Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.
Approach to Improving Safety
Setting of Care
This individual interview study of staff at Veterans Health Administration inpatient psychiatry units identified several factors that affect patient safety in this setting, including safety culture, leadership engagement, and patient-centeredness. The authors advocate for a multistakeholder approach that engages frontline staff and leadership in order to improve patient safety for inpatient psychiatric care.