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Patient safety in psychiatric inpatient care: a literature review

Authors


A. Kanerva, Central Finland Health Care District, Kangasvuori Hospital, Huhta 1, 40340 Jyväskylä, Finland, E-mail: anne.kanerva@ksshp.fi

Abstract

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  • • The literature review was intended to form an understanding of the patient safety concept and its intension in psychiatric inpatient care and its constitutive factors from the perspective of organization management, staff and patients.
  • • Organization safety culture is present in all aspects of patient safety and within it organization management has a major role in creating good working conditions and environment for the staff. Staff produces its individual output, which is influenced by management, while the patient's role is more that of an informant according to the existing literature. In future, there will definitely be a need to emphasize the patient's role in developing patient safety practices and organization safety culture.
  • • It is important to develop inpatient care by paying attention to the diversity of the patient safety concept as different aspects are so closely connected. Lack of attention in one area may affect others, leading to errors and adverse events in care. The diversity of the concept should be noted in research, education, and when making patient safety plans in organizations.

Abstract

Patient safety is widely discussed, but little has been written from the perspective of psychiatric inpatient care, nor on which factors create its patient safety. This paper seeks to understand the concept of patient safety and its intension in psychiatric inpatient care, and to identify factors in organization management, staff and patients' roles which constitute patient safety in such units. A literature search was conducted, and the articles selected were analysed by identifying factors defined to be connected to patient safety and classifying them according to their connection to organization management, staff and patient roles. According to the literature, organization safety culture is present in all aspects of patient safety. Organization management has the main role in patient safety within the organization culture, for example, through leadership, safety practices and creating good working conditions and environment for the staff. Staff's role is influenced by management, but has more individual input in different areas, while the patient's role is more that of an informant so that care can be planned according to the patient's preferences. When developing patient safety it is important to remember the diversity of the concept so that all areas are considered in the developmental work.

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