Involving patients and families in the analysis of suicides, suicide attempts, and other sentinel events in mental healthcare

Autor: Bert de Graaff, Ian Leistikow, Roland Friele, Derek de Beurs, Renée Bouwman, Hester van de Bovenkamp
Přispěvatelé: Huisarts & Ziekenhuis, Tranzo, Scientific center for care and wellbeing, Health Care Governance (HCG)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Male
family
Health
Toxicology and Mutagenesis

lcsh:Medicine
Suicide
Attempted

0302 clinical medicine
Incident management
Health care
participation
030212 general & internal medicine
mental healthcare
Qualitative Research
Netherlands
Event (computing)
030503 health policy & services
incident analysis
Middle Aged
bereaved
incident management
EXPERIENCES
Mental Health
root cause analysis
Female
incident
0305 other medical science
Root cause analysis
Psychology
BEHAVIOR
Adult
suicide attempt
medicine.medical_specialty
Guidelines as Topic
Article
Mental healthcare
03 medical and health sciences
SDG 3 - Good Health and Well-being
medicine
COMPLAINTS
Humans
sentinel event
suicide
Suicide attempt
business.industry
Treatment process
lcsh:R
Public Health
Environmental and Occupational Health

Family medicine
Patient Participation
business
Qualitative research
Bereavement
Zdroj: International Journal of Environmental Research and Public Health, 15(6):1104. MDPI AG
International Journal of Environmental Research and Public Health, Vol 15, Iss 6, p 1104 (2018)
International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, 15(6):1104. MDPI Multidisciplinary Digital Publishing Institute
Volume 15
Issue 6
ISSN: 1661-7827
Popis: Involving patients and families in mental healthcare is becoming more commonplace, but little is known about how they are involved in the aftermath of serious adverse events related to quality of care (sentinel events, including suicides). This study explores the role patients and families have in formal processes after sentinel events in Dutch mental healthcare. We analyzed the existing policies of 15 healthcare organizations and spoke with 35 stakeholders including patients, families, their counselors, the national regulator, and professionals. Respondents argue that involving patients and families is valuable to help deal with the event emotionally, provide additional information, and prevent escalation. Results indicate that involving patients and families is only described in sentinel event policies to a limited extent. In practice, involvement consists mostly of providing aftercare and sharing information about the event by providers. Complexities such as privacy concerns and involuntary admissions are said to hinder involvement. Respondents also emphasize that involvement should not be obligatory and stress the need for patients and families to be involved throughout the process of treatment. There is no one-size-fits-all strategy for involving patients and families after sentinel events. The first step seems to be early involvement during treatment process itself.
Databáze: OpenAIRE