ArticleBMC health services research2013
Clinical risk management in mental health: a qualitative study of main risks and related organizational management practices.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Long-term regular follow-up yields important benefits in forensic psychiatric patients with psychosis: A 2-year longitudinal study on psychopathology, general health, quality of life, and functioning.Journal of forensic sciences · 2026Article
- Mind the gap: a review of optimisation in mental healthcare service delivery.Health systems (Basingstoke, England) · 2023Review
- Patient empowerment in risk management: a mixed-method study to explore mental health professionals' perspective.BMC health services research · 2019Article
- Violence within mental health services: how to enhance risk management.Risk management and healthcare policy · 2018Review
- Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and protective factors.General hospital psychiatry · 2017Article
- Risk perception about medication sharing among patients: a focus group qualitative study on borrowing and lending of prescription analgesics.Journal of pain research · 2017Article
- Patient safety priorities in mental healthcare in Switzerland: a modified Delphi study.BMJ open · 2016Article
- Risks associated with borrowing and sharing of prescription analgesics among patients observed by pain management physicians in Croatia: a qualitative study.Journal of pain research · 2016Article
- Benefits of using the Psychiatric Risk Assessment Checklist (PRE-CL) to assess risk in general hospital inpatients.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Article
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Authors and funding
2 authors.
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Abstract
backgroundA scientific understanding of clinical risk management (CRM) in mental health care is essential for building safer health systems and for improving patient safety. While evidence on patient safety and CRM in physical health care has increased, there is limited research on these issues in mental health care. This qualitative study provides an overview of the most important clinical risks in mental health and related organizational management practices.
methodsWe conducted in-depth expert interviews with professionals responsible for CRM in psychiatric hospitals. Interviews were transcribed and analyzed applying qualitative content analysis to thematically sort the identified risks.
resultsThe main concerns for CRM in mental health are a) violence and self-destructive behavior (i.e. protecting patients and staff from other patients, and patients from themselves), b) treatment errors, especially in the process of therapy, and c) risks associated with mental illnesses (e.g. psychosis or depression). This study identified critical differences to CRM in hospitals for physical disorder and challenges specific to CRM in mental health. Firstly, many psychiatric patients do not believe that they are ill and are therefore in hospital against their will. Secondly, staff safety is a much more prominent theme for CRM in mental health care as it is directly related to the specifics of mental illnesses.
conclusionsThe current study contributes to the understanding of patient safety and raises awareness for CRM in mental health. The mental health specific overview of central risks and related organizational management practices offers a valuable basis for CRM development in mental health and an addition to CRM in general.
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