A hidden crisis: violence in the healthcare workplace - REMI Network
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A hidden crisis: violence in the healthcare workplace

How smart access control can help protect our caregivers
Wednesday, June 25, 2025

Every morning, healthcare workers across the country enter their facilities knowing they face risks that extend far beyond medical emergencies. The stats paint a sobering picture: healthcare professionals are five times more likely to experience workplace violence than employees in any other industry, accounting for 73 per cent of all nonfatal workplace injuries due to violence¹. This isn’t just a security concern; it’s a threat to the very foundation of our healthcare system.

The scope of this crisis became starkly apparent through recent research revealing that 81.6 per cent of nurses have experienced at least one type of workplace violence incident, with nearly half reporting an increase in violence rates². The Canadian Medical Association’s recent National Physician Health Survey found that eight in 10 physicians have experienced intimidation, bullying, harassment, or microaggressions in the workplace at some point in their careers3. These aren’t isolated incidents in troubled facilities; they represent a systemic challenge affecting institutions from prestigious private medical centres to community hospitals. The human toll is disturbing, but the economic impact is equally shocking, with violence response efforts costing hospitals and health systems approximately billions annually4.

The healthcare security paradox

What makes healthcare environments particularly vulnerable is their inherent contradiction: they must remain open, accessible, and welcoming while protecting vulnerable patients and stressed staff. Traditional security approaches often feel inappropriate in healing environments, creating a complex challenge that demands sophisticated solutions. This is where modern access control technology emerges as a critical component of comprehensive workplace violence prevention.

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“Healthcare facilities face a unique security paradox,” explains Kyle Pfeiffer, Healthcare Industry Solutions Leader at Salto. “They need to maintain the open, healing environment that patients require while protecting staff from increasingly frequent violent incidents. Our approach recognizes that effective healthcare security isn’t about building barriers, it’s about creating intelligent, adaptive systems that enhance safety without compromising the human connection that’s essential to healthcare.”

Modern access control may hold the key

Salto has developed an integrated approach that addresses this paradox through features designed specifically for healthcare environments. The foundation of this protection lies in comprehensive audit trails from every access point, creating a permanent record that serves dual purposes: deterring potential bad actors who know their movements are being tracked, and revealing behavioural patterns that can be addressed before they escalate into violence. This invisible shield of documentation transforms access control from a reactive tool into a proactive early warning system.

healthcare Sophisticated visitor management and identity verification capabilities allow healthcare facilities to maintain their welcoming atmosphere while ensuring unauthorized individuals cannot access sensitive areas. Real-time threat response and lockdown capabilities provide immediate protection when incidents occur, enabling security teams to isolate threats while protecting both staff and patients. Perhaps most importantly, staff empowerment through mobile access eliminates the vulnerabilities of physical credentials that can be lost, stolen, or used by unauthorized individuals, while seamlessly integrating with broader security ecosystems to create a comprehensive protective environment.

Adapting to healthcare’s diverse environments

The beauty of Salto’s approach lies in its adaptability to different healthcare environments. For example, emergency departments, where 85 per cent of physicians report increased violence over the past five years5, benefit from wireless locks that provide immediate access control without disruptive hardwiring. Another area that could be improved is pharmaceutical storage, which is critical for preventing drug theft and protecting staff. Utilizing electronic cylinders that create comprehensive audit trails while enabling time-based access restrictions aligned with staff schedules can help address this issue.

The economics of prevention

The financial justification becomes compelling when analyzed against violence-related costs. Each percentage point reduction in registered nurse turnover can lower labour costs by $263,000 annually for the average hospital6. When combined with reduced security personnel requirements, insurance premium reductions, and liability mitigation, the return on investment in advanced access control becomes substantial.

Yet the true measure of success extends beyond financial metrics. The underreporting culture that plagues healthcare, where studies suggest 88 per cent of workplace violence incidents go undocumented7, begins to shift when staff feel genuinely protected. Advanced access control systems create an environment where incidents are prevented rather than merely responded to after the fact.

The future of healthcare workplace safety

Looking forward, the integration of artificial intelligence and predictive analytics promises even more sophisticated threat assessment capabilities. However, the immediate need remains clear: healthcare organizations must transition from reactive security postures to proactive, intelligence-driven approaches that protect staff while maintaining the accessibility essential to quality patient care.

The crisis of healthcare workplace violence demands more than traditional security measures; it requires thoughtful, technology-enabled solutions that understand the unique challenges of healing environments. Salto’s healthcare solutions offer industry leaders a pathway toward sustainable safety improvements that protect their most valuable assets: the dedicated professionals who serve others during their most vulnerable moments.

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Sources

  1. American College of Surgeons, “Violence Escalates against Surgeons and Other Healthcare Workers,” ACS Bulletin, October 2024
  2. National Nurses United Survey, 2024
  3. Canadian Medical Association, “2021 National Physician Health Survey,” 2021
  4. American Hospital Association Report, 2017
  5. American College of Emergency Physicians Survey, 2024
  6. NSI Nursing Solutions, Healthcare Workforce Analytics, 2023
  7. Gillam, S.W., et al., “Impact of an Electronic Incident Reporting System on Workplace Violence Reporting,” International Journal of Healthcare Management, 2015

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