Patient safety priorities in mental healthcare in Switzerland: a modified Delphi study.

Mascherek, Anna C; Schwappach, David L B (2016). Patient safety priorities in mental healthcare in Switzerland: a modified Delphi study. BMJ open, 6(8), e011494. BMJ Publishing Group 10.1136/bmjopen-2016-011494

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OBJECTIVE

Identifying patient safety priorities in mental healthcare is an emerging issue. A variety of aspects of patient safety in medical care apply for patient safety in mental care as well. However, specific aspects may be different as a consequence of special characteristics of patients, setting and treatment. The aim of the present study was to combine knowledge from the field and research and bundle existing initiatives and projects to define patient safety priorities in mental healthcare in Switzerland. The present study draws on national expert panels, namely, round-table discussion and modified Delphi consensus method.

DESIGN

As preparation for the modified Delphi questionnaire, two round-table discussions and one semistructured questionnaire were conducted. Preparative work was conducted between May 2015 and October 2015. The modified Delphi was conducted to gauge experts' opinion on priorities in patient safety in mental healthcare in Switzerland. In two independent rating rounds, experts made private ratings. The modified Delphi was conducted in winter 2015.

RESULTS

Nine topics were defined along the treatment pathway: diagnostic errors, non-drug treatment errors, medication errors, errors related to coercive measures, errors related to aggression management against self and others, errors in treatment of suicidal patients, communication errors, errors at interfaces of care and structural errors.

CONCLUSIONS

Patient safety is considered as an important topic of quality in mental healthcare among experts, but it has been seriously neglected up until now. Activities in research and in practice are needed. Structural errors and diagnostics were given highest priority. From the topics identified, some are overlapping with important aspects of patient safety in medical care; however, some core aspects are unique.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Schwappach, David

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

2044-6055

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

10 Aug 2016 09:20

Last Modified:

10 Aug 2016 10:48

Publisher DOI:

10.1136/bmjopen-2016-011494

PubMed ID:

27496233

Uncontrolled Keywords:

Expert panel; Mental health care; Patient safety; Switzerland modified; Delphi-study

BORIS DOI:

10.7892/boris.85643

URI:

https://boris.unibe.ch/id/eprint/85643

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