Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.

True G, Frasso R, Cullen SW, Hermann RC, Marcus SC. Gen Hosp Psychiatry. 2017;48:65-71.

This individual interview study of staff at Veterans Health Administration inpatient psychiatry units identified several factors that affect patient safety in this setting, including safety culture, leadership engagement, and patient-centeredness. The authors advocate for a multistakeholder approach that engages frontline staff and leadership in order to improve patient safety for inpatient psychiatric care.

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