of abatement that the hospital can pursue to address the workplace violence issue. These include:

• Creating a stand alone written violence prevention program for the entire hospital that includes a hazard/threat assessment, controls and prevention strategies, staff training and education, incident reporting and investigation, and periodic review of the program.


• Ensuring that the program addresses specific actions employees should take in the event of an incident and proper reporting procedures.


• Ensuring that security staff members trained to deal with aggressive behavior are readily and immediately available to render assistance.


• Ensuring that all patients receiving a psychiatric consultation are screened for a potential history of violence.


• Using a system that flags a patient's chart any time there is a history or act of violence and training staff to understand the system.


• Putting in place administrative controls so that employees are not alone with potentially violent patients in the psychiatric ward.

"Workplace violence is a serious issue affecting many workers and employers across this nation, but it is one that can be addressed within the workplace if employers take systemic, thorough and continual action," said Kent. "The safety and health of employees depends on this action."

The citation carries with it a proposed fine of $6,300. OSHA issues serious citations when death or serious physical harm is likely to result from hazards about which the employer knew or should have known.

OSHA's Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers is available online at http://www.osha.gov/Publications/OSHA3148/osha3148.html. Additional information on workplace violence is available at http://www.osha.gov/SLTC/workplaceviolence/index.html.

The hospital has 15 business days from receipt of its citation and proposed penalty to comply, meet with OSHA's area director or contest the findings before the independent Occupational Safety and Health Review Commission. The inspection was conducted by OSHA's Bridgeport Area Office; telephone 203-579-5581. To report workplace accidents, fatalities or situations posing imminent danger to workers, call OSHA's toll-free hotline at 800-321-6742.