Unlocking an acute psychiatric ward: The impact on unauthorised absences, assaults and seclusions
| Autor: | Chris Frampton, Warren Campbell-Trotter, Ben Beaglehole, John Beveridge |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Injury control business.industry Poison control Human factors and ergonomics Original Papers Suicide prevention Occupational safety and health 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Injury prevention Medicine sense organs 030212 general & internal medicine skin and connective tissue diseases business Seclusion Psychiatry Psychiatric ward |
| Zdroj: | BJPsych Bulletin |
| ISSN: | 2056-4708 2056-4694 |
| Popis: | Aims and methodThe acute psychiatric inpatient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change.ResultsRates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in violent incidents was recorded but this was not statistically significant.Clinical implicationsAlthough unauthorised absences increased, the absence of statistically significant changes for violent incidents and a reduction in seclusion hours suggest that the change to a less restrictive environment may have some positive effects. |
| Databáze: | OpenAIRE |
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