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Medicine Grand Rounds - Violence in Healthcare: A Dangerous Issue with a Promising Solution

This presentation offers an overview of threat assessment and management of violence or other behavior concerns in a healthcare setting. It discusses key observations of offender behavior, assessment of potential escalation, and identifies strategies for forming effective multi-disciplinary teams to manage disruptive behavior.

Activity Details
Start Date: June 22, 2018
End Date: June 22, 2020

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Lynn Van Male, PhD, CTM
    Director, U.S. Veterans Health Administration Workplace Violence Prevention Program, 
    Assistant Professor of Psychology, Oregon Health and Sciences University

    Dr. Van Male serves on multiple planning committees, scientific merit review boards, as well as numerous federal interagency work groups and technical advisory boards, addressing issues related to promoting a culture of safety in healthcare.  She is a certified national Master Trainer in VHA’s Prevention and Management of Disruptive Behavior program, a front-line worker education program that trains personnel in the effective use of verbal de-escalation, physical safety, and therapeutic containment skills to address patient-generated disruptive and violent behavior. 
Learning Outcome(s)

Participants will be able to discuss the essential elements of a data-driven, evidence-based healthcare violence prevention program. They will be able to distinguish the behavioral stages of two types of violence experienced in healthcare settings and identify protective factors that reduce behavioral violence risk.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the activity evaluation. (you must register to access).
Speaker Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.
The following activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Violence in Healthcare: A Dangerous Issue with a Promising Solution (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ received an honorarium from Medscape, which was supported by grants from Pfizer and Abbvie.
* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center). Dr. Rothstein has other financial interests from Takeda for the Data and Safety Monitoring Committee.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:
Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
29 Registered Users