TY - JOUR PY - 2018// TI - Identifying research priorities for patient safety in mental health: an international expert Delphi study JO - BMJ open A1 - Dewa, Lindsay H. A1 - Murray, Kevin A1 - Thibaut, Bethan A1 - Ramtale, Sonny Christian A1 - Adam, Sheila A1 - Darzi, Ara A1 - Archer, Stephanie SP - e021361 EP - e021361 VL - 8 IS - 3 N2 - OBJECTIVE: Physical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health.

DESIGN: Semistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements. SETTING AND PARTICIPANTS: Academic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included. MAIN OUTCOME MEASURES: Agreement in research priorities on a five-point scale.

RESULTS: Seventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important.

CONCLUSIONS: This is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this.

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Language: en

LA - en SN - 2044-6055 UR - http://dx.doi.org/10.1136/bmjopen-2017-021361 ID - ref1 ER -