Voluntary patient safety incidents reporting in forensic psychiatry—What do the reports tell us?

Kuosmanen, Anssi; Tiihonen, Jari; Repo-Tiihonen, Eila; Turunen, Hannele

doi:10.1111/jpm.12737

Cited by 4 publications

(3 citation statements)

References 74 publications

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“…Other peak times may be caused by the fact that patients are permitted to go for a shower or have dinner during specific times only, which may cause additional disruption, or staff members on the wards changing shifts or taking lunch breaks. The same finding has been reported in previous studies; patient aggression events increase when nurses rotate their work shift or at other times when wards are understaffed [24,37,38]. Kuosmanen et al [38] further reported that although safety incidents in forensic psychiatric wards occurred at all times of the day, incidents involving violence against another patient peaked in the afternoon (14:01-16:00 h, 19%) and evening (18:01-20:00 h, 17.3%).…”

Section: Discussionsupporting

confidence: 88%

“…The same finding has been reported in previous studies; patient aggression events increase when nurses rotate their work shift or at other times when wards are understaffed [24,37,38]. Kuosmanen et al [38] further reported that although safety incidents in forensic psychiatric wards occurred at all times of the day, incidents involving violence against another patient peaked in the afternoon (14:01-16:00 h, 19%) and evening (18:01-20:00 h, 17.3%). This finding is also supported by the review of Weltens et al [24] who found that patient aggressive events increased during ward rounds when nurses and doctors were occupied.…”

Section: Discussionsupporting

confidence: 88%

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Physical Restraint Events in Psychiatric Hospitals in Hong Kong: A Cohort Register Study

Välimäki

Lam

Hipp

et al. 2022

IJERPH

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The need to better monitor coercion practices in psychiatric hospitals has been recognised. We aim to describe how physical restraint events occur in psychiatric hospitals and identify factors associated with physical-restraint use. A cohort register study was used. We analyzed physical restraint documents among 14 wards in two psychiatric hospitals in Hong Kong (1 July and 31 December 2018). In total, 1798 incidents occurred (the rate of physical restraint event 0.43). Typically, physically restrained patients were in early middle-age, of both genders, diagnosed with schizophrenia-spectrum and other psychotic disorders, and admitted voluntarily. Alternate methods for physical restraint were reported, such as an explanation of the situation to the patients, time-out or sedation. A longer period of being physically restrained was associated with being male, aged ≥40 years, having involuntary status, and neurodevelopmental-disorder diagnosis. Our findings support a call for greater action to promote the best practices in managing patient aggression and decreasing the use of physical restraint in psychiatric wards. The reasons for the use of physical restraint, especially for those patients who are admitted to a psychiatric hospital on a voluntary basis and are diagnosed with neurodevelopmental disorders, needs to be better understood and analysed.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

Physical Restraint Events in Psychiatric Hospitals in Hong Kong: A Cohort Register Study

Välimäki

Lam

Hipp

et al. 2022

IJERPH

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“…There is little consistent agreement on what constitutes AEs in psychiatric environments (Berzins et al., 2020) and most studies have explored the frequency of specific AE such as suicide, absconding, medication errors or falls (Bowers et al., 2003; De Santis et al., 2015; Higuchi et al., 2015; Hunt et al., 2010; Jayaram, 2008, 2014; Keers et al., 2014; Lee et al., 2012; Mills et al., 2013; Muir‐Cochrane et al., 2013; Powell et al., 1994; Powell‐Cope et al., 2014; Staggs, 2015). Most health professionals working in psychiatric care will experience AE, such as service user suicide or violence, during their career (Kuosmanen et al., 2022; Martens et al., 2016; Waddell & Gratzer, 2021).…”

Section: Introductionmentioning

confidence: 99%

Developing a research tool to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals

Okkenhaug,

Tritter,

Landstad

2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject Most health professionals working in psychiatric care will experience adverse events (AE) such as service user suicide or violence, during their career Norway lacks measures to capture potential iatrogenic injuries, such as risk assessment measures, to evaluate patient records for AEs in both inpatient and outpatient psychiatric clinics in hospitals What the paper adds to existing knowledge We have described an approach to the validation of a research tool between different national contexts; a process that went beyond language translation We have incorporated the understanding of health professionals and service users; to bring together the lifeworld of the patient with the professional definition of AEs, triggers and risk areas of AEs in a psychiatric context. The service users' experiences resulted in modifications to the tool. What are the implications for nurses Applying the ‘Global Trigger Tool—Psychiatry’ in Norway and Sweden can help mental health nurses to prevent iatrogenic harm and reduce the occurrence of AEs through the identification of potential triggers. Implementing ‘Global Trigger Tool—Psychiatry’ might help mental health nurses to improve patient safety in Norway and Sweden. AbstractIntroductionThere is little consensus on cross‐cultural and cross‐national adaptation of research instruments.Aim/QuestionTo translate and validate a Swedish research tool (GTT‐P) to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals in the process.MethodThe GTT‐P, designed to identify events in patient records that were triggers for adverse events, was translated to Norwegian using a cross‐cultural adaptation approach. This involved two focus groups with clinical staff, one of which involved service users, and a joint discussion at a Dialogue Conference to generate consensus on the definition of the triggers of potential adverse events identifiable in patient records.ResultsWe highlight both the differences and commonalities in defining the nature of risks, the adverse events and the triggers of such events. The Dialogue Conference resulted in three modifications of the tool, based on service users' experiences. Service user involvement and co‐production was essential for both the translation and adaptation of the research instrument.DiscussionWe have described an approach to the validation of a research tool between different national contexts; a process that went beyond language translation. This approach enables a more nuanced understanding of potential risks within a psychiatric context as it engages differences in the care delivery. Applying the GTT‐P in hospital‐based psychiatric care might help to identify processes that need to be changed in order to promote patient safety and a safer work environment for mental health nurses.Implications for practiceWhen translating and validating the GTT‐P from Swedish to Norwegian, we have considered the knowledge and experiences of both service users and health professionals. The application of the GTT‐P can promote greater patient safety in hospital settings.

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Revisiting the role of voluntary reporting in enhancing patient safety in forensic psychiatry: A multifaceted approach

Wei

2023

Psychiatric Ment Health Nurs

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Voluntary patient safety incidents reporting in forensic psychiatry—What do the reports tell us?

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 4 publications

References 74 publications

Physical Restraint Events in Psychiatric Hospitals in Hong Kong: A Cohort Register Study

Physical Restraint Events in Psychiatric Hospitals in Hong Kong: A Cohort Register Study

Developing a research tool to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals

Revisiting the role of voluntary reporting in enhancing patient safety in forensic psychiatry: A multifaceted approach

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