Skip to main content
Skip to main content
Go to homepage

Grand Rounds: Violence in Healthcare – Striving for Improved Safety


By Laura A. Markley, MD , Medical Director, Consultation-Liaison Psychiatry, Akron Children's Hospital, Akron, OH

Psychology and Psychiatry

More about Laura Markley, MD

Objectives (Educational Content) :

1. Explore the epidemiology/trends of violent incidents in healthcare settings. 2. Examine contexts and triggers associated with tension and escalation of aggression. 3. Review de-escalation principles for healthcare workers. 4. Describe current and upcoming strategies to address staff safety.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Improved strategies for dealing with violence in the healthcare setting.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


The speaker, Laura Markley, MD, has returned the disclosure form indicating there are no relevant financial or other relationships with any commercial interests.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Tishler CL, Reiss NS, Dundas J. The assessment and management of the violent patient in critical hospital settings. Gen Hosp Psychiatry. 2013 Mar-Apr;35(2):181-5. doi: 10.1016/j.genhosppsych.2012.10.012. Epub 2012 Dec 19. PMID: 23260370.

Malas N, Spital L, Fischer J, Kawai Y, Cruz D, Keefer P. National Survey on Pediatric Acute Agitation and Behavioral Escalation in Academic Inpatient Pediatric Care Settings. Psychosomatics. 2017 May-Jun;58(3):299-306. doi: 10.1016/j.psym.2017.01.009. Epub 2017 Jan 27. PMID: 28365002.

Bresler S, Gaskell MB. Risk assessment for patient perpetrated violence: Analysis of three assaults against healthcare workers. Work. 2015;51(1):73-7. doi: 10.3233/WOR-141888. PMID: 24939107.

Summit Mall Play Area
Answer Key:
Click to expand
There are 10 nurses in the picture.

And we have many more pediatric primary care providers in Northeast Ohio. You can meet some of them here.
Summit Mall Play Area
Answer Key:
Click to expand
The five differences are:
– Phone color
– Coat pocket
– Stethoscope earpiece color
– Stethoscope bell dot
– Clipboard paper color

Need help finding a doctor, choosing a location or getting a general question about Akron Children's answered? Call us or fill out the form and we'll help in any way we can.
Summit Mall Play Area
Answer Key:
Click to expand
The two matching doctors are 9 and 14.

With virtual visits, you can see our pediatric experts from the comfort of home or wherever you are.
Summit Mall Play Area
Answer Key:
Click to expand
The correct path:
The Correct Path
We offer many ways to get pediatric care all over Northeast Ohio. Use this page to find the right kind of care and the most convenient location for you.