Shao Q, Wang Y, Hou K, et al. J Adv Nurs. 2021;77:4005-4016.
Patient suicide in all settings is considered a never event. Nurses caring for the patient may experience negative psychological symptoms following inpatient suicide. This review identified five themes based on nurses’ psychological experiences: emotional experience, cognitive experience, coping strategies, self-reflection, and impact on self and practice. Hospital administrators should develop education and support programs to help nurses cope in the aftermath of inpatient suicide.
Trigger tools allow for automated detection of patient harm from electronic health record data. Researchers developed and tested a 25-item trigger tool for mental health settings that identified virtually every adverse event that was found in confirmatory chart review. The authors suggest that this tool may advance safety efforts in inpatient mental health settings.
Cleary M, Lees D, Lopez V. Issues Ment Health Nurs. 2018;39:980-982.
Effective apology behaviors improve opportunities for error resolution for clinicians, patients, and families. This commentary highlights the importance of expressing empathy, considering legal implications, and demonstrating individual, leadership, and organizational support of open disclosure.
Sawamura K, Ito H, Yamazumi S, et al. Psychiatry Clin Neurosci. 2005;59:379-84.
The authors analyzed incident reports from Japanese long-term care psychiatric units to understand the relationship between environmental, organizational, and human factors elements of drug administration and how they affect the interception of errors.
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