Rg. Rankins et Gw. Hendey, Effect of a security system on violent incidents and hidden weapons in theemergency department, ANN EMERG M, 33(6), 1999, pp. 676-679
Study objective: To determine the number of weapons confiscated and assault
s reported in an urban county emergency department before and after the imp
lementation of a security system.
Methods: This is a retrospective review of security records for a 54-month
period from 1992 to 1996. We determined the number of weapons and assaults
before and after the implementation of a security system consisting of meta
l detectors, cameras, limited access, and a manned security booth at the ED
entrance. We calculated the rates of weapons confiscated and assaults per
10,000 ED patients treated.
Results: Twenty-four weapons were confiscated before the implementation of
the security system, and 40 were confiscated after the implementation (P<.
001). The percentage of weapons confiscated in the patient care area decrea
sed from 92% to 42% after the security system was installed (P< 001). Seven
of the 17 weapons (41%) found in the patient care area after implementatio
n were brought in by ambulance patients who bypassed the security booth and
metal detector. The reported assaults per 10,000 patients, however, did no
t change significantly.
Conclusion: The implementation of an ED security system increased the numbe
r and percentage of weapons confiscated : before patients were placed in pa
tient care areas, but did not decrease the number of assaults. This emphasi
zes the importance of continued training of ED personnel in the management
of violent patients and potentially violent situations.