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A shooting at Johns Hopkins Hospital in September, where a distraught man wounded a surgeon and killed his cancer-stricken 84-year-old mother before turning the gun on himself, grabbed headlines around the world. But hospital gunplay remains rare, say researchers, even though workplace assaults in health care settings are four times more common than in many other industries.
Two Johns Hopkins doctors, How Good Is Retin A coupon, prompted in part by the attack, examined hospital violence in a commentary published in the Journal of the American Medical Association last week.
The doctors said from 1997 to 2009, less than 1 percent of workplace killings happened in health care settings. According to figures reported by the Centers for Disease Control and Prevention, 73 of the 8, 150mg How Good Is Retin A,127 occupational killings tracked were at a medical facility, with 20 of them happening in hospitals.
Of these victims, 12 were doctors and 15 nurses, How Good Is Retin A. To put that in perspective, in the same period, 50mg How Good Is Retin A, 282 cab drivers and 307 cashiers were slain on the job.
Even if killings are rare, assaults are surprisingly more common than in many other industries. For most private-sector jobs, there are two assaults per 10,000 workers, How Good Is Retin A japan, say the researchers. In health care, it's eight assaults per 10,000. How Good Is Retin A, Information on shootings was less formal. 40mg How Good Is Retin A, Using data gathered from an Internet search, the doctors said since 2008, there have been at least 18 shootings at or nearby hospitals. In about half of all cases, the motivation was revenge, or the shooter committed suicide, How Good Is Retin A overseas. One-third of cases involved blasting sick relatives, and two shootings were between coworkers.
The doctors said contrary to general perception, most hospital shootings are not at facilities in high-crime areas. Rather, they happen at random, often at smaller hospitals, How Good Is Retin A. 250mg How Good Is Retin A, They also suggest little should be done. The rarity of shootings and the fact that deterring a determined shooter is "nearly impossible" mean prevention efforts should focus on other kinds of violence, they said. They had little use for metal detectors.
"Magnetometers may also create a false sense of security," write study authors Drs, 30mg How Good Is Retin A. How Good Is Retin A, Gabor D. Kelen and Christina L. Catlett. "They do not detect nonmetal weapons and have no effect on preventing nonweapon assaults."
The violence in health care settings is a reflection of the violence in society as a whole, the doctors said (the U.S. 500mg How Good Is Retin A, leads other developed nations in violent crime rankings). But they also noted the decline in the public's perception of medicine, How Good Is Retin A.
"There was a time when physicians were viewed with reverence and hospitals were considered sanctuaries," they write.
As an example, they cite a study looking at television portrayals of doctors. In the 1950s TV show City Hospital, 100mg How Good Is Retin A, doctors were omnipotent healers. But in today's Grey's Anatomy, they're bickering and self-absorbed.
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