# Doctor safety: twenty additional poster reels

English · doctors · 1080 × 1920 · 30 fps · Nagpur IMA Safety

Narration: synthetic macOS Rishi English voice. Captions use measured sentence clips.

Practical educational material adapted to an Indian audience. International sources inform general prevention; their jurisdiction-specific legal duties are not presented as Indian law. Follow local procedures and seek qualified advice for individual incidents.

Source review: 11 September 2026. Scripts and illustrative examples are original. No real incidents or people are depicted. Music is the original instrumental from this project.

# Before the first patient

Duration: 70.83 seconds

## 00:00:00.000 — Before opening

On screen: A two-minute safety check

Before the first patient arrives, take a brief look at how your clinic will work today. A familiar room can still have a blocked exit or an unavailable colleague.

## 00:00:11.500 — Check the room

On screen: Keep a clear way out

Check that doors, walkways and the route to assistance are accessible. Arrange furniture so you and your patient can move without being trapped behind a desk.

## 00:00:22.767 — Check the response

On screen: Know who can help

Confirm who is available if an interaction becomes threatening during this session. Check the agreed call system with your team, without accidentally activating an emergency response.

## 00:00:35.967 — Check the team

On screen: Include everyone on duty

Include reception staff, temporary colleagues and anyone working in an isolated area. A contact number helps only when someone knows who will answer and what happens next.

## 00:00:48.867 — Act on a problem

On screen: Give each concern an owner

If something is unsafe, raise it before the clinic becomes busy. Agree an interim arrangement and a person responsible for fixing the problem.

## 00:00:59.533 — Today's action

On screen: Make it a daily habit

Add a short safety check to the opening routine and review it together. A prepared workplace supports doctors, staff and patients throughout the day.

## Sources

- [HSE: Controls to prevent violence and aggression](https://www.hse.gov.uk/violence/employer/controls-to-prevent.htm)
- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)

---

# Support the front desk

Duration: 69.07 seconds

## 00:00:00.000 — The first contact

On screen: Reception needs support

Reception staff often meet frustration before a doctor knows there is a problem. A clear support plan helps the whole clinic respond earlier and more consistently.

## 00:00:11.633 — Agree the first step

On screen: Make escalation simple

Decide who reception should contact when a visitor starts making threats. Use a short agreed message that explains the location and the help needed.

## 00:00:22.033 — Keep contact practical

On screen: Check the response route

Keep the contact method within reach and confirm that it works. Agree a backup for times when the first person is busy or unavailable.

## 00:00:31.900 — Support communication

On screen: Give clear, useful updates

Share realistic information about delays and the next administrative step. Staff should not have to guess clinical details or defend decisions they cannot explain.

## 00:00:43.267 — Respond together

On screen: Take threats seriously

If the situation becomes unsafe, activate the local response and move to safety when possible. Arrange appropriate clinical cover while trained support handles the immediate safety concern.

## 00:00:56.767 — Today's action

On screen: Practise one short scenario

At your next team meeting, walk through a threatening interaction at reception. Check who calls, who responds, and how the team follows up afterward.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [CDC/NIOSH: Violence — Occupational Hazards in Hospitals](https://www.cdc.gov/niosh/docs/2002-101/default.html)

---

# Clear updates in the waiting room

Duration: 72.83 seconds

## 00:00:00.000 — During a delay

On screen: Information can reduce uncertainty

A busy waiting room can become more difficult when nobody knows what is happening. Clear updates help people understand the process, although they cannot guarantee a calm response.

## 00:00:12.700 — Explain the process

On screen: Use realistic language

Explain that urgent clinical needs may change the order of appointments. Avoid promising an exact time when the team cannot reliably meet it.

## 00:00:23.200 — Provide a next step

On screen: Say when you will update

Tell people where they can ask for help and when another update is expected. Make sure someone owns that update, especially during an unexpectedly long delay.

## 00:00:35.000 — Notice individual needs

On screen: Offer appropriate assistance

Consider language, hearing, mobility and other communication needs without making assumptions. If someone feels unwell or deteriorates while waiting, arrange appropriate clinical assessment.

## 00:00:49.300 — When tension rises

On screen: Bring in support early

Keep your voice steady, maintain personal space and follow the agreed escalation process. Move to safety and seek urgent assistance if the interaction becomes threatening.

## 00:01:01.600 — Today's action

On screen: Review your waiting-room message

Ask your team what patients are told when the clinic falls behind. Choose one clear update that staff can deliver consistently and with respect.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [HSE: Controls to prevent violence and aggression](https://www.hse.gov.uk/violence/employer/controls-to-prevent.htm)

---

# Prepare for difficult clinical news

Duration: 75.47 seconds

## 00:00:00.000 — Before the discussion

On screen: Prepare for difficult news

Difficult clinical news deserves time, privacy and a team that knows the plan. Preparation supports compassionate communication while helping everyone respond if a safety concern arises.

## 00:00:13.767 — Choose the setting

On screen: Privacy with access to support

Choose an appropriate space with a clear route to assistance. Arrange relevant colleagues or an interpreter where needed, while respecting the patient's preferences and confidentiality.

## 00:00:26.900 — Agree the roles

On screen: Know who will do what

Before you begin, agree who will explain the information and who will provide support. Confirm how the team will get additional help if the situation changes.

## 00:00:38.033 — During the conversation

On screen: Explain, pause and listen

Use plain language, allow pauses and check what the patient or family has understood. Distress does not automatically mean aggression, so respond to the person's actual behaviour.

## 00:00:51.133 — If safety changes

On screen: Keep care and safety coordinated

If behaviour becomes threatening, follow the local safety response and seek assistance. Arrange appropriate ongoing care and document the relevant clinical and safety facts.

## 00:01:03.800 — Today's action

On screen: Prepare the next difficult conversation

Before a challenging discussion, check the room, the people and the support arrangements. Compassion and preparation belong in the same conversation.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [GMC: Patients, partnership and communication](https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice/domain-2-patients-partnership-and-communication)

---

# Separate billing disputes from care

Duration: 70.90 seconds

## 00:00:00.000 — When a bill is disputed

On screen: Keep the response coordinated

A billing disagreement can place a doctor in a difficult conversation outside the clinical issue. The aim is a clear administrative route alongside appropriate ongoing patient care.

## 00:00:12.933 — Clarify the concern

On screen: Listen without guessing

Acknowledge the concern and identify the part of the bill that needs explanation. Avoid inventing a promise or changing an amount outside your authority.

## 00:00:24.067 — Bring the right support

On screen: Use the administrative route

Connect the person with the designated billing or administrative colleague. Agree who will respond and how the patient will receive the next update.

## 00:00:33.733 — Maintain boundaries

On screen: Respectful discussion matters

Explain the next step calmly and keep enough personal space. If threats develop, call the agreed support and move to safety when possible.

## 00:00:44.167 — Protect continuity

On screen: Keep clinical needs visible

Coordinate with colleagues so an administrative dispute does not obscure urgent clinical needs. Record relevant facts through the appropriate workplace process, including the response to any threat.

## 00:00:58.100 — Today's action

On screen: Name the billing contact

Before the next busy session, confirm who handles an escalated billing concern. A clear route reduces confusion for patients, reception staff and doctors.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [HSE: Advice for workers on violence in the workplace](https://www.hse.gov.uk/violence/worker/index.htm)

---

# Safety information at handover

Duration: 74.77 seconds

## 00:00:00.000 — At handover

On screen: Pass on the safety plan

A safety arrangement can fail when the next team does not know it exists. Include relevant safety information in the authorised handover, alongside the clinical priorities.

## 00:00:12.967 — Describe the facts

On screen: Use specific observations

Describe what happened, when it happened and the response that was needed. Use factual language about behaviour, rather than insulting labels or assumptions about a person.

## 00:00:25.433 — Explain the current plan

On screen: Make the next step clear

Say what support has been arranged and who should be contacted if concerns return. Mention relevant changes, such as a different room or an agreed staffing arrangement.

## 00:00:37.533 — Share appropriately

On screen: Keep access limited

Use the approved clinical or workplace channel and share information necessary for the purpose. Avoid casual group messages, public discussion or copying sensitive records to a personal account.

## 00:00:51.367 — Check understanding

On screen: Confirm the receiving team knows

Give the next team a chance to clarify the plan and the contact route. Update information when circumstances change so an old concern does not become an unsupported label.

## 00:01:03.633 — Today's action

On screen: Add a safety prompt

At your next handover, ask whether anyone needs a specific safety arrangement. Make the answer useful, current and confidential.

## Sources

- [HSE: Managing violence and aggression in health services](https://www.hse.gov.uk/healthservices/violence/do.htm)
- [GMC: Confidentiality — good practice in handling patient information](https://www.gmc-uk.org/professional-standards/the-professional-standards/confidentiality)

---

# Orient every locum and new doctor

Duration: 71.87 seconds

## 00:00:00.000 — A new workplace

On screen: Orientation includes safety

A doctor can be clinically experienced and still be unfamiliar with a particular workplace. A brief safety introduction matters for locums, new residents and colleagues covering another department.

## 00:00:14.300 — Show the space

On screen: Walk the important routes

Show the working area, the accessible exits and the nearest place to seek help. Point out any isolated areas and the arrangements for working there.

## 00:00:25.533 — Explain the response

On screen: Demonstrate the local process

Explain how to call for assistance and what information to give. Check the doctor can use the system, and explain the backup if it fails.

## 00:00:35.567 — Introduce the people

On screen: Put names to the plan

Identify the senior clinical contact and the relevant reception or security colleagues. Clarify who coordinates patient care when someone needs to step away from an unsafe interaction.

## 00:00:48.733 — Explain reporting

On screen: Show where concerns go

Show how to report a threat, a near miss or a problem with the environment. Explain where confidential support is available after a difficult experience.

## 00:01:00.067 — Today's action

On screen: Give the next locum a safety tour

Create a short orientation checklist that someone actually walks through with each new colleague. Do not assume that knowing medicine means knowing this building.

## Sources

- [HSE: Controls to prevent violence and aggression](https://www.hse.gov.uk/violence/employer/controls-to-prevent.htm)
- [CDC/NIOSH: Workplace Violence Prevention Course](https://www.cdc.gov/niosh/docs/2013-155/default.html)

---

# Plan after-hours visitor access

Duration: 70.17 seconds

## 00:00:00.000 — The quieter shift

On screen: Check support after hours

An entrance that works well in daytime may work differently during an evening shift. Reduced staffing and fewer people nearby make clear access and support arrangements especially useful.

## 00:00:13.667 — Before the shift

On screen: Confirm the access plan

Confirm which entrance visitors should use and who manages access. Keep emergency routes available and raise any arrangement that blocks a safe exit.

## 00:00:24.500 — Make expectations clear

On screen: Explain the visitor process

Use the workplace's agreed visitor process and communicate it calmly. Arrange an appropriate route for urgent clinical needs rather than leaving staff to improvise.

## 00:00:36.400 — Check communication

On screen: Know the available support

Confirm who is on duty, how to contact them and the expected backup. Include staff working away from the main reception or clinical area.

## 00:00:46.900 — If an interaction changes

On screen: Escalate a threat promptly

Maintain personal space and seek help if someone becomes threatening. Follow the local emergency response, and coordinate ongoing patient care through colleagues.

## 00:00:58.867 — Today's action

On screen: Review one evening journey

Walk through how a visitor reaches your department after normal hours. Check who receives them, who can help, and where uncertainty needs fixing.

## Sources

- [HSE: Protect those working alone](https://www.hse.gov.uk/lone-working/employer/manage-the-risks-of-working-alone.htm)
- [CDC/NIOSH: Violence — Occupational Hazards in Hospitals](https://www.cdc.gov/niosh/docs/2002-101/default.html)

---

# Prepare for a home visit

Duration: 67.90 seconds

## 00:00:00.000 — Before travelling

On screen: Plan the visit and the check-in

A home visit moves clinical work into an environment you may not know. Review the visit and agree how your team will support you before you travel.

## 00:00:10.433 — Review relevant information

On screen: Assess the actual situation

Check relevant information through authorised channels and consider the visit's circumstances. Base decisions on observed risks and available information, not stereotypes about people or neighbourhoods.

## 00:00:24.600 — Agree communication

On screen: Set a practical check-in

Share the visit plan with the designated colleague through the approved system. Agree when you will check in and what happens if that check-in is missed.

## 00:00:34.367 — Match support to risk

On screen: Choose an appropriate arrangement

Discuss whether the visit needs another staff member or a different care setting. Check your phone and the route to assistance, including areas with poor reception.

## 00:00:45.200 — If you feel unsafe

On screen: Leave when you safely can

Do not enter or remain in a situation that feels immediately unsafe. Seek appropriate help and coordinate an alternative clinical response through your team.

## 00:00:56.767 — Today's action

On screen: Check the missed-contact plan

Before your next visit, ask what someone would do if you did not respond. A check-in needs a clear follow-up, not just a message.

## Sources

- [CDC/NIOSH: Home Healthcare Workers and Workplace Violence](https://www.cdc.gov/niosh/bulletin/2021/hhc-violence.html)
- [HSE: Protect those working alone](https://www.hse.gov.uk/lone-working/employer/manage-the-risks-of-working-alone.htm)

---

# The route between work and transport

Duration: 68.90 seconds

## 00:00:00.000 — Beyond the department

On screen: The route home matters

Safety planning includes the walk between your department, the car park and public transport. A route can feel very different after a late shift.

## 00:00:10.833 — Review the environment

On screen: Report practical problems

Look for poor lighting, blocked pathways and access problems along the usual route. Report the precise location so the team responsible can find and address the issue.

## 00:00:23.100 — Arrange support

On screen: Know what help is available

Check whether the workplace offers an escort, a buddy arrangement or another suitable option. Agree support in advance when you expect to leave through an isolated area.

## 00:00:35.200 — Keep communication ready

On screen: Plan the final part of the shift

Keep a charged phone accessible and know how to contact the appropriate support. Let the agreed colleague know about a changed departure plan where relevant.

## 00:00:45.900 — If you notice danger

On screen: Return to a staffed area

If a route appears unsafe, use a safer available option or return to a staffed place. Seek help rather than approaching someone whose behaviour is threatening.

## 00:00:57.200 — Today's action

On screen: Raise one route improvement

Ask colleagues which part of leaving work creates the most concern. Turn that concern into a specific request about lighting, access or support.

## Sources

- [CDC/NIOSH: Violence — Occupational Hazards in Hospitals](https://www.cdc.gov/niosh/docs/2002-101/default.html)
- [HSE: Protect those working alone](https://www.hse.gov.uk/lone-working/employer/manage-the-risks-of-working-alone.htm)

---

# Use an appropriate chaperone

Duration: 77.87 seconds

## 00:00:00.000 — Respectful examinations

On screen: Explain the chaperone's role

A chaperone can support dignity, communication and professional boundaries during an examination. Explain the role clearly and follow the chaperone policy that applies in your workplace.

## 00:00:13.833 — Before examining

On screen: Discuss what will happen

Explain why the examination is needed and what it involves. Check understanding, obtain appropriate consent and make clear that the patient can ask you to stop.

## 00:00:25.900 — Offer appropriate support

On screen: Use someone prepared for the role

Offer a suitable chaperone according to the examination and local policy. A person acting as a chaperone needs to understand the role and how to raise concerns.

## 00:00:37.567 — Respect preferences

On screen: Plan when arrangements differ

Discuss the patient's preferences without pressure or assumptions about gender. If the preferred arrangement is unavailable, seek appropriate advice and consider urgency before agreeing the next step.

## 00:00:51.633 — Record the arrangement

On screen: Document the relevant details

Record the offer, the patient's response and who was present, as required by policy. Respect privacy when the patient dresses or undresses and keep explanations professional throughout.

## 00:01:05.433 — Today's action

On screen: Check your local arrangement

Confirm how your clinic provides a suitable chaperone when one is needed. Good preparation helps both the patient and the clinical team feel informed and respected.

## Sources

- [GMC: Intimate examinations and chaperones](https://www.gmc-uk.org/professional-standards/the-professional-standards/intimate-examinations-and-chaperones)

---

# Recognise and report sexual harassment

Duration: 73.87 seconds

## 00:00:00.000 — A professional boundary

On screen: Harassment is not part of the job

Unwanted sexual comments or behaviour deserve a serious response in a healthcare workplace. Doctors should be able to seek support without having to manage the situation alone.

## 00:00:12.633 — Immediate safety

On screen: Get support when needed

If you feel unsafe, move to a safer place and contact appropriate help. If it feels safe to do so, state that the behaviour is unacceptable and should stop.

## 00:00:24.667 — Preserve your account

On screen: Keep a factual record

Write down what happened, when and where, including any relevant witnesses. Preserve messages through an appropriate secure method without circulating them widely.

## 00:00:36.367 — Use the right channel

On screen: Ask about confidential support

Find the workplace process for reporting sexual harassment and obtaining confidential advice. If the concern involves your usual reporting contact, ask about an alternative channel.

## 00:00:49.967 — Support a colleague

On screen: Listen without blame

Listen carefully, avoid blaming the person affected and respect their privacy. Offer practical help with support options rather than pressuring them into a public account.

## 00:01:02.100 — Today's action

On screen: Know where a concern can go

Check the available reporting and support routes before someone needs them urgently. A respectful workplace takes concerns seriously and follows through.

## Sources

- [GMC: Identifying and tackling sexual misconduct](https://www.gmc-uk.org/professional-standards/ethical-hub/identifying-and-tackling-sexual-misconduct)
- [BMA: Bullying and harassment — policy and recommendations](https://www.bma.org.uk/advice-and-support/equality-and-diversity-guidance/bullying-and-harassment-guidance/bullying-and-harassment-report-policy-research-and-recommendations)

---

# Respond to online impersonation

Duration: 79.27 seconds

## 00:00:00.000 — Your professional identity

On screen: Respond to impersonation carefully

An account using your name or photograph can confuse patients and colleagues. Respond through a clear process instead of starting a public argument with the account.

## 00:00:12.133 — Preserve the facts

On screen: Save the relevant evidence

Record the account address, the date and the material showing the impersonation. Keep evidence securely, and avoid sharing patient details while asking others for help.

## 00:00:24.500 — Report the account

On screen: Use the platform process

Use the platform's current impersonation reporting route and follow its instructions. Tell the appropriate practice or hospital contact so your team's response is consistent.

## 00:00:37.033 — Protect your own access

On screen: Review account security

Check your genuine account's security settings and enable available additional sign-in protection. Be cautious about messages claiming that urgent payment or a password is needed to remove an account.

## 00:00:50.833 — Inform people appropriately

On screen: Use verified channels

If clarification is needed, use your established professional channel and keep the message factual. Seek appropriate advice if the activity includes threats, fraud or misuse of confidential information.

## 00:01:06.033 — Today's action

On screen: Make your genuine contact easy to find

Check that patients can identify your official practice contact details. A short, coordinated response helps protect your name without amplifying the false account.

## Sources

- [BMA: Dealing with abuse of practice staff on social media](https://www.bma.org.uk/advice-and-support/gp-practices/complaints-in-primary-care/dealing-with-abuse-of-practice-staff-on-social-media-from-patients)
- [BMA: Ethics of social media use for doctors](https://www.bma.org.uk/advice-and-support/ethics/personal-ethics/ethics-of-social-media-use)

---

# Preserve relevant CCTV appropriately

Duration: 73.07 seconds

## 00:00:00.000 — After an incident

On screen: Ask for timely preservation

Relevant camera footage may be deleted during the system's normal retention cycle. If an incident occurs, promptly ask the authorised person to preserve the relevant material.

## 00:00:12.933 — Make the request useful

On screen: Give time and location

Provide the date, approximate time range and location, including any uncertainty. Explain the incident reference if there is one so the request can be linked correctly.

## 00:00:25.400 — Use authorised access

On screen: Protect the recording

Follow the workplace process for accessing, copying and securely storing footage. Do not take personal copies or circulate a clip in public groups.

## 00:00:36.567 — Preserve the context

On screen: Keep the original intact

Ask the responsible team to retain the relevant original and its context. Any export or transfer should follow the organisation's evidence and access procedures.

## 00:00:48.333 — Protect other people

On screen: Keep disclosure appropriate

Footage may include patients, visitors and staff who are unrelated to the incident. Let the authorised team handle requests for disclosure and seek appropriate advice where needed.

## 00:01:01.333 — Today's action

On screen: Find the preservation contact

Confirm who handles camera footage and how to reach them after hours. The useful question is who can preserve the evidence before routine deletion occurs.

## Sources

- [HSE: Controls to prevent violence and aggression](https://www.hse.gov.uk/violence/employer/controls-to-prevent.htm)
- [ICO: How can we comply with data protection requirements when using surveillance systems?](https://ico.org.uk/for-organisations/uk-gdpr-guidance-and-resources/cctv-and-video-surveillance/guidance-on-video-surveillance-including-cctv/how-can-we-comply-with-the-data-protection-principles-when-using-surveillance-systems/)

---

# Keep patient records confidential

Duration: 73.17 seconds

## 00:00:00.000 — During a public dispute

On screen: Keep records confidential

A public allegation can create a strong urge to prove what happened immediately. Patient records still need appropriate protection when a doctor is criticised or threatened.

## 00:00:12.100 — Pause before responding

On screen: Avoid identifying details

Do not publish a prescription, report or case sheet to win an argument. Even a partly hidden document can contain details that identify a patient.

## 00:00:23.333 — Use the proper route

On screen: Share for a defined purpose

Preserve relevant material through the approved workplace process. Share it only through appropriate channels with people authorised to handle the concern.

## 00:00:33.900 — Ask for support

On screen: Coordinate the response

Contact the responsible manager, professional adviser or confidentiality lead as appropriate. Agree who will respond publicly, if a response is needed at all.

## 00:00:46.367 — Separate the records

On screen: Document clinical and safety facts

Keep clinical documentation accurate and use the incident process for the safety concern. Record facts without adding insults, speculation or unnecessary personal details.

## 00:00:59.667 — Today's action

On screen: Prepare a calm response

Agree a brief message directing concerns to the proper contact without revealing patient information. You can seek support and defend your position while respecting confidentiality.

## Sources

- [GMC: Confidentiality — good practice in handling patient information](https://www.gmc-uk.org/professional-standards/the-professional-standards/confidentiality)
- [BMA: Ethics of social media use for doctors](https://www.bma.org.uk/advice-and-support/ethics/personal-ethics/ethics-of-social-media-use)

---

# Respond safely when someone is filming

Duration: 71.17 seconds

## 00:00:00.000 — When a phone appears

On screen: Keep the interaction safe

A patient may want a recording to help remember medical advice. Do not assume that every phone is a threat, but respond to actual unsafe behaviour.

## 00:00:11.200 — Clarify the purpose

On screen: Speak calmly about recording

Where it is safe, ask what the person wants to record and why. Explain relevant workplace arrangements and any concern about other people's privacy.

## 00:00:22.367 — Maintain personal space

On screen: Avoid a physical struggle

Do not grab the phone or turn the discussion into a confrontation. Keep a safe distance and ask an appropriate colleague to assist if tensions rise.

## 00:00:33.200 — Protect the setting

On screen: Consider people nearby

Avoid discussing identifiable patient information in a crowded corridor or waiting area. If appropriate and safe, arrange a suitable place for the clinical conversation.

## 00:00:45.733 — If threats develop

On screen: Follow the safety response

Seek urgent help when behaviour becomes threatening and move to safety when possible. Document what happened and get appropriate advice about any recording that is shared.

## 00:00:57.967 — Today's action

On screen: Agree a consistent response

Check how your workplace handles recording requests and privacy concerns. A calm explanation and a clear support route are more useful than improvising during conflict.

## Sources

- [BMA: Patients recording consultations](https://www.bma.org.uk/advice-and-support/ethics/confidentiality-and-health-records/patients-recording-consultations)
- [HSE: Advice for workers on violence in the workplace](https://www.hse.gov.uk/violence/worker/index.htm)

---

# Support doctors facing workplace bullying

Duration: 74.43 seconds

## 00:00:00.000 — Inside the team

On screen: Respect applies to colleagues too

Doctor safety includes the way people treat one another inside the workplace. Repeated humiliation or intimidation can make it harder to ask for help or raise concerns.

## 00:00:12.500 — Describe the behaviour

On screen: Keep a factual account

Record specific events, dates and relevant witnesses while the details are clear. Distinguish the behaviour you experienced from assumptions about another person's motives.

## 00:00:25.200 — Seek support

On screen: Choose an appropriate contact

Speak with a trusted supervisor or the designated workplace support service. Use an alternative route if the concern involves the person who would normally receive it.

## 00:00:36.600 — Support someone else

On screen: Listen and offer practical help

If a colleague raises a concern, listen without dismissing it as normal training. Ask what support would help and avoid sharing their account beyond the appropriate people.

## 00:00:48.833 — Protect clinical communication

On screen: Keep urgent concerns moving

A difficult team relationship must not prevent an urgent patient-safety concern from being escalated. Use the appropriate clinical route and seek senior assistance where needed.

## 00:01:01.267 — Today's action

On screen: Make the reporting route visible

Check that junior, temporary and senior doctors know where workplace concerns can go. Respectful feedback and a reliable support process help the whole team work safely.

## Sources

- [BMA: Bullying and harassment — policy and recommendations](https://www.bma.org.uk/advice-and-support/equality-and-diversity-guidance/bullying-and-harassment-guidance/bullying-and-harassment-report-policy-research-and-recommendations)
- [GMC: Identifying and tackling sexual misconduct](https://www.gmc-uk.org/professional-standards/ethical-hub/identifying-and-tackling-sexual-misconduct)

---

# Learn from near misses

Duration: 66.90 seconds

## 00:00:00.000 — When nobody was injured

On screen: The near miss still matters

A threatening incident can end without injury and still reveal a serious gap. Reporting what nearly happened gives the team a chance to improve the response.

## 00:00:11.100 — Describe the event

On screen: Record facts while they are fresh

Note the time, location, behaviour and relevant circumstances through the workplace process. Include what support was requested and whether it arrived as expected.

## 00:00:23.367 — Identify the gap

On screen: Look beyond individual blame

Consider the environment, staffing, communication and the way work was organised. A blocked route or an unanswered call needs a practical response, even when nobody was hurt.

## 00:00:36.800 — Recognise what helped

On screen: Keep effective measures

Record what helped the situation settle or allowed people to reach safety. The review can strengthen those measures as well as address what failed.

## 00:00:46.833 — Agree an improvement

On screen: Make the action specific

Choose a clear change, an owner and a date for checking it. Tell the affected team what has been agreed so the report does not disappear.

## 00:00:56.267 — Today's action

On screen: Report the warning sign

Think of a recent close call that was never formally discussed. Use the appropriate reporting route and ask what can be learned from it.

## Sources

- [OSHA: Preventing Workplace Violence — A Roadmap for Healthcare Facilities](https://www.osha.gov/sites/default/files/OSHA3827.pdf)
- [HSE: Advice for workers on violence in the workplace](https://www.hse.gov.uk/violence/worker/index.htm)

---

# Coordinate clinical and security teams

Duration: 77.13 seconds

## 00:00:00.000 — Before an urgent call

On screen: Agree a shared response

Clinical and security teams work better together when their roles are clear before a crisis. A short joint briefing can reveal assumptions that would otherwise appear during an emergency.

## 00:00:13.233 — Clarify the call

On screen: Make the location easy to find

Agree how to request help and what information the responding team needs. Include the exact location and the immediate concern, using the workplace's approved system.

## 00:00:25.500 — Define clinical roles

On screen: Maintain appropriate care

Identify who coordinates clinical care while another colleague contacts support. Plan how vulnerable patients and nearby staff will be assisted when a situation becomes unsafe.

## 00:00:37.833 — Define the response

On screen: Use trained support

Clarify who leads the safety response and how clinical information will be communicated. Physical intervention requires appropriate training, authority and local procedures; do not improvise it.

## 00:00:52.100 — Practise and review

On screen: Check the plan together

Use a short tabletop scenario to test communication and identify unclear responsibilities. After a real incident, review the response with the people involved and offer support.

## 00:01:05.433 — Today's action

On screen: Start with one shared scenario

Bring a clinical colleague and the relevant security contact into the same discussion. Ask who calls, who responds and who keeps care coordinated.

## Sources

- [OSHA: Preventing Workplace Violence — A Roadmap for Healthcare Facilities](https://www.osha.gov/sites/default/files/OSHA3827.pdf)
- [CDC/NIOSH: Workplace Violence Prevention Course](https://www.cdc.gov/niosh/docs/2013-155/default.html)

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# Follow a safety concern through

Duration: 68.10 seconds

## 00:00:00.000 — After a safety report

On screen: A report needs a next step

A safety concern is only the beginning of an improvement process. The team needs to know what will happen next and who is responsible.

## 00:00:10.133 — Define the problem

On screen: Be clear about the risk

Describe the practical issue and who may be affected. Use enough detail to guide an action, while protecting personal and confidential information.

## 00:00:21.267 — Assign responsibility

On screen: Name an owner

Agree who will take the action and whether another team needs to be involved. If a repair or decision will take time, discuss an appropriate temporary arrangement.

## 00:00:32.900 — Set a review point

On screen: Choose a realistic date

Record when progress will be checked and how the team will receive an update. A date helps distinguish an active task from a concern that has quietly been forgotten.

## 00:00:44.433 — Check the result

On screen: Ask whether the change worked

When an action is completed, check it in practice with the people who use it. If the risk remains, revise the plan and escalate through the appropriate process.

## 00:00:56.233 — Today's action

On screen: Follow one concern through

Choose one open safety concern and confirm its owner, next action and review date. A safer workplace grows through visible, practical follow-up.

## Sources

- [OSHA: Preventing Workplace Violence — A Roadmap for Healthcare Facilities](https://www.osha.gov/sites/default/files/OSHA3827.pdf)
- [HSE: Controls to prevent violence and aggression](https://www.hse.gov.uk/violence/employer/controls-to-prevent.htm)

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