Cargando…

A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom

BACKGROUND: Establishing patient safety priorities in psychiatry has received less international attention than in other areas of health care. This study aimed to identify safety issues as described by people in the United Kingdom identifying as mental health service users, carers and professionals....

Descripción completa

Detalles Bibliográficos
Autores principales: Berzins, Kathryn, Baker, John, Brown, Mark, Lawton, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250880/
https://www.ncbi.nlm.nih.gov/pubmed/30120809
http://dx.doi.org/10.1111/hex.12805
_version_ 1783372999084212224
author Berzins, Kathryn
Baker, John
Brown, Mark
Lawton, Rebecca
author_facet Berzins, Kathryn
Baker, John
Brown, Mark
Lawton, Rebecca
author_sort Berzins, Kathryn
collection PubMed
description BACKGROUND: Establishing patient safety priorities in psychiatry has received less international attention than in other areas of health care. This study aimed to identify safety issues as described by people in the United Kingdom identifying as mental health service users, carers and professionals. METHODS: A cross‐sectional online survey was distributed via social media. Identified safety issues were mapped onto the Yorkshire Contributory Factors Framework (YCFF) which categorizes factors that contribute to patient safety incidents in general hospital settings. Service user and carer responses were described separately from professional responses using descriptive statistics. RESULTS: One hundred and eighty‐five responses from 95 service users and carers and 90 professionals were analysed. Seventy different safety issues were identified. These were mapped onto the 17 existing categories of the YCFF and two additional categories created to form the YCFF‐MH. Most frequently identified issues were as follows: “Individual characteristics” (of staff) which included competence and listening skills; “Service process” that contained concerns about waiting times; “Management of staff and staffing levels” dominated by staffing levels; and “External policy context” which included the overall resourcing of services. Professionals identified staffing levels and inadequate community provision more frequently than service users and carers, who in turn identified crisis care more frequently. CONCLUSIONS: This study updates knowledge on stakeholder perceived safety issues across mental health care. It shows a far broader range of issues relating to safety than has previously been described. The YCFF was successfully modified to describe these issues and areas for further coproduced research are suggested.
format Online
Article
Text
id pubmed-6250880
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-62508802018-12-01 A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom Berzins, Kathryn Baker, John Brown, Mark Lawton, Rebecca Health Expect Original Research Papers BACKGROUND: Establishing patient safety priorities in psychiatry has received less international attention than in other areas of health care. This study aimed to identify safety issues as described by people in the United Kingdom identifying as mental health service users, carers and professionals. METHODS: A cross‐sectional online survey was distributed via social media. Identified safety issues were mapped onto the Yorkshire Contributory Factors Framework (YCFF) which categorizes factors that contribute to patient safety incidents in general hospital settings. Service user and carer responses were described separately from professional responses using descriptive statistics. RESULTS: One hundred and eighty‐five responses from 95 service users and carers and 90 professionals were analysed. Seventy different safety issues were identified. These were mapped onto the 17 existing categories of the YCFF and two additional categories created to form the YCFF‐MH. Most frequently identified issues were as follows: “Individual characteristics” (of staff) which included competence and listening skills; “Service process” that contained concerns about waiting times; “Management of staff and staffing levels” dominated by staffing levels; and “External policy context” which included the overall resourcing of services. Professionals identified staffing levels and inadequate community provision more frequently than service users and carers, who in turn identified crisis care more frequently. CONCLUSIONS: This study updates knowledge on stakeholder perceived safety issues across mental health care. It shows a far broader range of issues relating to safety than has previously been described. The YCFF was successfully modified to describe these issues and areas for further coproduced research are suggested. John Wiley and Sons Inc. 2018-08-17 2018-12 /pmc/articles/PMC6250880/ /pubmed/30120809 http://dx.doi.org/10.1111/hex.12805 Text en © 2018 The Authors. Health Expectations published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research Papers
Berzins, Kathryn
Baker, John
Brown, Mark
Lawton, Rebecca
A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title_full A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title_fullStr A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title_full_unstemmed A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title_short A cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the United Kingdom
title_sort cross‐sectional survey of mental health service users’, carers’ and professionals’ priorities for patient safety in the united kingdom
topic Original Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250880/
https://www.ncbi.nlm.nih.gov/pubmed/30120809
http://dx.doi.org/10.1111/hex.12805
work_keys_str_mv AT berzinskathryn acrosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT bakerjohn acrosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT brownmark acrosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT lawtonrebecca acrosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT berzinskathryn crosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT bakerjohn crosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT brownmark crosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom
AT lawtonrebecca crosssectionalsurveyofmentalhealthserviceuserscarersandprofessionalsprioritiesforpatientsafetyintheunitedkingdom