Hospitals are meant to be places of healing, yet for many of the professionals who work within them, they have become increasingly dangerous environments. By 2024, violence against healthcare workers had reached a crisis point, forcing a shift from voluntary safety guidelines to mandatory requirements. According to the California Chapter of the American College of Emergency Physicians (CAL/ACEP), 91% of emergency physicians reported being threatened in the past year.
High-profile attacks, such as the 2022 stabbing of two nurses at Encino Hospital Medical Center, fueled public outrage and legislative action aimed at keeping healthcare workers and patients safe by reducing or eliminating the presence of weapons in hospitals.
To create safer facilities, hospitals must adopt both preventative and proactive measures that protect frontline staff and restore trust in healthcare as a secure environment for all.
Conduct a Risk Assessment
A comprehensive risk assessment is one of the most effective steps a hospital can take to improve safety. By reviewing internal vulnerabilities, local crime patterns, and environmental factors, leaders gain a clear picture of potential threats before they escalate.
Key benefits of a well-executed risk assessment include:
- Uncovering hidden vulnerabilities, including blind spots, unsecured entry points, and outdated procedures.
- Providing data-driven insights from local crime reports to guide better decision-making.
- Strengthening preparedness with actionable prevention and response strategies.
- Building stakeholder confidence by demonstrating a proactive commitment to staff and patient safety.
Before engaging a professional consultant, hospitals can take initial steps by:
- Reviewing internal security documentation to identify overlooked hazards.
- Requesting a comprehensive crime report from the local police department to understand community risks better and inform security strategies.
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Implement Layered Physical Security
Layered security in the context of healthcare staff protection applies multiple overlapping protections to deter, detect, and respond to threats. This redundancy ensures that if one layer fails, others remain in place to safeguard the facility.
Effective measures include:
- Installing cameras, including license plate recognition (LPR) technology, in parking lots and around the building perimeter.
- Posting clear signage and audio announcements that weapons are prohibited on premises.
- Equipping security staff with two-way radios for rapid communication.
- Using automatic door-locking mechanisms to block entry by suspicious individuals.
- Deploying AI-based weapons detection systems for fast and accurate screening.
- Establishing protocols to delay flagged individuals for up to 30 seconds while security coordinates a response.
These layers work together to deter potential threats, detect risks early, and enable swift intervention when needed.
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Prepare an Active Shooter Response Plan
Hospitals must also be ready for worst-case scenarios. An active shooter response plan should combine strong preventative measures with coordinated emergency planning.
Preventative steps mirror layered security—cameras, signage, communication tools, locking systems, and AI weapons detection technology. Together, these measures reduce the likelihood of weapons entering the facility and buy critical time for response.
Preparedness measures can be strengthened through resources from the Cybersecurity and Infrastructure Security Agency (CISA). CISA offers tabletop exercises that allow hospitals to simulate emergency scenarios with input from key partners, including EMS, law enforcement, fire departments, and security providers. These exercises help refine existing policies, identify gaps in technology, and ensure all stakeholders are prepared to respond quickly and effectively.
Conclusion
Healthcare staff protection is essential to preserving hospitals as places of healing. By conducting risk assessments, implementing layered security, and preparing for emergencies, facilities can shift from reacting to preventing violence—creating safer environments for caregivers, patients, and communities alike.
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