Workplace violence costs hospitals more than $18B: report

https://www.axios.com/2025/06/05/hospital-assaults-workplace-violence-costs

Assaults against health care workers are costing hospitals upward of $18 billion a year in added security, training, workers compensation and other expenses, including treating victims, according to a new industry report.

Why it matters: 

Attacks by patients and visitors in hospitals and clinics already were a problem before the pandemic and got worse with backlash against public health measures.

  • The American Hospital Association says there’s a human toll beyond the financial burden, with burnout, staff turnover, legal concerns and negative public perceptions all plaguing health systems.

By the numbers: 

The University of Washington report for the trade group found prevention measures like active shooter training, hiring more security and reinforcing entry points and creating designated safe areas cost health systems $3.6 billion a year.

  • The cost of care for fatal and nonfatal injuries, lost productivity and replacing damaged equipment and infrastructure total about $14.6 billion a year. Health expenses for treating injuries alone account for more than $13 billion of that amount.

Between the lines: 

Violent incidents most often occur in psychiatric units, emergency departments, waiting rooms and geriatric units, with rural areas having higher prevalence than urban areas, the report found.

  • Registered nurses, nursing assistants and patient care assistants experience particularly high rates of workplace violence. A 2024 American Hospital Association poll found half of U.S. nurses reported being either verbally abused, physically assaulted or both by a patient or a patient’s family member within the previous two years.

What we’re watching: 

Congress is again considering legislation that would make assaulting hospital staff a federal crime, similar to protections for flight crews and airport workers.

Purdue Pharma pleads guilty to federal criminal charges related to nation’s opioid crisis

https://www.cnn.com/2020/11/24/us/purdue-pharma-oxycontin-guilty-plea/index.html?fbclid=IwAR2DM1jxDtKxFaCW1o-HJ45Tuh1-HOVw5DjNx_ncuhfajyjdkvP9wnMHUMg

Purdue Pharma, the maker of OxyContin, pleaded guilty Tuesday to three federal criminal charges related to the company’s role in creating the nation’s opioid crisis. Purdue Pharma board chairman Steve Miller pleaded guilty on behalf of the company during a virtual federal court hearing in front of US District Judge Madeline Cox Arleo.

The counts include one of dual-object conspiracy to defraud the United States and to violate the Food, Drug, and Cosmetic Act, and two counts of conspiracy to violate the Federal Anti-Kickback Statute.

The plea deal announced in October includes the largest penalties ever levied against a pharmaceutical manufacturer, including a criminal fine of $3.544 billion and an additional $2 billion in criminal forfeiture, according to a Department of Justice press release.

The company, which declared bankruptcy last year, will be dissolved as a part of the plea agreement, and its assets will be used to create a new “public benefit company” controlled by a trust or similar entity designed for the benefit of the American public.

The Justice Department has said Purdue Pharma will function entirely in the public interest rather than to maximize profits. Its future earnings will go to paying the fines and penalties, which in turn will be used to combat the opioid crisis.

In pleading guilty to the criminal charges, the company is taking responsibility for past misconduct, Purdue Pharma said in a statement to CNN Tuesday.”Having our plea accepted in federal court, and taking responsibility for past misconduct, is an essential step to preserve billions of dollars of value for creditors and advance our goal of providing financial resources and lifesaving medicines to address the opioid crisis,” the statement said. “We continue to work tirelessly to build additional support for a proposed bankruptcy settlement, which would direct the overwhelming majority of the settlement funds to state, local and tribal governments for the purpose of abating the opioid crisis.”

According to the US Centers for Disease Control and Prevention, about 70,000 Americans died of drug overdoses in 2018, just one year of the opioid crisis, and about 70% of those deaths were caused by prescription or illicit opioids like OxyContin. In that year, an estimated 10.3 million Americans 12 and older misused opioids, including 9.9 million prescription pain reliever abusers and 808,000 heroin users, according to the US Department of Health and Human Services Substance Abuse and Mental Health Services Administration.

The Sackler family, and other current and former employees and owners of the company, still face the possibility that federal criminal charges will be filed against them. The court did not set a date for a sentencing hearing.