Workplace Violence Initiative

In 2014, OAHHS convened the Workplace Safety Initiative (WSI) Work Group to find ways to collaboratively address two of the leading causes of health care worker injury in Oregon -  manual patient handling and workplace violence.

Work group members included representatives from SEIU 49, Oregon Nurses Association, and representatives from various OAHHS member hospitals in Oregon. The Triple Aim group, which is comprised of Legacy Health, Providence Health & Services, Oregon Health & Sciences University, Kaiser Permanente NW, the Oregon Nurses Association, and SEIU, also supported this project.

The goals of the WSI project are to:

  • Identify and implement evidence-based programs to reduce injuries from patient handling and workplace violence and foster sustainable cultural change.
  • Strengthen relationships with partner organizations around health care worker and patient safety issues.
  • Disseminate lessons learned and tools developed to all hospitals in Oregon to assist implementation of sustainable effective workplace safety programs.

To reach these goals, a pilot project working with Oregon hospitals was developed. Eight volunteer hospitals of varying sizes from across the state participated in a total of 10 projects.  Five hospitals participated in the Workplace Violence (WPV) project and five in the Safe Patient Handling and Mobility (SPHM) project. The WPV with these pilot hospitals directly informed the materials in this toolkit.

Workplace Safety Toolkit - DOWNLOAD FULL PDF

This toolkit will assist health care leadership and violence prevention committees and other stakeholders to:

  • Evaluate the WPV program and individual violence prevention practices at their facility or within their organization, against current best practices in violence prevention.
  • Identify and engage stakeholders and enhance the culture of worker and patient safety.
  • Develop or strengthen WPV program and policy by identifying process that can be implemented to manage or control violence, and can address the risk of violence proactively.

This toolkit was written by Lynda Enos, RN, BSN, MS, COHN-S, CPE, Ergonomics/Human Factors Consultant, HumanFit, LLC.

Workplace Violence Toolkit Sections 

Tools that support section content (formats PDF, Docx, Xls)

Section 1:
Understanding Workplace Safety

Section 2: Getting Started

Section 3: Hazard Identification and Assessment 

Section 4: Developing the WPV Program 

Section 5: Hazard Abatement 

Section 6: Education and Training 

Section 7: Implementing the WPV Program 


Section 8: Evaluating the WPV Program 

Section 9: Sustaining the WPV Program 


Section 10: Additional Resources 


For more information regarding the Workplace Safety Initiative, please contact Katie Harris at or 503-479-6027.

Reproduction and Use of Materials

Permission is granted to use such copyrighted material solely for non-commercial, instructional, personal, or scholarly purposes. The material may be used and incorporated into other workplace safety and health programs on the condition that no fee may be charged for the subsequent use or adaptation of the material. Use of the material for any other purpose, particularly commercial use, without the prior, express written permission of the copyright owner/s is prohibited.

For organization and entities that are not hospitals in Oregon, it is requested that you notify the Oregon Association of Hospitals Research and Education Foundation (email Katie Harris at prior to using the copyrighted materials.


Internet Citation: Workplace Violence in Health Care: A Toolkit for Prevention and Management. Content last reviewed December 2017.  Oregon Association of Hospitals Research & Education Foundation, Lake Oswego, OR.