Patient Safety Incidents in Inpatient Psychiatric Settings: An Expert Opinion Survey.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Sophia Russotto, Andrea Conti, Kris Vanhaecht, José Joaquín Mira, Massimiliano Panella
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引用次数: 0

Abstract

Patient safety in psychiatric inpatient facilities remains under-researched despite its crucial importance. This study aims to address this gap by using expert opinion to estimate the frequency of diverse patient safety incidents (PSIs) in psychiatric settings and to compare it with the existing literature. Utilizing a seven-step approach, a questionnaire based on the World Health Organization's International Classification for Patient Safety was developed and deployed. A total of 33 expert opinions were collected. Results showed a higher estimated incidence of PSIs in psychiatric settings compared to general healthcare, highlighting categories such as patient behavior, medication, and infrastructure as significant contributors. Experts emphasized the prevalence of incidents related to behavioral issues and inadequate infrastructure, areas often overlooked in the existing literature. Unlike general settings, psychiatric facilities appear more vulnerable to specific PSIs, such as those related to medication and building safety, underscoring the need for targeted safety measures. Our study suggests the existence of significant discrepancies between expert opinion and available research, with several underexplored domains in psychiatric patient safety.

精神科住院患者安全事件:专家意见调查。
尽管精神科住院设施中的患者安全至关重要,但相关研究仍然不足。本研究旨在利用专家意见来估算精神病院中各种患者安全事件(PSI)的发生频率,并与现有文献进行比较,从而弥补这一不足。本研究采用七步方法,根据世界卫生组织的《患者安全国际分类》编制并使用了一份调查问卷。共收集了 33 份专家意见。结果显示,与普通医疗机构相比,精神病院的 PSI 估计发生率较高,其中患者行为、用药和基础设施等类别是主要原因。专家们强调了与行为问题和基础设施不足有关的事件发生率,而这些方面在现有文献中往往被忽视。与普通医疗机构不同,精神科机构似乎更容易受到特定 PSI 的影响,例如与用药和建筑安全相关的 PSI,这就强调了采取有针对性的安全措施的必要性。我们的研究表明,专家意见与现有研究之间存在巨大差异,精神科患者安全的几个领域尚未得到充分探索。
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
Behavioral Sciences
Behavioral Sciences Social Sciences-Development
CiteScore
2.60
自引率
7.70%
发文量
429
审稿时长
11 weeks
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