People
Building skills, confidence, and psychological safety through education, teamwork, and support.
Are our people prepared?
Clinical Violence Reduction System
Make Violence Prevention a linical Safety System.
TACTBook helps hospitals build the governance, workforce capability, response pathways, data, and learning systems needed to prevent escalation and improve staff and patient safety.
External evidence
The numbers that frame the work
$18.27B
Estimated total annual financial cost of workplace and community violence to U.S. hospitals in 2023, according to an AHA-commissioned University of Washington analysis.
15%
Reduction in conflict events reported in the Safewards cluster randomized trial across acute psychiatric wards.
26.4%
Reduction in containment events reported in the same Safewards trial.
43
Indicators in NHS England's updated Violence Prevention and Reduction Standard, organized across seven domains.
Safewards findings are external mental-health inpatient research that informs the approach. They are not TACTBook outcomes.
The system
The five pillars of clinical violence reduction
Violence prevention is not a single policy, training class, or response team. Like infection prevention or fall prevention, it requires shared ownership, standardized processes, and continuous learning.
Process
Standardized workflows, response pathways, and documentation systems that support early intervention and coordinated response.
Do we have a reliable process?
Environment
Designing physical spaces and cultivating cultures that reduce stress, improve communication, and support safe care.
Does our environment promote safety?
Data
Capturing information, identifying patterns, and transforming incidents into opportunities for learning and improvement.
Are we learning from what happens?
Leadership
Providing governance, accountability, resources, and strategic direction that sustain long-term change.
Who owns the work?
Critical Positioning
TACTBook does not begin by selling the entire workforce another class. We first help leadership build the structure required to support and sustain the education.
Program Curriculum
Six modules. One comprehensive system.
Each module is designed to stand alone and work together, building a complete picture of violence prevention in clinical settings.
MODULE 01
Behavioral Triage Fundamentals
Introduces the core CVRS triage model u2014 how to identify early behavioral escalation cues before a situation becomes a threat.
MODULE 02
De-escalation Techniques
Verbal and non-verbal de-escalation skills taught through scenario-based learning, role play, and direct feedback from certified trainers. Adapted for high-pressure clinical settings.
MODULE 03
Environment and Culture Assessment
How to map your facility's physical and cultural risk factors. Educators learn to identify structural vulnerabilities and lead honest conversations with leadership about systemic change.
MODULE 04
Policy and Protocol Design
Guides educators through building or updating facility-specific violence prevention policies that comply with Joint Commission standards and integrate with existing safety protocols.
MODULE 05
Teaching and Facilitation Skills
How to teach CVRS content to your own staff. Adult learning principles, facilitation techniques, and how to build a training program your organization can sustain independently.
MODULE 06
Outcomes Measurement and Reporting
How to measure what you deploy. Incident tracking, staff confidence metrics, leadership reporting, and how to present results in a way that drives continued investment in prevention.
The Engagement Pathway
Six steps from first call to continuous improvement
A clear, structured path from your first conversation with our team to a system your organization owns and improves.
1
Free consultation
Clarify the organization's risks, priorities, and readiness.
2
Gap analysis
Review People, Process, Environment, Data, and Leadership.
3
Fix governance
Establish executive sponsorship, committee structure, owners, priorities, and measures.
4
Onboard educators
Prepare local educators, security partners, and implementation leaders.
5
Roll out education
Deploy foundations, live practice, micro-huddles, and role-specific pathways.
6
Measure and improve
Use adoption, operational, and outcome data to guide continuous improvement.
Investment
Certification options
Facility cohort
Most popularCertify a group of 4 to 12 educators from your facility in a single cohort. On-site delivery included. Best for hospitals and large healthcare systems.
Open enrollment
Individual educators join a cohort with peers from other facilities. Fully remote. Ideal for independent clinicians and smaller teams.
Enterprise program
Custom-built for multi-facility health systems. Includes branded curriculum, a dedicated TACTBook liaison, and system-wide outcome reporting.
Start with a free CVRS consultation
Clarify your organization’s risks, priorities, and readiness — no pitch required.