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Scobie S, Minghella E, Dale C, Thomson R, Lelliott P, Hill K. London, UK: National Patient Safety Agency; July 2006.
This report, the second in a series from the United Kingdom's National Patient Safety Agency, analyzes nearly 45,000 patient safety incidents relating to mental health that were reported to a nationwide incident reporting system. The majority of reported incidents were from inpatient mental health facilities, primarily involving patient accidents (including falls), disruptive or aggressive behavior, self-harming behavior, and missing (absconding) patients. The report summarizes existing initiatives to improve patient safety in mental health, makes specific recommendations for mental health providers, and identifies priority areas for future research.
Journal Article > Study
Lee A, Mills PD, Watts BV. Gen Hosp Psychiatry. 2012;34:304-311.
This study reviewed 75 root cause analyses from the Veterans Health Administration system to highlight common activities during falls and frequent contributing factors. Getting up from a bed or chair was the most common activity, whereas environmental hazards and poor communication of fall risk were the most common contributing factors.
Journal Article > Commentary
Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative.
Quigley PA, Barnett SD, Bulat T, Friedman Y. J Nurs Care Qual. 2014;29:51-59.
This commentary relates the experience of five hospitals that implemented different fall prevention programs and reports results of the interventions.