Sykes Michael J, Brabban Alison, Reilly Joe
Tees, Esk and Wear Valleys NHS Foundation Trust, Mental Health Research Group , Stockton-on-Tees , UK and.
J Ment Health. 2015 Jun;24(3):140-4. doi: 10.3109/09638237.2014.998812. Epub 2015 Feb 2.
Harm in mental health has traditionally been viewed as "unambiguous" and measured in terms of suicide, self-harm, self-neglect and violence. In order to develop an organisational patient safety strategy, one Trust engaged with service users, carers and senior clinicians and managers in order to understand how they define harm.
To explore the meaning of harm in a mental health and learning disabilities setting.
This paper describes the outcome of service improvement work with service users, carers, senior clinicians and managers at one Trust to determine what harm meant to them.
Harm is a concept which is broader than elements currently seen within organisational patient safety metrics and clinical risk assessments.
Taking into account the diverse feedback received about what constitutes harm, a more inclusive definition emerges which could be incorporated into a new framework for risk management, balancing risk of harms across multiple dimensions. This approach has the potential to bring together consideration of the risk and recovery agendas.
心理健康方面的伤害传统上被视为“明确无误的”，并以自杀、自我伤害、自我忽视和暴力来衡量。为了制定一项组织层面的患者安全策略，一家信托机构与服务使用者、护理人员以及资深临床医生和管理人员进行了交流，以了解他们如何定义伤害。
探讨在心理健康和学习障碍环境中伤害的含义。
本文描述了一家信托机构与服务使用者、护理人员、资深临床医生和管理人员开展服务改进工作的成果，以确定伤害对他们而言意味着什么。
伤害这一概念比目前组织层面患者安全指标和临床风险评估中所包含的要素更为宽泛。
考虑到就伤害的构成所收到的各种反馈，一个更具包容性的定义应运而生，该定义可纳入一个新的风险管理框架，在多个维度上平衡伤害风险。这种方法有可能将风险议程和康复议程的考量结合起来。
