Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study
Introduction Patients being discharged from inpatient mental wards often describe safety risks in terms of inadequate information sharing and involvement in discharge decisions. Through stakeholder engagement, we co-designed, developed and adapted two versions of a care bundle intervention, the SAFE...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-04-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/4/e069216.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850200227966877696 |
|---|---|
| author | Maria Panagioti Navneet Kapur Sally J Giles Natasha Tyler Stephen M Campbell Andrew Grundy Chris Armitage Tom Blakeman Claire Planner Catherine Robinson Richard Neil Keers Alexander Hodkinson Ioannis Angelakis Jessica Leather |
| author_facet | Maria Panagioti Navneet Kapur Sally J Giles Natasha Tyler Stephen M Campbell Andrew Grundy Chris Armitage Tom Blakeman Claire Planner Catherine Robinson Richard Neil Keers Alexander Hodkinson Ioannis Angelakis Jessica Leather |
| author_sort | Maria Panagioti |
| collection | DOAJ |
| description | Introduction Patients being discharged from inpatient mental wards often describe safety risks in terms of inadequate information sharing and involvement in discharge decisions. Through stakeholder engagement, we co-designed, developed and adapted two versions of a care bundle intervention, the SAFER Mental Health care bundle for adult and youth inpatient mental health settings (SAFER-MH and SAFER-YMH, respectively), that look to address these concerns through the introduction of new or improved processes of care.Methods and analysis Two uncontrolled before-and-after feasibility studies, where all participants will receive the intervention. We will examine the feasibility and acceptability of the SAFER-MH in inpatient mental health settings in patients aged 18 years or older who are being discharged and the feasibility and acceptability of the SAFER-YMH intervention in inpatient mental health settings in patients aged between 14 and 18 years who are being discharged. The baseline period and intervention periods are both 6 weeks. SAFER-MH will be implemented in three wards and SAFER-YMH in one or two wards, ideally across different trusts within England. We will use quantitative (eg, questionnaires, completion forms) and qualitative (eg, interviews, process evaluation) methods to assess the acceptability and feasibility of the two versions of the intervention. The findings will inform whether a main effectiveness trial is feasible and, if so, how it should be designed, and how many patients/wards should be included.Ethics and dissemination Ethical approval was obtained from the National Health Service Cornwall and Plymouth Research Ethics Committee and Surrey Research Ethics Committee (reference: 22/SW/0096 and 22/LO/0404). Research findings will be disseminated with participating sites and shared in various ways to engage different audiences. We will present findings at international and national conferences, and publish in open-access, peer-reviewed journals. |
| format | Article |
| id | doaj-art-6c2a073da98144be8fc3d4943d1be9f4 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6c2a073da98144be8fc3d4943d1be9f42025-08-20T02:12:24ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2022-069216Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility studyMaria Panagioti0Navneet Kapur1Sally J Giles2Natasha Tyler3Stephen M Campbell4Andrew Grundy5Chris Armitage6Tom Blakeman7Claire Planner8Catherine Robinson9Richard Neil Keers10Alexander Hodkinson11Ioannis Angelakis12Jessica Leather13NIHR School for Primary Care Research, University of Manchester, Manchester, UKCentre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, Manchester, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKDivision of Nursing, Midwifery & Social Work, University of Manchester, Manchester, UKManchester Centre for Health Psychology, University of Manchester, Manchester, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKSocial Care and Society, School of Health Sciences, University of Manchester, Manchester, UK3 Manchester Pharmacy School, University of Manchester, Manchester, UKCentre for Primary Care, University of Manchester, Manchester, UKUniversity of Liverpool, Liverpool, UKNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, UKIntroduction Patients being discharged from inpatient mental wards often describe safety risks in terms of inadequate information sharing and involvement in discharge decisions. Through stakeholder engagement, we co-designed, developed and adapted two versions of a care bundle intervention, the SAFER Mental Health care bundle for adult and youth inpatient mental health settings (SAFER-MH and SAFER-YMH, respectively), that look to address these concerns through the introduction of new or improved processes of care.Methods and analysis Two uncontrolled before-and-after feasibility studies, where all participants will receive the intervention. We will examine the feasibility and acceptability of the SAFER-MH in inpatient mental health settings in patients aged 18 years or older who are being discharged and the feasibility and acceptability of the SAFER-YMH intervention in inpatient mental health settings in patients aged between 14 and 18 years who are being discharged. The baseline period and intervention periods are both 6 weeks. SAFER-MH will be implemented in three wards and SAFER-YMH in one or two wards, ideally across different trusts within England. We will use quantitative (eg, questionnaires, completion forms) and qualitative (eg, interviews, process evaluation) methods to assess the acceptability and feasibility of the two versions of the intervention. The findings will inform whether a main effectiveness trial is feasible and, if so, how it should be designed, and how many patients/wards should be included.Ethics and dissemination Ethical approval was obtained from the National Health Service Cornwall and Plymouth Research Ethics Committee and Surrey Research Ethics Committee (reference: 22/SW/0096 and 22/LO/0404). Research findings will be disseminated with participating sites and shared in various ways to engage different audiences. We will present findings at international and national conferences, and publish in open-access, peer-reviewed journals.https://bmjopen.bmj.com/content/13/4/e069216.full |
| spellingShingle | Maria Panagioti Navneet Kapur Sally J Giles Natasha Tyler Stephen M Campbell Andrew Grundy Chris Armitage Tom Blakeman Claire Planner Catherine Robinson Richard Neil Keers Alexander Hodkinson Ioannis Angelakis Jessica Leather Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study BMJ Open |
| title | Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study |
| title_full | Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study |
| title_fullStr | Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study |
| title_full_unstemmed | Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study |
| title_short | Evaluating a co-designed care bundle to improve patient safety at discharge from adult and adolescent mental health services (SAFER-MH and SAFER-YMH): protocol for a non-randomised feasibility study |
| title_sort | evaluating a co designed care bundle to improve patient safety at discharge from adult and adolescent mental health services safer mh and safer ymh protocol for a non randomised feasibility study |
| url | https://bmjopen.bmj.com/content/13/4/e069216.full |
| work_keys_str_mv | AT mariapanagioti evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT navneetkapur evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT sallyjgiles evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT natashatyler evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT stephenmcampbell evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT andrewgrundy evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT chrisarmitage evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT tomblakeman evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT claireplanner evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT catherinerobinson evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT richardneilkeers evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT alexanderhodkinson evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT ioannisangelakis evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy AT jessicaleather evaluatingacodesignedcarebundletoimprovepatientsafetyatdischargefromadultandadolescentmentalhealthservicessafermhandsaferymhprotocolforanonrandomisedfeasibilitystudy |