One size doesn’t always fit all: professional perspectives of serious incident management systems in mental healthcare

IF 1 Q4 PSYCHIATRY
D. P. Wood, Catherine A. Robinson, Rajan Nathan, R. McPhillips
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引用次数: 1

Abstract

Purpose The need to develop effective approaches for responding to healthcare incidents for the purpose of learning and improving patient safety has been recognised in current national policy. However, research into this topic is limited. This study aims to explore the perspectives of professionals in mental health trusts in England about what works well and what could be done better when implementing serious incident management systems. Design/methodology/approach This was a qualitative study using semi-structured interviews. In total, 15 participants were recruited, comprising patient safety managers, serious incident investigators and executive directors, from five mental health trusts in England. The interview data were analysed using a qualitative-descriptive approach to develop meaningful themes. Quotes were selected and presented based on their representation of the data. Findings Participants were dissatisfied with current systems to manage serious incidents, including the root cause analysis approach, which they felt were not adequate for assisting learning and improvement. They described concerns about the capability of serious incident investigators, which was felt to impact on the quality of investigations. Processes to support people adversely affected by serious incidents were felt to be an important part of incident management systems to maximise the learning impact of investigations. Originality/value Findings of this study provide translatable implications for mental health trusts and policymakers, informed by insights into how current approaches for learning from healthcare incidents can be transformed. Further research will build a more comprehensive understanding of mechanisms for responding to healthcare incidents.
不能一刀切:从专业角度看精神卫生保健中的严重事件管理系统
目的:目前的国家政策已经认识到,有必要制定有效的办法来应对医疗事故,以便学习和改善患者安全。然而,对这一主题的研究是有限的。本研究旨在探讨英国心理健康信托专业人员的观点,了解在实施严重事件管理系统时,哪些工作良好,哪些可以做得更好。设计/方法/方法这是一项采用半结构化访谈的定性研究。总共招募了15名参与者,包括患者安全经理、严重事件调查员和执行董事,他们来自英格兰的五家精神健康信托机构。访谈数据使用定性-描述性方法进行分析,以开发有意义的主题。根据它们对数据的表示来选择和呈现报价。参与者对当前管理严重事件的系统不满意,包括根本原因分析方法,他们认为这不足以帮助学习和改进。他们对严重事件调查人员的能力表示关切,认为这会影响调查的质量。为受严重事件影响的人士提供支援的程序,是事件管理系统的重要组成部分,以最大限度地提高调查对学习的影响。原创性/价值本研究的发现为精神卫生信托机构和政策制定者提供了可翻译的含义,通过洞察如何从医疗保健事件中学习的当前方法可以转变。进一步的研究将建立对医疗事故响应机制的更全面的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
32
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