Hospital & Healthcare Security Statistics 2026

Last Updated: February 2026

Hospital Security Statistics: Violence, Costs & Trends in Healthcare Facilities (2026)

A comprehensive, data-driven look at the state of hospital and healthcare security — including workplace violence rates, financial costs, staffing challenges, and what administrators can do to protect their people.

Key Takeaways

  • Healthcare workers make up 10% of the U.S. workforce but suffer 48% of all nonfatal workplace violence injuries (CDC/CNN).
  • Violence costs U.S. hospitals an estimated $18.27 billion annually (AHA, 2025).
  • 81.6% of nurses experienced at least one type of workplace violence in the past year (National Nurses United, 2024).
  • 91% of emergency physicians have been victims of violence or know a colleague who has (ACEP, 2024).
  • Healthcare workplace violence occurs at a rate of 14.2 incidents per 10,000 full-time workers — far above any other industry (BLS).
  • Nearly 2 in 5 healthcare workers have considered leaving their positions due to violence (CENTEGIX, 2025).
  • U.S. hospitals spend $4.7 billion on security, with $847 million dedicated specifically to violence prevention (PMC, 2024).

Hospitals are supposed to be places of healing — but for the people who work in them, they've become some of the most dangerous workplaces in America. Violence against healthcare workers has reached crisis levels, with nurses, emergency physicians, and support staff facing assaults, threats, and verbal abuse on a near-daily basis.

This page compiles the most current and authoritative hospital security statistics from the Bureau of Labor Statistics (BLS), the American Hospital Association (AHA), the CDC, and leading healthcare research organizations. Whether you're a hospital administrator, a facility manager, or a security professional, these numbers tell the story of why professional hospital security isn't optional — it's essential.

How Common Is Violence in Hospitals?

The numbers paint a stark picture. Healthcare is, by a wide margin, the industry most affected by workplace violence in the United States.

Headline Statistics

Statistic Figure Source
Share of nonfatal workplace violence injuries suffered by healthcare workers 48% CDC via CNN, 2024
Healthcare workers as share of total U.S. workforce 10% CDC via CNN, 2024
Nurses who experienced workplace violence in past year 81.6% National Nurses United, 2024
Emergency physicians who've been victims of violence (or know one who has) 91% ACEP, 2024
ER physicians who say violence is "worse than last year" 71% ACEP, 2024
Healthcare workers who faced increased violence 55% Security Magazine, 2026

To put this in perspective: healthcare workers represent just one in ten American workers, yet they endure nearly half of all nonfatal workplace violence injuries. No other industry comes close.

BLS DART Cases: Healthcare Dominates

The Bureau of Labor Statistics tracks "DART" cases — injuries serious enough to require days away from work, restricted duty, or job transfer. The healthcare sector's numbers dwarf every other industry:

  • Healthcare and social assistance: 41,960 workplace violence DART cases over 2021–2022, representing 72.8% of all private industry cases (BLS, 2022).
  • Healthcare violence rate: 14.2 DART cases per 10,000 full-time equivalent workers (BLS, 2022).
  • Hospital-specific rate: 12.8 per 10,000 FTE (Peaceful Leaders Academy/BLS data).
  • Psychiatric aides: A staggering 543.6 per 10,000 FTE — the single most dangerous occupation for workplace violence (BLS, 2022).

The healthcare violence rate of 14.2 per 10,000 workers is nearly 5x the national average across all industries. This isn't a niche problem — it's an industry-wide crisis.

Who Is Most Affected?

While violence touches every department in a hospital, certain roles bear a disproportionate share of the burden.

Violence by Role

  • Nurses: 81.6% experienced workplace violence in the past year. Workplace violence prevalence ranges from 9.5% to 62.1% depending on specialty and measurement (AHA, 2025).
  • Physicians: Violence prevalence ranges from 24.4% to 59.3% (AHA, 2025).
  • Receptionists and front-desk staff: Prevalence ranges from 15.1% to 68.4% — often the first point of contact for agitated patients and visitors (AHA, 2025).
  • Emergency department staff are especially vulnerable: 91% of emergency physicians report being victims or knowing a colleague who has (ACEP, 2024).

Gender Disparity

Women bear the overwhelming brunt of nonfatal healthcare violence:

  • Women accounted for 72.5% of all nonfatal workplace violence DART cases (41,750 cases), with a rate of 5.0 per 10,000 FTE compared to men at just 1.4 (BLS, 2022).
  • Given that nursing — the largest hospital workforce — is predominantly female, this gender gap reflects both occupational risk and systemic exposure.

Fatal Violence in Healthcare

While most hospital violence is nonfatal, deadly incidents do occur:

  • 458 workplace homicides occurred across all U.S. industries in 2023, with 740 total fatalities from violent acts (OSHA/BLS CFOI, 2023).
  • 524 workplace homicides in 2022 — a series high since 2011, up 8.9% from 2021 (BLS, 2022).
  • 83% of workplace homicides in 2022 involved gunshot wounds (BLS, 2022).
  • Protective service workers — including hospital security officers — faced 121 homicides in 2022, the highest of any occupational group (BLS, 2022).

The Financial Cost of Hospital Violence

The AHA's landmark 2025 report quantified the financial burden of violence on U.S. hospitals for the first time at this scale — and the numbers are staggering.

Cost Category Annual Cost Source
Total annual cost of violence to U.S. hospitals $18.27 billion AHA, 2025
Post-event costs (treatment, workers' comp, turnover, litigation) $14.65 billion AHA, 2025
Pre-event prevention costs (security, training, environmental design) $3.62 billion AHA, 2025
Total U.S. hospital security spending $4.7 billion PMC/Grossman & Choucair, 2024
Security spending specifically on violence prevention $847 million PMC/Grossman & Choucair, 2024
Spending on specific environmental security measures $185.2 million AHA Report, 2025

The critical takeaway: hospitals spend $3.62 billion trying to prevent violence, yet the $14.65 billion in post-event costs — four times higher — shows that current prevention measures aren't keeping up with the problem. Every dollar invested in better security has the potential to save four dollars in aftermath costs.

"Hospital administrators often tell us they didn't realize how severe the problem was until they saw the data. When we deploy security teams in healthcare facilities, the number one feedback from nurses and ER staff is simply: 'Thank you — we finally feel safe coming to work.' That reaction tells you everything about how bad it's gotten."

— Amanda DeAlmeida, Executive Vice President, Building Security Services

Impact on the Healthcare Workforce

The violence crisis in hospitals doesn't just harm individuals — it's accelerating the nationwide healthcare staffing shortage. Workers who are assaulted, threatened, or who witness violence develop lasting psychological effects that drive them out of the profession.

Mental Health & Retention

  • Healthcare workers who experience violence report: 85% anxiety, 60% depression, 81% burnout (CDC via CENTEGIX, 2024).
  • Nearly 2 in 5 healthcare workers (approximately 40%) have considered leaving their positions due to workplace violence (CENTEGIX, 2025).
  • 55% of healthcare workers reported facing increases in violence in 2025 compared to prior years (Security Magazine, 2026).

When 40% of your workforce is considering walking out the door because they don't feel safe, you don't have a security line item — you have a retention crisis that threatens patient care. The cost of replacing a single registered nurse averages $46,000–$56,000, meaning that violence-driven turnover costs hospitals far more than the security investments that could prevent it.

The Ripple Effect on Patient Care

Violence doesn't just hurt staff — it hurts patients. When nurses and physicians are anxious, burned out, or understaffed due to turnover, care quality suffers. Studies consistently show that healthcare workers experiencing violence have higher rates of medical errors, lower patient satisfaction scores, and reduced compassion — all of which cascade into worse outcomes for the people hospitals exist to serve.

Hospital Security Spending & Measures

Hospitals are investing more in security than ever before — but the data suggests spending is still heavily skewed toward reaction rather than prevention.

Current Investment Levels

  • U.S. hospitals collectively spend $4.7 billion annually on security — but only $847 million (18%) goes specifically to workplace violence prevention (PMC/Grossman & Choucair, 2024).
  • Environmental security measures — physical modifications like panic buttons, secure entries, and redesigned waiting areas — account for $185.2 million per year (AHA, 2025).
  • The 4:1 ratio of post-event costs to prevention spending ($14.65B vs $3.62B) strongly suggests that hospitals are under-investing in proactive security measures (AHA, 2025).

What Effective Hospital Security Looks Like

Modern hospital security is a layered approach that combines people, technology, and process:

  • Trained security officers stationed at emergency departments, lobbies, and parking structures — providing visible deterrence and rapid response. Learn more about BSS hospital security services.
  • Access control systems that restrict entry to sensitive areas like labor & delivery, psychiatric units, and pharmacies. See BSS access control solutions.
  • CCTV and remote monitoring for comprehensive coverage of large campuses. Explore BSS CCTV monitoring.
  • De-escalation trained personnel who can manage agitated patients and visitors before situations become violent.
  • Visitor management protocols including sign-in procedures, ID verification, and controlled entry points. See BSS reception security.

Hospital violence exists within a larger national context of workplace violence that has been trending upward for years.

National Workplace Violence Data

Metric Figure Source
Total fatal workplace injuries (2023) 5,283 OSHA/BLS CFOI
Fatalities from violent acts (2023) 740 OSHA
Workplace homicides (2023) 458 OSHA
Workplace homicides (2022) — series high 524 BLS
Total nonfatal workplace violence DART cases (annualized, 2021–2022) 57,610 BLS
Nonfatal workplace injuries/illnesses, private industry (2023) 2.6 million BLS

Industry Comparison

Healthcare's dominance in workplace violence statistics becomes even clearer when compared to other industries:

  • Healthcare & social assistance: 14.2 DART cases per 10,000 FTE (72.8% of all cases)
  • Educational services: 8.4 per 10,000 FTE (3,300 cases)
  • Retail (tending establishments): 24.6% of workplace homicides occurred in retail settings
  • All industries combined: 2.9 per 10,000 FTE

Source: BLS Workplace Violence Factsheet, 2022

What Hospitals Can Do: Security Best Practices

The data makes one thing clear: hospitals that invest in comprehensive, professional security programs see better outcomes for staff, patients, and their bottom line. Here's what the evidence supports:

1. Dedicated Security Personnel

Having trained, professional security officers on-site — particularly in emergency departments, psychiatric units, and parking areas — is the single most effective deterrent. Officers trained in healthcare-specific de-escalation can resolve situations before they turn violent.

2. Controlled Access Points

Restricting and monitoring entry points reduces unauthorized access and gives staff early warning of potential threats. Modern access control systems integrate badge readers, visitor management, and real-time alerts.

3. Comprehensive Surveillance

Security cameras serve a dual purpose: deterring potential aggressors and providing evidence for investigations. CCTV monitoring is especially critical in parking lots, stairwells, and other low-visibility areas.

4. Emergency Response Protocols

Hospitals need clear, practiced protocols for code responses — including duress alarms, lockdown procedures, and rapid response teams. Security risk assessments can identify gaps before incidents occur.

5. Integration of People and Technology

The most effective hospital security programs combine human presence with technology — officers who know the facility and the staff, supported by cameras, access control, and communication systems. Neither alone is sufficient.

"What we've seen at BSS is that hospitals need security officers who understand healthcare — not just access control, but patient de-escalation, HIPAA awareness, and the emotional dynamics of an ER at 2 AM. When you put the right trained officers in the right positions, incident rates drop dramatically. It's not about intimidation — it's about creating an environment where both patients and staff feel protected."

— Amanda DeAlmeida, Executive Vice President, Building Security Services

Sources & Methodology

All statistics cited on this page are sourced from publicly available reports by government agencies, industry associations, and peer-reviewed publications. Data was compiled in February 2026. Where date ranges are specified, the most recent available data was used.

  1. Bureau of Labor Statistics (BLS) — Census of Fatal Occupational Injuries (CFOI), 2022–2023. bls.gov
  2. Bureau of Labor Statistics (BLS) — Injuries, Illnesses, and Fatalities Program, 2023–2024. bls.gov/iif
  3. Bureau of Labor Statistics (BLS) — Nonfatal Workplace Injuries and Illnesses, 2023. bls.gov
  4. OSHA — Workplace Violence Data and Common Statistics. osha.gov
  5. American Hospital Association (AHA) — "The Burden of Violence to U.S. Hospitals," 2025. aha.org
  6. AHA — Cost of Violence Report (PDF), 2025. aha.org (PDF)
  7. AHA — Costs of Violence Research Page. aha.org/costsofviolence
  8. Grossman & Choucair (2024) — "Hospital Security Spending in the United States." PMC. pmc.ncbi.nlm.nih.gov
  9. CDC/CNN — "Hospital Healthcare Safety Violence," 2024/2025. cnn.com
  10. National Nurses United — 2024 Workplace Violence Survey via Pinkerton. pinkerton.com
  11. American College of Emergency Physicians (ACEP) — January 2024 Survey via CENTEGIX. centegix.com
  12. Security Magazine — Healthcare Violence Trends, 2026. securitymagazine.com
  13. Peaceful Leaders Academy — Workplace Violence in Healthcare Statistics (BLS data). peacefulleadersacademy.com

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