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Mitigating risk in Norwegian psychiatric care: Identifying indicators of adverse events through Global Trigger Tool for psychiatric care
Helse Nord-Tröndelag HF.
Aston University.
Helse Möre og Romsdal.
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2019 (English)In: International Journal of Risk and Safety in Medicine, ISSN 0924-6479, E-ISSN 1878-6847Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND:Patients treated in psychiatric care are exposed to the risk of adverse events, similar to patients treated in somatic health care. OBJECTIVES:In this article we report the findings of triggers associated with adverse events (AEs) identified by a version of the Global Trigger Tool – Psychiatry (GTT-P) adapted for Norwegian hospital-based psychiatric treatment. METHODS:The design was a retrospective analysis of a random sample of 240 patient records from a psychiatric clinic in one Norwegian hospital. Patient records were sampled from both inpatient and outpatient psychiatric clinics in hospitals serving the northern part of the county of Trøndelag, Norway. RESULTS:Our analysis was based on the identification of 32 potential triggers of adverse events. Eighteen of the triggers were significantly related to adverse events. No adverse events were identified in patient records that did not also contain triggers included in the Global Trigger Tool. CONCLUSIONS:There is a clear relationship between the presence of triggers in a patient record and the likelihood of adverse events. Particularly relevant for psychiatric patients is ‘suffering’ as a trigger and this may also be relevant to somatic care and has implications for inclusion in the GTT-P.

Place, publisher, year, edition, pages
IOS Press, 2019.
Keywords [en]
Adverse events, mental health, patient safety, precipitating factors, psychiatry
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:miun:diva-37807DOI: 10.3233/JRS-190064OAI: oai:DiVA.org:miun-37807DiVA, id: diva2:1373542
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2019-11-28Bibliographically approved

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Landstad, Bodil J

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  • de-DE
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  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
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