Objective: White code system is implemented as an emergency management tool to prevent assault against medical staff in Turkey. In this study, it was aimed to evaluate white code based files that had been opened because of assault against medical staff in Tokat province between 2012 and 2014.
Methods: In this descriptive study, white code based files that had been followed by Tokat Health Directorate Law Office between 2012 and 2014 were examined retrospectively. Descriptive data belong to victims, assailants, assaults and cases were demonstrated as number, percentage, mean±standard deviation and min-max.
Results: As a result of examination of total 134 files, it was found that 50,7% of victims were male and the mean age was 31,3±6,9 years. The occupational group that made the most white code notification because of exposure to assault was physicians (64,2%). Most common places that assault happens was hospitals (85,8%). 50% of the assaults was occured in the city center. 76,1% of assailants were male, the mean age was 39,1±12,8 years, 60,4% of assailants was patients and 68,7% of them were alone at the moment of assault. The assault cases happened most frequently in emergency services (41,8%), 94,8% of them were insulted, 39,6% were threatened, 12,7% were physical violence and 0,7% were injured. The most common causes for assault were the claims that malpractice (24,6%), disorder during the examination (22,4%) and abuse of duty (22,4%). 79,1% of assault were sued and 78,3% of them were concluded. It was decided that the concluded cases were fined in 44,5%, no need to prosecute in 24,4%, imprisonment in 14,6%, acquittal in 12,2%, no need to punishment in 3,7%. It was determined that 34,7% of penalties were postponed and 66,6% of the imprisonments were converted into fines.
Conclusion: Among the medical staff, white code notification because of exposed to assault was most frequently performed by physicians, and assault cases were most commonly occured in emergency services. Majority of assailants were male, middle-aged, patient and alone during the case. In the vast majority of assault cases were sued, and these cases have resulted in the most frequent fines. One third of penalties were postponed, and two third of imprisonments were converted into fines. In order to prevent all kinds of violence against to medical staff, all necessary intervention methods should be applied and deterrent legal measures should be taken.
Assault,white code, medical staff
Article Language: Turkish English