Imperial College London
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ProfessorMikeCrawford

Faculty of Medicine, Department of Brain Sciences

Professor of Mental Health Research
 
 
 
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Contact

 

+44 (0)20 3313 4161m.crawford

 
 
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Assistant

 

Ms Nicole Hickey +44 (0)20 3313 4161

 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Aimola:2018:10.1186/s12913-018-3797-z,
author = {Aimola, L and Jasim, S and Tripathi, N and Bassett, P and Quirk, A and Worrall, A and Tucker, S and Holder, S and Crawford, MJ},
doi = {10.1186/s12913-018-3797-z},
journal = {BMC Health Services Research},
title = {Impact of a peer-review network on the quality of inpatient low secure mental health services: cluster randomised control trial},
url = {http://dx.doi.org/10.1186/s12913-018-3797-z},
volume = {18},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundPeer-review networks aim to help services to improve the quality of care they provide, however, there is very little evidence about their impact. We conducted a cluster randomized controlled trial of a peer-review quality network for low-secure mental health services to examine the impact of network membership on the process and outcomes of care over a 12 month period.MethodsThirty-eight low secure units were randomly allocated to either the active intervention (participation in the network n = 18) or the control arm (delayed participation in the network n = 20). A total of 75 wards were assessed at baseline and 8 wards dropped out the study before the data collection at 12 month follow up. The primary outcome measure was the quality of the physical environment and facilities of the services. The secondary outcomes included: safety of the ward, patient mental wellbeing and satisfaction with care, staff burnout, training and supervision. We hypothesised that, relative to control wards, the quality of the physical environment and facilities would be higher on wards in the active arm of the trial 12 months after randomization.ResultsThe difference in the primary outcome between the groups was not statistically significant (4.1; 95% CI [− 0.2, 8.3] p = 0.06). The median number of untoward incidents rose in control services and remained the same at the member of the network (Difference between members and non-members = 0.55; 95% IC [0.29, 1.07] p = 0.08). At follow up, a higher proportion of staff in the active arm of the trial indicated that they felt safe on the ward relative to those in the control services (p = 0.04), despite reporting more physical assaults (p = 0.04). Staff working in services in the active arm of the trial reported higher levels of burnout relative to those in the control group. No difference was seen in pat
AU  - Aimola,L
AU  - Jasim,S
AU  - Tripathi,N
AU  - Bassett,P
AU  - Quirk,A
AU  - Worrall,A
AU  - Tucker,S
AU  - Holder,S
AU  - Crawford,MJ
DO  - 10.1186/s12913-018-3797-z
PY  - 2018///
SN  - 1472-6963
TI  - Impact of a peer-review network on the quality of inpatient low secure mental health services: cluster randomised control trial
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-018-3797-z
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000454217500002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/66676
VL  - 18
ER  -
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