Question
(occupational violence)
(1) What have been the occupational violence figures in each ward (eg intensive care unit, emergency), for the past 12 months.
(2) Can the Minister explain how (a) Lost Time Injury Frequency Rate (LTIFR) and (b) occupational violence LIFTR is calculated and used as an indicator for work health safety incidents.
(3) What is the actual rate for occupational violence LTIFR in June 2022.
(4) What is the target occupational violence LTIFR for (a) 2020-21, (b) 2021-22 and (c) 2022-23.
(5) What is the actual occupational violence LTIFR, both (a) verbal (b) physical, broken down for each month for the past year.
(6) What is the actual rate for LTIFR in June 2022.
(7) What is the target LTIFR for (a) 2020-21, (b) 2021-22 and (c) 2022-23.
(8) What is the actual LTIFR, both (a) verbal (b) physical, broken down for each month for the past year.
(9) What are the LTIFR classifications.
(10) Can the Minister provide a breakdown of all LTIFR incidents by classification for (a) 2020-21 and (b) 2021-22.
(11) Can the Minister provide a breakdown of how many occupational violence incidents were by (a) patients, (b) consumers, (c) clients and (d) staff for (i) 2020-21 and (ii) 2021-22.
Answer
(1) Canberra Health Services (CHS) Occupational Violence (OV) Staff Incident Reports FY2021/22 (as at 15/06/2022) based on staff incidents reported in the CHS Riskman system.
| Financial Year | FY2021-22 |
|---|---|
| Physical Location | Number of OV Incidents |
| Adult Mental Health Unit (AMHU) | 170 |
| DMHU | 103 |
| Level 2 - Ward 11A | 72 |
| Level 2 - Emergency Department (ED) | 70 |
| Level 4 - Ward 4B | 39 |
| Level 3 - Intensive Care Unit (ICU) | 34 |
| Level 7 - Ward 7A | 30 |
| Level 2 - Ward 11B | 25 |
| UCH – Stromlo Ward | 25 |
| UCH - Namadgi Ward | 22 |
| Alcohol & Drug Unit | 22 |
| UCH – Adult Mental Health Rehabilitation Unit | 18 |
| Level 7 - Ward7B | 18 |
| Level 9 - Ward 9A | 17 |
| Level 10 - Ward 10A | 15 |
| UCH – Majura Ward | 14 |
| Level 9 - Ward 9B | 12 |
| UCH - Cotter Ward | 9 |
| Level 5- 5B | 9 |
| Level 6 - Ward 6A | 8 |
| Level 3 - Post Anaesthetic Care Unit (PACU) | 7 |
| Level 5- Orthopaedics Surgery 5A | 7 |
| Level 6 - Ward 6B | 7 |
| TCH - B1 - Level 10B (QSII) | 7 |
| CHWC- Paediatric Adolescents Ward | 6 |
| Level 4 - Ward 4A | 5 |
| TCH 14A - Inpatient Haematology | 5 |
| Level 8 - Ward 8B | 4 |
| TCH - 12B | 4 |
| CHWC - Birthing Suite | 3 |
| Mental Health Short Stay Unit | 3 |
| CHWC - Antenatal and Gynaecology Ward | 2 |
| CACHS Ward 14B / Medical Oncology | 2 |
| Acute Medical Unit (AMU) | 1 |
| Acute Surgical Unit | 1 |
| CHWC - Birth Centre | 1 |
| CHWC - Foetal Medicine | 1 |
| CHWC- Paediatric High Care Ward | 1 |
| CHWC- Paediatric Medical Ward | 1 |
| CHWC-Special Care Nursery | 1 |
| Level 3 - Coronary Care Unit (CCU) | 1 |
| Level 8 - Ward 8A | 1 |
| Calvary Public Hospital Bruce Occupational Violence incidents - by ward* | July 2021 – 27 June 2022 |
| 4E | 13 |
| 4W | 1 |
| 5W | 2 |
| 6W | 1 |
| Acacia (Adult Mental Health) | 6 |
| Clare Holland House | 12 |
| COVID Respiratory Assessment Unit | 2 |
| Emergency Department | 20 |
| GRACE service | 1 |
| Intensive Care | 5 |
| Main Reception | 1 |
| MAPU | 6 |
| Older Persons Mental Health Unit | 4 |
| Physiotherapy | 1 |
| Security | 1 |
| SSU | 1 |
| Stroke | 1 |
| Theatre | 3 |
| Hospital in the Home | 1 |
* The numbers include incidents in CPHB wards only, therefore differ to numbers in question 11.
(2) (a) CHS and Calvary Public Hospital Bruce (CPHB) define and calculate LTIFR differently.
CHS defines LTIFR as ‘lost time incident frequency rate’ and this is calculated based on a variation of the Safe Work Australia formula for ‘lost time injury frequency rate’. The following calculation is used:
(Number of lost time incidents* in accounting period)
------------------------------------------------------------------------× 1,000,000
(Total hours worked in accounting period)
* Lost time incident = lost time of less than 1 day or more than 1 day lost time (based on any staff incident reported in Riskman of any classification as per the Types of Occurrence Classification System)
Lost time incidents are used as an indicator of the severity of incidents.
CPHB defines LTIFR as ‘lost time injury frequency rate’ and this is calculated according to the Safe Work Australia formula for ‘lost time injury frequency rate’.
(Number of lost time injuries* in accounting period)
------------------------------------------------------------------------× 1,000,000
(Total hours worked in accounting period)
*Lost time injury = Lost time injuries involving 1 day or more lost time (based on injury claims recorded by the insurer)
(b) CHS defines OV LTIFR as ‘occupational violence lost time incident frequency rate’ and this is calculated based on a variation of the Safe Work Australia formula for ‘lost time injury frequency rate’. The following calculation is used:
(Number of OV lost time incidents* in accounting period)
------------------------------------------------------------------------× 1,000,000
(Total hours worked in accounting period)
* OV Lost time incident = lost time of less than 1 day or more than 1 day lost time (based on staff incidents reported in Riskman and classified as either and classified as either ‘exposure to workplace or occupational violence’ or ‘being assaulted by a person or persons’ as per the Types of Occurrence Classification System)
Lost time incidents are used as an indicator of the severity of reported staff incidents that involve OV.
CPHB does not measure or report on LTIFR by incident classification.
(3) CHS = 6.73. Data is not available for CPHB, see response to 2(b).
(4)
| CHS | |
| Financial Year | Target OV LTIFR |
| 2020-21 | 0.484* |
| 2021-22 | 5.80 |
| 2022-23 | 5.80 |
| |
CPHB does not have specific occupational violence LTIFR targets.
(5) The Occupational Violence (OV) LTIFR is calculated as a total only (not by type of OV).
| CHS | |
| Month | OV LTIFR |
| June 2021 | 0.291 |
| July 2021 | 10.56 |
| August 2021 | 7.68 |
| September 2021 | 5.92 |
| October 2021 | 8.35 |
| November 2021 | 3.37 |
| December 2021 | 1.69 |
| January 2022 | 5.08 |
| February 2022 | 15.85 |
| March 2022 | 3.35 |
| April 2022 | 8.37 |
| May 2022 | 3.36 |
Data is not available for CPHB. See response to 2(b).
(6) Rates for the month of June 2022: CHS = 20.25; CPHB = 14.40.
(7)
| 2020-21 | 2021-22 | 2022-23 | |
| CPHB – Overall LTIFR | 18.00 | 18.00 | 18.00 |
| CHS – All WHS Incidents LTIFR | 1.74* | 23.50 | 23.50 |
* See response to Question 4 regarding revision to formula between 2020-21 and 2021-22
(8) For CHS the actual ‘All WHS Incidents’ LTIFR is not broken down into further categories.
Data is not available for CPHB. See response to 2(b).
(9) For staff incidents, CHS and CPHB use classifications based on the Australian Safety and Compensation Council ‘Type of Occurrence Classification System’ (TOOCS) codes. These codes are available via: Type of occurrence classification system (TOOCS) 3rd Edition May 2008 | Safe Work Australia
(10)(a) CHS ‘All WHS Incidents’ LTIFR Classification 2020-21:
| Total | |
| 29 Being assaulted by a person or persons | 53 |
| 42 Muscular stress while handling objects other than lifting, carrying or putting down | 47 |
| 41 Muscular stress while lifting, carrying, or putting down objects | 35 |
| 02 Falls on the same level | 31 |
| 87 Work related harassment and/or workplace bullying | 30 |
| 44 Repetitive movement, low muscle loading | 16 |
| 11 Hitting stationary objects | 14 |
| 61 Single contact with chemical or substance | 11 |
| 43 Muscular stress with no objects being handled | 8 |
| 82 Exposure to workplace or occupational violence | 8 |
| 01 Falls from a height | 7 |
| 21 Being hit by falling objects | 5 |
| 92 Vehicle incident | 5 |
| 99 Unspecified mechanisms of incidents | 5 |
| 84 Work Pressure | 4 |
| 12 Hitting moving objects | 3 |
| 28 Being hit by moving objects | 3 |
| 24 Being hit by a person accidentally | 2 |
| 26 Being trapped between stationary and moving objects | 2 |
| 53 Exposure to environmental heat | 2 |
| 55 Exposure to non-ionising radiation | 2 |
| 72 Contact with, or exposure to, biological factors of human origin | 2 |
| 81 Exposure to a traumatic event | 2 |
| 98 Other and multiple mechanisms of incident | 2 |
| 25 Being trapped by moving machinery or equipment | 1 |
| 63 Insect and spider bites and stings | 1 |
| 86 Other mental stress factors | 1 |
(b) CHS ‘All WHS Incidents’ LTIFR Classification 2021-22 (as at 15 June 2022)
| Total | |
| 29 Being assaulted by a person or persons | 73 |
| 02 Falls on the same level | 36 |
| 87 Work related harassment and/or workplace bullying | 29 |
| 42 Muscular stress while handling objects other than lifting, carrying or putting down | 28 |
| 11 Hitting stationary objects | 19 |
| 41 Muscular stress while lifting, carrying, or putting down objects | 16 |
| 82 Exposure to workplace or occupational violence | 16 |
| 28 Being hit by moving objects | 12 |
| 44 Repetitive movement, low muscle loading | 12 |
| 84 Work Pressure | 11 |
| 01 Falls from a height | 9 |
| 43 Muscular stress with no objects being handled | 9 |
| 26 Being trapped between stationary and moving objects | 5 |
| 72 Contact with, or exposure to, biological factors of human origin | 5 |
| 81 Exposure to a traumatic event | 5 |
| 13 Rubbing and chafing | 3 |
| 23 Being hit by an animal | 3 |
| 03 Stepping, kneeling or sitting on objects | 2 |
| 21 Being hit by falling objects | 2 |
| 61 Single contact with chemical or substance | 2 |
| 62 Long term contact with chemicals or substances | 2 |
| 86 Other mental stress factors | 2 |
| 99 Unspecified mechanisms of incidents | 2 |
| 12 Hitting moving objects | 1 |
| 63 Insect and spider bites and stings | 1 |
| 69 Other and unspecified contact with chemicals or substances | 1 |
| 88 Other harassment | 1 |
| 89 Mental stress related to Novel Coronavirus (COVID-19) | 1 |
| 92 Vehicle incident | 1 |
CPHB does not measure or report on LTIFR by incident classification. CPHB has provided the below data on Lost Time Injury (LTI) incidents for the 2020-21 and 2021-22 periods.
| Calvary Public Hospital Bruce –LTI incidents by classification | |||
| 2020-21 | 2021-22 | ||
| Being hit by moving objects | 1 | Being hit by moving objects | 0 |
| Blood and body fluid exposure | 1 | Blood and body fluid exposure | 3 |
| Chemicals and other substances | 5 | Chemicals and other substances | 4 |
| Falls, trips and slips of a person | 18 | Falls, trips and slips of a person | 10 |
| Heat, electricity and other environmental factors | 3 | Heat, electricity and other environmental factors | 0 |
| Hitting objects with a part of the body | 17 | Hitting objects with a part of the body | 1 |
| Laceration | 4 | Laceration | 1 |
| Manual tasks | 18 | Manual tasks | 25 |
| Mental stress | 12 | Mental stress | 2 |
| Sounds and pressure | 1 | Sounds and pressure | 1 |
| Vehicle incidents and other | 11 | Vehicle incidents and other | 0 |
| Violence and aggression | 9 | Violence and aggression | 1 |
(11) CHS Occupational Violence staff incident reports include all incidents involving patients, consumers, and clients. They do not include incidents involving other CHS staff.
| Calvary Public Hospital Bruce – Breakdown of all* OV incidents | ||
| 2020-21 | 2021-22 | |
| Patients | 50 | 84 |
| Consumers | 14 | 0 |
| Staff | 12 | 5 |
* The numbers include all incidents across the CPHB and CHH campuses (not just wards) and therefore differ to numbers provided in response to Question 1.