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.

Workplace violence continues to strain hospitals 

https://mailchi.mp/3a7244145206/the-weekly-gist-december-9-2022?e=d1e747d2d8

Even before the pandemic, healthcare workers accounted for nearly three quarters of non-fatal injuries from violence in the workplace. Given the level of emotion and stress experienced in hospitals, that’s not surprising. But during the pandemic, once-sporadic violent outbursts became routine, leaving many healthcare workers fearful for their safety.

According to several health systems we’ve recently spoken with, violent events haven’t waned as the number of COVID admissions has fallen. One hospital CEO recently told us, “I never would’ve imagined that security would consume so much of my time. We keep looking for a great solution, but despite a ton of effort and a lot of money, it’s barely made a dent.” The cost of additional security—more personnel, metal detectors, restricted access—can run into millions annually for the average hospital. 

Another CEO shared, “We want the hospital to be a healing environment, not feel like a prison, so we were looking for less-threatening alternatives. But those were even more expensive. Placing a canine team in the ED would run over $1M per year!” And violent episodes are not limited to hospitals, with systems reporting an increase in incidents at outpatient and clinic sites where it’s not feasible to place onsite security, given the number of smaller-scale locations
 
Human resource leaders report that experiencing workplace violence, either personally or through a colleague, has been a tipping point for those considering leaving the field. According to one CHRO, workers experiencing repeat violence has been increasingly common: “We recognized the importance of having someone very senior—CEO, COO, or CMO—personally reach out to staff who have been assaulted in the workplace. But there are people who we’ve now had to call two or even three times. It’s hard to even know what to say in those situations.” 

In addition to visible security and constant staff communication, providers must lobby state and federal lawmakers for legislation that requires tracking and reporting of healthcare workplace violence, and increases penalties.  The Workplace Violence Prevention for Health Care and Social Service Workers Act was passed by the US House of Representatives in 2021, and was recently introduced into the Senate, so it’s time to contact your representatives and urge them to move this bill forward.