An employee walked out to the parking lot to retrieve an unstable patient. The patient decided to leave the hospital and walked out to get in their car. The employee followed the patient. The patient started the car with the door open. The employee attempted to talk the patient into coming back into the hospital for care. The patient became agitated and reversed the car. The employee was caught by the open door and slammed into the ground. The patient then put the car in drive and ran over the employee. The employee was hospitalized with a broken nose and chest injuries and required stitches to the face.