Imperial College London
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Dr Lindsay H. Dewa

Faculty of Medicine, School of Public Health

Advanced Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 0815l.dewa

 
 
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Location

 

609School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Thibaut:2019:10.1136/bmjopen-2019-030230,
author = {Thibaut, B and Dewa, L and Ramtale, S and D'Lima, D and Adam, S and Ashrafian, H and Darzi, A and Archer, S},
doi = {10.1136/bmjopen-2019-030230},
journal = {BMJ Open},
pages = {1--19},
title = {Patient safety in inpatient mental health settings: a systematic review},
url = {http://dx.doi.org/10.1136/bmjopen-2019-030230},
volume = {9},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives: Patients in inpatient mental health settings face similar risks to those in other areas of health care (e.g. medication errors). In addition, some unsafe behaviours associated with serious mental health problems (e.g. self-harm), and the measures taken to address these (e.g. restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology. Design: Systematic review and meta-synthesis. Embase, CINAHL, HMIC, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to “mental health”, “patient safety”, “inpatient setting” and “research”. Study quality was assessed using the Hawker checklist. Data was extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random effects model.Results: Of the 57,637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150,000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control. Conclusions: Patient safety in inpatient mental health settings is under researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety which require investment in research, policy development, and translation into clinical practice.
AU  - Thibaut,B
AU  - Dewa,L
AU  - Ramtale,S
AU  - D'Lima,D
AU  - Adam,S
AU  - Ashrafian,H
AU  - Darzi,A
AU  - Archer,S
DO  - 10.1136/bmjopen-2019-030230
EP  - 19
PY  - 2019///
SN  - 2044-6055
SP  - 1
TI  - Patient safety in inpatient mental health settings: a systematic review
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2019-030230
UR  - https://bmjopen.bmj.com/content/9/12/e030230
UR  - http://hdl.handle.net/10044/1/75307
VL  - 9
ER  -
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