Patient safety in community-based mental healthcare: A systematic scoping review

Introduction There is limited existing research about patient safety issues in mental healthcare. A lack of evidence is particularly pronounced in relation to safety in community-based mental health services, where the majority of care is provided. To date, reviews of mental health patient safety l...

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Main Authors: P. Averill, C. Vincent, G. Reen, N. Sevdalis, C. Henderson
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822016157/type/journal_article
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author P. Averill
C. Vincent
G. Reen
N. Sevdalis
C. Henderson
author_facet P. Averill
C. Vincent
G. Reen
N. Sevdalis
C. Henderson
author_sort P. Averill
collection DOAJ
description Introduction There is limited existing research about patient safety issues in mental healthcare. A lack of evidence is particularly pronounced in relation to safety in community-based mental health services, where the majority of care is provided. To date, reviews of mental health patient safety literature have focused primarily on inpatient care settings. Objectives This systematic scoping review will aim to identify and synthesise literature about the types of patient safety problems in adult community-based mental health settings, the causes of these problems, and evaluated safety interventions in this care context. Methods A systematic search was conducted on 19th June 2020 and refreshed on 23rd October 2021, across five databases: Medline, Embase, PsycINFO, Health Management Information Consortium, and Cumulative Index to Nursing and Allied Health Literature. The search strategy focused on three key elements: ‘mental health’, ‘patient safety’ and ‘community-based mental health services’. Retrieved articles were screened at title, abstract and subject heading level, followed by full-text screen of longlisted articles. Results In this presentation, the findings of this systematic scoping review will be described, based on synthesised literature about safety incidents, broader care delivery problems, their causes, and evaluated patient safety interventions to address these issues. Conclusions This study will offer learning opportunities about the safety problems, contributory factors, and safety interventions in adult community-based mental health services, as described in the evidence base. Review findings will also help to ascertain gaps in existing research, which should be addressed in future studies. Disclosure NS is the director of London Safety and Training Solutions Ltd, which offers training in patient safety, implementation solutions and human factors to healthcare organisations and the pharmaceutical industry. The other authors have no competing interests.
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spelling doaj.art-50059aedb0d241f89b8d504fc4c068af2023-11-17T05:06:58ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S630S63010.1192/j.eurpsy.2022.1615Patient safety in community-based mental healthcare: A systematic scoping reviewP. Averill0C. Vincent1G. Reen2N. Sevdalis3C. Henderson4King’s College London, Centre For Implementation Science, Institute Of Psychiatry, Psychology And Neuroscience, London, United KingdomUniversity of Oxford, Department Of Experimental Psychology, Oxford, United KingdomUniversity of Oxford, Department Of Experimental Psychology, Oxford, United KingdomKing’s College London, Centre For Implementation Science, Institute Of Psychiatry, Psychology And Neuroscience, London, United KingdomKing’s College London, Centre For Implementation Science, Institute Of Psychiatry, Psychology And Neuroscience, London, United Kingdom Introduction There is limited existing research about patient safety issues in mental healthcare. A lack of evidence is particularly pronounced in relation to safety in community-based mental health services, where the majority of care is provided. To date, reviews of mental health patient safety literature have focused primarily on inpatient care settings. Objectives This systematic scoping review will aim to identify and synthesise literature about the types of patient safety problems in adult community-based mental health settings, the causes of these problems, and evaluated safety interventions in this care context. Methods A systematic search was conducted on 19th June 2020 and refreshed on 23rd October 2021, across five databases: Medline, Embase, PsycINFO, Health Management Information Consortium, and Cumulative Index to Nursing and Allied Health Literature. The search strategy focused on three key elements: ‘mental health’, ‘patient safety’ and ‘community-based mental health services’. Retrieved articles were screened at title, abstract and subject heading level, followed by full-text screen of longlisted articles. Results In this presentation, the findings of this systematic scoping review will be described, based on synthesised literature about safety incidents, broader care delivery problems, their causes, and evaluated patient safety interventions to address these issues. Conclusions This study will offer learning opportunities about the safety problems, contributory factors, and safety interventions in adult community-based mental health services, as described in the evidence base. Review findings will also help to ascertain gaps in existing research, which should be addressed in future studies. Disclosure NS is the director of London Safety and Training Solutions Ltd, which offers training in patient safety, implementation solutions and human factors to healthcare organisations and the pharmaceutical industry. The other authors have no competing interests. https://www.cambridge.org/core/product/identifier/S0924933822016157/type/journal_articlereviewmental health carePatient safety
spellingShingle P. Averill
C. Vincent
G. Reen
N. Sevdalis
C. Henderson
Patient safety in community-based mental healthcare: A systematic scoping review
European Psychiatry
review
mental health care
Patient safety
title Patient safety in community-based mental healthcare: A systematic scoping review
title_full Patient safety in community-based mental healthcare: A systematic scoping review
title_fullStr Patient safety in community-based mental healthcare: A systematic scoping review
title_full_unstemmed Patient safety in community-based mental healthcare: A systematic scoping review
title_short Patient safety in community-based mental healthcare: A systematic scoping review
title_sort patient safety in community based mental healthcare a systematic scoping review
topic review
mental health care
Patient safety
url https://www.cambridge.org/core/product/identifier/S0924933822016157/type/journal_article
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