Other Contexts

Gerard O'Dea

Principal Trainer, Dynamis

Dynamis has been operating internationally since 2008.  Since then, one of our teams has been involved in a very successful programme to upgrade the skills and knowledge of the clinical staff at one of the United Arab Emirates most forward-looking hospitals.

The Dynamis training programme in the international environment aims to:

  • Provide training which is culturally and ethically consistent with the host environment 
  • Bring trainers who can share knowledge to a multinational, multicultural environment.
  • Empower staff to feel safer and more professionally confident in challenging situations.
  • Promote the highest level of patient safety, security and human rights
  • Enable policies and procedures to be upgraded to world-class standards.

Our firm continues to expand its range of services and offers specialist advice for healthcare facilities in the middle east who are seeking best-practice knowledge in the field of restraint and seclusion.


1,000 Emergency Department Nurses surveyed:

86% have been the victim of workplace violence in the past three years
20% experience violence frequently.
40% report their workplace is somewhat or not safe at all.

59% list crowed emergency departments as a top reason for job dissatisfaction.


171 Emergency Department Physicians surveyed:

76% reported experiencing at least one violent act over the previous 12 months.

74% have encountered verbal threats.
28% were the victims of physical assaults.


Additionally, because of the decreasing availability of psychiatric resources, the use of Emergency Departments for medical clearance before individuals are jailed is on the increase, which contributes to the potential for violent patient behaviour in the ED.


"Health care institutions today are confronting steadily increasing rates of crime, including violent crimes such as assault, rape and homicide," according to a 2010 report from the Joint Commission's Sentinel Event Database.


“Once considered safe havens, health care institutions today are confronting steadily increasing rates of crime, including violent crimes such as assault, rape and homicide. As criminal activity spills over from the streets onto the campuses and through the doors, providing for the safety and security of all patients, visitors and staff within the walls of a health care institution, as well as on the grounds, requires increasing vigilant attention and action by safety and security personnel as well as all health care staff and providers.”

Joint Commission

Sentinel Event Alert 45

June 3, 2010







October 20, 2011


2011 is on track to be the most violent year on record in U.S. hospitals, underscoring a growing challenge for health care workers and hospital leaders.


In the first half of 2011, the Joint Commission recorded 23 violent incidents at hospitals and long term-care facilities. At that pace, 2011 will exceed the record of 42 incidents reported in 2008.


Meanwhile, 2009 Bureau of Labor Statistics data show that RNs are three times more likely to be assaulted on the job than the average U.S. worker. That places RNs at higher risk of assault than taxi drivers and bartenders, Modern Healthcare reports.


According to the International Association for Healthcare Security and Safety (IAHSS) President Jim Stankevich, hospitals attract visitors who are mentally unstable because of medical conditions or drug misuse. In addition, patients often have emotional outbursts in hospital waiting rooms, as overcrowding and triage delays can increase wait times, Modern Healthcare reports.


A survey in 2010 found that more than half of emergency nurses had been spit on, pushed, scratched and verbally assaulted on the job. One in four of the nearly 3,500 emergency room nurses reported being assaulted more than 20 times in the past three years, according to results from the Emergency Nurses Association.


"There is a growing trend in violence," said Dr. Leigh Vinocur, a spokeswoman for the American College of Emergency Physicians. "Emergency rooms are sort of a microcosm of society. There's a growing trend in violence in the emergency room." (CNN)


Testimonial from the UAE

“Our hospital is currently engaged in an internationally-recognised hospital accreditation programme, and our hope is that providing this level of certified training to the staff in dealing with safety issues will help us to reach the highest standards of risk management and patient safety.  This training from Dynamis has been a great success”.   


Clinical Resources Manager

400-bed hospital

United Arab Emirates