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Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study

Archer, S; Thibaut, BI; Dewa, L; Ramtale, C; D'Lima, D; Simpson, A; Murray, K; ... Darzi, A; + view all (2020) Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. Journal of Psychiatric and Mental Health Nursing (In press).

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Abstract

Introduction: Barriers and facilitators to incident reporting have been widely researched in general healthcare. However, it is unclear if the findings are applicable to mental healthcare where care is increasingly complex. // Aim: To investigate if barriers and facilitators affecting incident reporting in mental healthcare are consistent with factors identified in other healthcare settings. // Method: Data were collected from focus groups (n=8) with 52 members of staff from across West London Trust and analysed with thematic analysis. Results: Five themes were identified during the analysis. Three themes (i)learning and improvement, (ii)time, and (iii)fear were consistent with the existing wider literature on barriers and facilitators to incident reporting. Two further themes (iv)interaction between patient diagnosis and incidents and (v)aftermath of an incident – prosecution specifically linked to the provision of mental healthcare. // Conclusions: Whilst some barriers and facilitators to incident reporting identified in other settings are also prevalent in the mental healthcare setting, the increased incidence of violent and aggressive behaviour within mental healthcare presents a unique challenge for incident reporting. // Clinical Implications: Although Interventions to improve incident reporting may be adapted/adopted from other settings, there is a need to develop specific interventions to improve reporting of violent and aggressive incidents.

Type: Article
Title: Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Patient safety, incident reporting, mental health, qualitative research
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10083975
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