Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study

被引：0

作者：

Tyler, Natasha ^{[1
,2
]}

Angelakis, Ioannis ^{[3
]}

Keers, Richard Neil ^{[1
,4
]}

Planner, Claire ^{[1
]}

Hodkinson, Alexander ^{[5
]}

Giles, Sally J. ^{[1
]}

Grundy, Andrew ^{[6
]}

Kapur, Navneet ^{[1
,7
]}

Armitage, Chris ^{[1
,8
]}

Blakeman, Tom ^{[1
,2
]}

Campbell, Stephen M. ^{[1
]}

Robinson, Catherine ^{[6
]}

Leather, Jessica ^{[1
]}

Panagioti, Maria ^{[1
,2
]}

机构：

[1] Univ Manchester, NIHR Greater Manchester Patient Safety Translat R, Manchester, Lancs, England

[2] Univ Manchester, NIHR Sch Primary Care Res, Manchester, Lancs, England

[3] Univ Liverpool, Dept Primary Care & Mental Hlth, Liverpool, Merseyside, England

[4] Univ Manchester, Ctr Pharmacoepidemiol & Drug Safety Res, Manchester, Lancs, England

[5] Univ Manchester, Ctr Primary Care, Manchester, Lancs, England

[6] Univ Manchester, Div Nursing Midwifery & Social Work, Manchester, Lancs, England

[7] Univ Manchester, Ctr Suicide Prevent, Manchester, Lancs, England

[8] Univ Manchester, Manchester Ctr Hlth Psychol, Manchester, Lancs, England

来源：

BMJ OPEN | 2023年 / 13卷 / 04期

关键词：

adult psychiatry; child & adolescent psychiatry; mental health;

D O I：

10.1136/bmjopen-2022-069216

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction Patients being discharged from inpatient mental wards often describe safety risks in terms of inadequate information sharing and involvement in discharge decisions. Through stakeholder engagement, we co-designed, developed and adapted two versions of a care bundle intervention, the SAFER Mental Health care bundle for adult and youth inpatient mental health settings (SAFER-MH and SAFER-YMH, respectively), that look to address these concerns through the introduction of new or improved processes of care. Methods and analysis Two uncontrolled before-and-after feasibility studies, where all participants will receive the intervention. We will examine the feasibility and acceptability of the SAFER-MH in inpatient mental health settings in patients aged 18 years or older who are being discharged and the feasibility and acceptability of the SAFER-YMH intervention in inpatient mental health settings in patients aged between 14 and 18 years who are being discharged. The baseline period and intervention periods are both 6 weeks. SAFER-MH will be implemented in three wards and SAFER-YMH in one or two wards, ideally across different trusts within England. We will use quantitative (eg, questionnaires, completion forms) and qualitative (eg, interviews, process evaluation) methods to assess the acceptability and feasibility of the two versions of the intervention. The findings will inform whether a main effectiveness trial is feasible and, if so, how it should be designed, and how many patients/wards should be included. Ethics and dissemination Ethical approval was obtained from the National Health Service Cornwall and Plymouth Research Ethics Committee and Surrey Research Ethics Committee (reference: 22/SW/0096 and 22/LO/0404). Research findings will be disseminated with participating sites and shared in various ways to engage different audiences. We will present findings at international and national conferences, and publish in open-access, peer-reviewed journals.

引用

页数：8