Summary of Recommendations
Review the Public
Hospital's Act to ensure patient and staff safety;
should be given the power to suspend, on a temporary basis, doctors'
privileges due to disruptive behaviours.
Review the Hospital's
by-laws to ensure patient and staff safety
should establish a clear code of conduct and line of command for
disciplining doctors who behave disruptively; appointments,
reappointments, and performance evaluations of doctors should identify
history of disruptive behaviours and drug abuse/misuse/theft.
assessment/treatment/follow-up procedures to ensure staff and public
who monitor doctors whose privileges have been suspended due to
disruptive behaviours, mental illness and especially workplace
harassment/violence must consult widely with all relevant parties
(including the victim, staff and management) before recommending that
the doctor return to work.
Design and Implement
policies, linked to training and actual practice, related to on
domestic violence, abuse and harassment in the workplace.
Employees must be aware
of the dynamics of domestic violence, abuse and harassment in order to
identify it. They must be aware of what to do when confronted with
these issues in the workplace, and they must be confident that if they
go to management something will be done about the situation. A
good policy is nothing without training.
Make available the
service of an unbiased diversity officer to deal with workplace
complaints about domestic violence, abuse and harassment.
Inquest revealed the importance having access to an unbiased resource
person, independent from management.
programs in the workplace to ensure that professionals and
non-professionals take appropriate action when faced with an
incident of domestic violence in the workplace.
materials to support such training, including information concerning
the legal responsibility to report such incidents.
Rationale: It is
not enough to focus on mental health issues of employees who
disrupt the workplace. Their attitudes, relationships and abusive
behaviours should also be taken into consideration. A trained
workforce will be able to identify these signs of potential for lethal
violence awareness training into the pre-service and ongoing
professional development plans of all health-care professionals
Professional Development credits for training in the areas of
violence in the workplace, harassment, bullying and domestic
Rationale: Health care
professionals, especially doctors, encounter the most victims of
violence. They should therefore be required and encouraged to learn how
to identify, treat and intervene.
Review the Occupational
Health and Safety Act to determine whether or not domestic violence
be included as a trigger for a Ministry investigation and to
ascertain whether psychological/emotional harm be considered to be
part of the Ministry's mandate.
Rationale: Psychological and Emotional
harm, inflicted in the workplace, has long-standing impacts and affects
workplace productivity and efficiency. It might well warrant state
intervention in the workplace.
Require hospitals to
conduct an investigation of all drug-related improprieties and to
submit their report of findings within 30 days
Review the handling of
Report all incidents of
disruptive physician behaviour to the appropriate body
Treat all workers fairly
and ensure their safety.
Rationale: the evidence of drug-related
improprieties in the Dupont case warrants that similar incidents be
treated with the utmost attention
Develop protocol to
ensure that peace bond applications with a component of domestic
violence are brought to the CAO within one day
Victims who submit peace
bond applications should be kept in the loop about what is happening
with their peace bond application
effectiveness of domestic violence training and monitor the extent
to which it is being taken by the Crown
develop an accessible
process to give voice to the concerns of victims, their advocates
and the public at large concerning domestic violence
create Domestic Violence
Courts to focus on early intervention and vigorous prosecution
expand the hours of operation of the current court system to deal
with cases of domestic violence
Domestic Violence Courts
should deal with all matters relating to the case.
Intentional court delays
by the accused should not be tolerated
Rationale: Lengthy wait times for court dates
and hearings put victims at great risk. An independent,
stream-lined system would enhance the safety of victims and increase the
chances of treating the perpetrator.
Retain the services of
Dr. Peter Jaffe to review the current workplace violence prevention
program and policy and the Domestic Violence Awareness
To provide physicians
with training regarding the Workplace violence Prevention Program
To review security
measures and protocols in place to deal with incidents of workplace
Rationale: Dr. Peter
Jaffe is a well respected expert in the field of domestic violence and
workplace violence. His help would be beneficial to all.
Provide a written
report, in one year, on the status of implementation of these
recommendations and on the reasons given by any of the parties for
not implementing the recommendations.