Table 2 Characteristics of the events reported during the Experience Feedback Committee meetings
From: Experience Feedback Committee: a management tool to improve patient safety in mental health
Characteristics | N = 475 | % |
|---|---|---|
Incident type | ||
Clinical administration | 139 | 29.3 |
Behaviour | 114 | 24.0 |
Patient accidents | 57 | 12.0 |
Infrastructure/building/fixtures | 41 | 8.6 |
Medical device/equipment | 30 | 6.3 |
Resources/organizational management | 30 | 6.3 |
Nutrition | 20 | 4.2 |
Clinical process/procedure | 16 | 3.4 |
Medication/IV fluids | 14 | 2.9 |
Documentation | 11 | 2.3 |
Healthcare-associated infection | 3 | 0.6 |
Blood/blood products | 0 | 0.0 |
Oxygen/gas/vapour | 0 | 0.0 |
Degree of Harm | ||
None, without care modification | 343 | 72.2 |
None, with care modification | 103 | 21.7 |
Mild | 20 | 4.2 |
Moderate | 9 | 1.9 |
Severe | 0 | 0.0 |
Death | 0 | 0.0 |
Report provider | ||
Staff from the neuropsychiatric department | 461 | 97.1 |
Staff from another department | 16 | 3.4 |
Place of the event | ||
In the neuropsychiatric department | 443 | 93.3 |
In another department | 32 | 6.7 |