The art of the possible? Supporting a patient safety culture in mental healthcare to maximise safety

IF 1 Q4 PSYCHIATRY
D. P. Wood, Rajan Nathan, Catherine A. Robinson, R. McPhillips
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Abstract

Purpose The current national patient safety strategy for the National Health Service (NHS) in England states that actions need to be taken to support the development of a patient safety culture. This includes that local systems should seek to understand staff perceptions of the fairness and effectiveness of serious incident management. This study aims to explore the perspectives of patient safety professionals about what works well and what could be done better to support a patient safety culture at the level of Trust strategy and serious incident governance. Design/methodology/approach A total of 15 professionals with a role in serious incident management, from five mental health trusts in England, were interviewed using a semi-structured interview guide. Thematic analysis and qualitative description were used to analyse the data. Findings Participants felt that actions to support a patient safety culture were challenging and required long-term and clinical commitment. Broadening the scope of serious incident investigations was felt to be one way to better understand patient safety culture issues. Organisational influences during the serious incident management process were highlighted, informing approaches to maximise the fairness and objectivity of investigation findings. Originality/value The findings of this study offer original insights that the NHS safety system can use to facilitate progression of the patient safety culture agenda. In particular, local mental health trusts could consider the findings in the context of their current strategic objectives related to patient safety culture and operational delivery of serious incident management frameworks.
可能的艺术?支持精神医疗领域的患者安全文化,最大限度地提高安全性
目的:目前英国国家医疗服务体系(NHS)的国家患者安全战略指出,需要采取行动支持患者安全文化的发展。这包括地方系统应设法了解工作人员对严重事件管理的公平性和有效性的看法。本研究旨在探讨患者安全专业人员的观点,即在信任战略和严重事件治理层面上,哪些措施有效,哪些措施可以做得更好,以支持患者安全文化。设计/方法/方法使用半结构化访谈指南对来自英格兰五家心理健康信托机构的15名从事严重事件管理的专业人员进行了访谈。采用专题分析和定性描述对数据进行分析。研究发现,参与者认为支持患者安全文化的行动具有挑战性,需要长期的临床承诺。扩大严重事故调查的范围被认为是更好地了解患者安全文化问题的一种方法。在严重事件的管理过程中,组织的影响被强调,告知如何最大限度地提高调查结果的公正性和客观性。原创性/价值本研究的发现提供了原创性的见解,NHS安全系统可以用来促进患者安全文化议程的进展。特别是,地方精神卫生信托机构可以在其当前与患者安全文化和严重事件管理框架的业务交付有关的战略目标的背景下考虑这些调查结果。
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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