Reducing violence and aggression in A&E

There are many reasons and triggers for incidents of violence and aggression in A&E occurring. Staff, patients and other service users are usually emotionally tolerant, but feelings of anxiety, fear, pain and loss which are often associated with visiting A&E can reduce tolerance thresholds and people may become frustrated, violent or aggressive.

A typical patient experience is very good in terms of clinical care, but the experience of non-clinical services delivered can vary considerably. Creating a great patient experience requires a calm environment, access to relevant information and helpful services, and the ultimate result of delivering a great patient experience will be reduction in levels of violence and aggression.

Designers can help improve the A&E experience at all steps of the process, from arrival to departure, because they approach challenges from the perspective of the people affected, with the aim of identifying solutions in collaboration with staff and patients in A&E.

Click on the pictures below to find out more about design opportunities for improving the experience at each stage of the patient journey. 

Pre-arrival  Outside the hospital  Entrance area  Reception space  Waiting  Triage  Patient bays  Staff base

Pre-arrival

Pre-arrival

Design can help healthcare providers share information and manage expectations about a visit to A&E

Outside the hospital

Outside the hospital

Design can help hospitals deliver a service that is convenient and easy to use and understand

Entrance area

Entrance area

Design can create a welcoming and easy to use entrance space that delivers a positive first impression and sets the tone for the rest of the A&E experience

A&E reception space

Reception space

Design can provide clear and relevant information about the A&E patient journey and manage the expecatations of patients so that frustrations are prevented from occurring

Waiting area

Waiting

Waiting areas can be designed to work as a useful tool to reinforce a positive sense of progression through the treatment system

Triage

Triage

Triage spaces and the service and information delivered by staff can be designed to feel non-threatening and comfortable

Patient bays

Patient bays

Design can help make patient bays a reassuring space where information is provided to help manage their expectations and make them feel safe and comfortable

Staff base

Staff base

Designers can help provide staff with areas where they can have private consultation, as well as engage in light hearted communication to relieve stress and reduce tension

A&E trolley

Film: The journey through A&E

Watch a film about the patient journey through A&E

The Eight Picker Principles of Patient-Centered Care

 

1 Respect for patients’ values, preferences and expressed needs

 

2 Coordination and integration of care

 

3 Information, communication and education

 

4 Physical comfort

 

5 Emotional support and alleviation of fear and anxiety

 

6 Involvement of family and friends

 

7 Transition and continuity

 

Find out more about research on patient-centered care from the Picker Institute

 

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