Defining Patient Safety Events in Inpatient Psychiatry.

Journal of Patient Safety
Steven C MarcusSara W Cullen

Abstract

The past 20 years have seen the emergence of a national movement to improve hospital-based healthcare safety in the United States. However, much of the foundational work and subsequent research have neglected inpatient psychiatry. The aim of this article was to advance a comprehensive approach for conceptualizing patient safety in inpatient psychiatry as framed by an application of the Institute of Medicine patient safety framework. This article develops a framework for characterizing patient safety in hospital-based mental health care. We discuss some of the conceptual and methodological issues related to defining what constitutes a patient safety event in inpatient psychiatry and then enumerate a comprehensive set of definitions of the types of safety events that occur in this setting. Patient safety events in inpatient psychiatry are broadly categorized as adverse events and medical errors. Adverse events are composed of adverse drug events and nondrug adverse events, including self-harm or injury to self, assault, sexual contact, patient falls, and other injuries. Medical errors include medication errors and nonmedication errors, such as elopement and contraband. We have developed clear definitions that would be appropriate...Continue Reading

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Citations

Dec 29, 2018·Journal of Evaluation in Clinical Practice·Souheil HallitUNKNOWN Order of Pharmacists of Lebanon scientific committee-Medication safety subcommittee
Nov 7, 2019·Journal of Mental Health·Jentien M VermeulenLieuwe de Haan
Aug 21, 2019·Research in Nursing & Health·Vincent S Staggs
Oct 1, 2021·Journal of Nursing Management·Rongrong HuangJinbo Wang

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