Safety Incidents in Psychiatric Inpatient Care: A Qualitative Content Analysis of Safety Incident Reports

Author:

Mishina Kaisa1ORCID,Berg Johanna2ORCID,Vainila Veera3ORCID,Korte Mikko3ORCID,Lahti Mari4ORCID

Affiliation:

1. Department of Child Psychiatry, Invest Research Flagship Center, Department of Nursing Science, University of Turku, Turku, Finland

2. Turku University of Applied Sciences, Health and Well-being, Turku, Finland

3. Turku University Hospital, Turku, Finland

4. Turku University of Applied Sciences, Health and Well-being, Department of Nursing Science, University of Turku, Turku, Finland

Abstract

Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.

Funder

Työsuojelurahasto

Publisher

Hindawi Limited

Subject

General Medicine,Pshychiatric Mental Health

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