Evidence map›Paper›PMID 34493959›Full record

ArticleBJPsych open2021

Effects of the first COVID-19 lockdown on quality and safety in mental healthcare transitions in England.

Natasha Tyler, Gavin Daker-White, Andrew Grundy, Leah Quinlivan, Chris Armitage, Stephen Campbell, Maria Panagioti

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Natasha TylerNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK.ORCID https://orcid.org/0000-0001-8257-1090
Gavin Daker-WhiteNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK.ORCID https://orcid.org/0000-0002-3538-8805
Andrew GrundySchool of Health Science, University of Nottingham, UK.ORCID https://orcid.org/0000-0002-6562-6894
Leah QuinlivanNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK; and Centre for Mental Health and Safety, University of Manchester, UK.ORCID https://orcid.org/0000-0002-3944-3613
Chris ArmitageNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK; Manchester Centre for Health Psychology, University of Manchester, UK; and Manchester Academic Health Science Centre, Manchester University Foundation Trust, UK.ORCID https://orcid.org/0000-0003-2365-1765
Stephen CampbellNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK.ORCID https://orcid.org/0000-0002-2328-4136
Maria PanagiotiNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, UK.ORCID https://orcid.org/0000-0002-7153-5745
University of Manchester · GBManchester Academic Health Science Centre · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic forced the rapid implementation of changes to practice in mental health services, in particular transitions of care. Care transitions pose a particular threat to patient safety.

aimsThis study aimed to understand the perspectives of different stakeholders about the impact of temporary changes in practice and policy of mental health transitions as a result of coronavirus disease 2019 (COVID-19) on perceived healthcare quality and safety.

methodThirty-four participants were interviewed about quality and safety in mental health transitions during May and June 2020 (the end of the first UK national lockdown). Semi-structured remote interviews were conducted to generate in-depth information pertaining to various stakeholders (patients, carers, healthcare professionals and key informants). Results were analysed thematically.

resultsThe qualitative data highlighted six overarching themes in relation to practice changes: (a) technology-enabled communication; (b) discharge planning and readiness; (c) community support and follow-up; (d) admissions; (e) adapting to new policy and guidelines; (f) health worker safety and well-being. The COVID-19 pandemic exacerbated some quality and safety concerns such as tensions between teams, reduced support in the community and increased threshold for admissions. Also, several improvement interventions previously recommended in the literature, were implemented locally. DISCUSSION: The practice of mental health transitions has transformed during the COVID-19 pandemic, affecting quality and safety. National policies concerning mental health transitions should concentrate on converting the mostly local and temporary positive changes into sustainable service quality improvements and applying systematic corrective policies to prevent exacerbations of previous quality and safety concerns.

Indexed as

care transitionsCOVID-19Inpatient treatmentqualitative researchquality and safety

Identifiers

PMID34493959
PMCPMC8410739
OpenAlexW3196581278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.