Evidence map›Paper›PMID 38607663›Full record

ArticleJMIR formative research2024

Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.

Gemma Louch, Kathryn Berzins, Lauren Walker, Gemma Wormald, Kirstin Blackwell, Michael Stephens, Mark Brown, John Baker

Abstract read
In one paragraph

Article in JMIR formative research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Gemma LouchSchool of Healthcare, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0001-6946-3693
Kathryn BerzinsHealth Technology Assessment Unit, Applied Health Research Hub, Implementation and Capacity Building Team, NIHR Applied Research Collaboration North West Coast, University of Central Lancashire, Preston, United Kingdom.ORCID https://orcid.org/0000-0001-5002-5212
Lauren WalkerSchool of Health and Psychological Sciences, City, University of London, London, United Kingdom.ORCID https://orcid.org/0000-0003-2459-7860
Gemma WormaldThrive by Design, Leeds and York Partnership NHS Foundation Trust, Leeds, United Kingdom.ORCID https://orcid.org/0000-0003-0560-6557
Kirstin BlackwellThrive by Design, Leeds and York Partnership NHS Foundation Trust, Leeds, United Kingdom.ORCID https://orcid.org/0000-0002-8215-4040
Michael StephensAyup Digital, Leeds, United Kingdom.ORCID https://orcid.org/0000-0001-5637-1757
Mark BrownSocial Spider CIC, London, United Kingdom.ORCID https://orcid.org/0000-0002-0633-8745
John BakerSchool of Healthcare, University of Leeds, Leeds, United Kingdom.ORCID https://orcid.org/0000-0001-9985-9875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute mental health services report high levels of safety incidents that involve both patients and staff. The potential for patients to be involved in interventions to improve safety within a mental health setting is acknowledged, and there is a need for interventions that proactively seek the patient perspective of safety. Digital technologies may offer opportunities to address this need.

objectiveThis research sought to design and develop a digital real-time monitoring tool (WardSonar) to collect and collate daily information from patients in acute mental health wards about their perceptions of safety. We present the design and development process and underpinning logic model and programme theory.

methodsThe first stage involved a synthesis of the findings from a systematic review and evidence scan, interviews with patients (n=8) and health professionals (n=17), and stakeholder engagement. Cycles of design activities and discussion followed with patients, staff, and stakeholder groups, to design and develop the prototype tool.

resultsWe drew on patient safety theory and the concepts of contagion and milieu. The data synthesis, design, and development process resulted in three prototype components of the digital monitoring tool (WardSonar): (1) a patient recording interface that asks patients to input their perceptions into a tablet computer, to assess how the ward feels and whether the direction is changing, that is, "getting worse" or "getting better"; (2) a staff dashboard and functionality to interrogate the data at different levels; and (3) a public-facing ward interface. The technology is available as open-source code.

conclusionsRecent patient safety policy and research priorities encourage innovative approaches to measuring and monitoring safety. We developed a digital real-time monitoring tool to collect information from patients in acute mental health wards about perceived safety, to support staff to respond and intervene to changes in the clinical environment more proactively.

Indexed as

dashboarddashboardsdesigndevelopdevelopmentdigital innovationevidence scaninterfaceinterviewinterviewslogic modelmental healthmonitoringpatient involvementpatient safetyperceptionperceptionsprogramme theoryprototypequalitativereal timesafety

Identifiers

PMID38607663
PMCPMC11053394

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.