ArticleHealth affairs (Project Hope)2018
Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient safety incidents in the psychiatric inpatient setting: determinants, consequences, and strategies. A systematic review.Frontiers in psychiatry · 2025Pooled it
- Teaching Medical Students and Residents to Practice Trauma-Informed Care in Inpatient Psychiatric Settings.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026Review
- Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.Psychiatric services (Washington, D.C.) · 2026Review
- Abuse of people with mental illnesses perpetrated by healthcare professionals: a scoping review.BMJ open · 2026Article
- Strengthening the quality and safety of community mental health care for children and young people: a critical review of innovations from low- and middle-income countries.Frontiers in health services · 2026Review
- National Trends in Inpatient Psychiatric Bed Supply, 2011 to 2023.JAMA psychiatry · 2025Article
- Private Equity Among US Psychiatric Hospitals.JAMA psychiatry · 2025Article
- Institutional Betrayal in Inpatient Psychiatry: Effects on Trust and Engagement With Care.Psychiatric services (Washington, D.C.) · 2025Article
- Nurse-perpetrated abuse in Japanese psychiatric hospitals: a cross-sectional study of prevalence and correlates.Frontiers in psychiatry · 2025Article
- Surveying Child and Adolescent Inpatient Psychiatric Units: Demographics, Policies, and Practice.Evidence-based practice in child and adolescent mental health · 2024Article
- Inpatient Psychiatric Care in the United States: Former Patients' Perspectives on Opportunities for Quality Improvement.Journal of patient experience · 2024Article
- Article
- Experiences of Black Adults Evaluated in a Locked Psychiatric Emergency Unit: A Qualitative Study.Psychiatric services (Washington, D.C.) · 2023Article
- Patient-centered inpatient psychiatry is associated with outcomes, ownership, and national quality measures.Health affairs scholar · 2023Article
- Complaints, Restraint, and Seclusion in Massachusetts Inpatient Psychiatric Facilities, 2008-2018.Journal of patient experience · 2023Article
- Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010-2016.Psychiatric services (Washington, D.C.) · 2022Article
- Effects of the CMS' Public Reporting Program for Inpatient Psychiatric Facilities on Targeted and Nontargeted Safety: Differences Between For-Profits and Nonprofits.Medical care research and review : MCRR · 2022Article
- Former Inpatient Psychiatric Patients' Past Experiences With Traditional Frontline Staff and Their Thoughts on the Benefits of Peers as Part of Frontline Staff.Journal of psychosocial nursing and mental health services · 2022Article
- Investigating the impact of involuntary psychiatric hospitalization on youth and young adult trust and help-seeking in pathways to care.Social psychiatry and psychiatric epidemiology · 2021Article
- Patient Characteristics Associated With Admission to Low-Safety Inpatient Psychiatric Facilities: Evidence for Racial Inequities.Psychiatric services (Washington, D.C.) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Behavioral health care has been slow to take up robust efforts to improve patient safety. This lag is especially apparent in inpatient psychiatry, where there is risk for physical and psychological harm. Recent investigative journalism has provoked public concern about instances of alleged abuse, negligence, understaffing, sexual assault, inappropriate medication use, patient self-harm, poor sanitation, and inappropriate restraint and seclusion. However, empirical evidence describing the scope of unsafe experiences is limited. While evidence-based inpatient psychiatry requires care to be trauma-informed, market failures and a lack of payment alignment with patient-centered care leave patients vulnerable to harm. Existing regulatory mechanisms attempt to provide accountability; however, these mechanisms are imperfect. Furthermore, research is sparse. Few health services researchers study inpatient psychiatry, the issue has not been a priority among research funders, and data on inpatient psychiatry is excluded from national surveys of quality. Several policy levers could begin to address these deficiencies. These include aligning incentives with patient-centered care, building trauma-informed care into accreditation and monitoring, conducting trend analyses of critical incidents, and improving research capacity.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.