{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T19:08:04Z","timestamp":1791140884238,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,8,17]],"date-time":"2018-08-17T00:00:00Z","timestamp":1534464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000777","name":"University of Leeds","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000777","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Establishing patient safety priorities in psychiatry has received less international attention than in other areas of health care. This study aimed to identify safety issues as described by people in the United Kingdom identifying as mental health service users, carers and professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional online survey was distributed via social media. Identified safety issues were mapped onto the Yorkshire Contributory Factors Framework (<jats:styled-content style=\"fixed-case\">YCFF<\/jats:styled-content>) which categorizes factors that contribute to patient safety incidents in general hospital settings. Service user and carer responses were described separately from professional responses using descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and eighty\u2010five responses from 95 service users and carers and 90 professionals were analysed. Seventy different safety issues were identified. These were mapped onto the 17 existing categories of the <jats:styled-content style=\"fixed-case\">YCFF<\/jats:styled-content> and two additional categories created to form the <jats:styled-content style=\"fixed-case\">YCFF<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MH<\/jats:styled-content>. Most frequently identified issues were as follows: \u201cIndividual characteristics\u201d (of staff) which included competence and listening skills; \u201cService process\u201d that contained concerns about waiting times; \u201cManagement of staff and staffing levels\u201d dominated by staffing levels; and \u201cExternal policy context\u201d which included the overall resourcing of services. Professionals identified staffing levels and inadequate community provision more frequently than service users and carers, who in turn identified crisis care more frequently.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study updates knowledge on stakeholder perceived safety issues across mental health care. It shows a far broader range of issues relating to safety than has previously been described. The <jats:styled-content style=\"fixed-case\">YCFF<\/jats:styled-content> was successfully modified to describe these issues and areas for further coproduced research are suggested.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12805","type":"journal-article","created":{"date-parts":[[2018,8,18]],"date-time":"2018-08-18T04:08:58Z","timestamp":1534565338000},"page":"1085-1094","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["A cross\u2010sectional survey of mental health service users\u2019, carers\u2019 and professionals\u2019 priorities for patient safety in the United Kingdom"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5002-5212","authenticated-orcid":false,"given":"Kathryn","family":"Berzins","sequence":"first","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Baker","sequence":"additional","affiliation":[{"name":"School of Healthcare University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Brown","sequence":"additional","affiliation":[{"name":"Social Spider CIC  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Lawton","sequence":"additional","affiliation":[{"name":"School of Psychology University of Leeds  Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,17]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"To Err is Human: Building a Safer Health System","author":"Institute of Medicine","year":"2000"},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization.World Alliance for Patient Safety Progress Report 2006\u20102007.2008."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-158-5-201303051-00001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2011-000443"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2015-004049"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(17)30238-9"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1108\/JMHTEP-06-2017-0043"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12474"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220600889272"},{"key":"e_1_2_8_11_1","volume-title":"Patient safety in mental health","author":"Brickell TA","year":"2009"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1108\/13619322200600006"},{"key":"e_1_2_8_13_1","volume-title":"Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and Patients Subject to Supervised Community Treatment, England \u2010 2014\u20132015, Annual figures","author":"NHS Digital","year":"2015"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-021361"},{"key":"e_1_2_8_15_1","volume-title":"Briefing 52: Adult and older adult mental health services 2012\u20132016 An analysis of Mental Health NHS Benchmarking Network data for England and Wales","author":"Bell A","year":"2017"},{"key":"e_1_2_8_16_1","volume-title":"Mental Health under Pressure","author":"The King's Fund","year":"2015"},{"key":"e_1_2_8_17_1","unstructured":"Care Quality Commission:CQC tells Southern Health NHS Foundation Trust to take urgent action to improve governance arrangements to ensure patient safety.http:\/\/www.cqc.org.uk\/content\/cqc-tells-southern-health-nhs-foundation-trust-take-urgent-action-improve-governance(2016). 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