ED Violence and Aggression Reporting Form

This form is to capture any incidents of violence or aggression experienced in the Emergency Department. This information is then shared with the Security teams and is recorded as a Datix. Where this is indicated, follow up actions will be taken with patients.

    Who was involved in this incident?(Required)
    Date of the incident(Required)
    Time of the incident(Required)
    :
    This field is for validation purposes and should be left unchanged.

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    • Any person identifiable data you submit via this form is stored on a secure database server in England, which only the relevant authorised healthcare professionals can access.
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    • Our processes for collecting data via this website have been approved by the Hull University Teaching Hospitals NHS Trust Information Governance Committee.
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