{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:26:56Z","timestamp":1758274016031},"reference-count":11,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,12,10]],"date-time":"2013-12-10T00:00:00Z","timestamp":1386633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2014,11]]},"abstract":"Accessible summary<\/jats:title>\nThis paper reports on the issue of resuscitation in mental health inpatient environments. It reviews the literature on national standards and best practice when emergency situations arise in mental health settings. The discussion on the best practice literature takes place alongside the reporting of a national evaluation of how National Patient Safety Agency improvement guidelines for the provision for life support, and resuscitation for mental health service users was effectively implemented across health\u2010care providers in England.<\/jats:p><\/jats:list-item>\nMethods used to establish the effective use of the guidelines include feedback from clinical staff and staff responsible for the implementation of the new national standards for resuscitation. Serious incident data were also compared prior to the release of the national guidelines and after the guideline release dates. This included looking at events around choking and cardiac\/respiratory arrest in inpatient areas.<\/jats:p><\/jats:list-item>\nThere were five deaths post\u2010implementation of the guidelines that were considered to have serious enough error associated with the resuscitation process. This was down from 18 prior to the release of the guidelines. However, our survey showed that despite organisations reporting 100% compliance with the implementation of the guidelines, around half of frontline clinical staff were not aware of them.<\/jats:p><\/jats:list-item>\nAlthough our survey responses show a contradiction between organisational and clinical staff awareness, our analysis suggests a reduction in moderate and severe harm cases and of deaths. There is evidence of a reduction in the worst types of error resulting in death, albeit with small numbers.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>Abstract<\/jats:title>In 2008, the N<\/jats:styled-content>ational P<\/jats:styled-content>atient S<\/jats:styled-content>afety A<\/jats:styled-content>gency issued a R<\/jats:styled-content>apid R<\/jats:styled-content>esponse R<\/jats:styled-content>eport (RRR<\/jats:styled-content>) aimed at health\u2010care organisations providing inpatient care for mental health and learning disability patients, requiring organisations to make proper provision for life support and resuscitation for these patients. This paper examines whether effective implementation of the RRR<\/jats:styled-content> recommendations had occurred across health providers in E<\/jats:styled-content>ngland. The methods used in this paper are the following: (1) Questionnaires were distributed nationally to clinical staff and implementation leads; (2) A national comparison of the number and severity of pre\u2010 and post\u2010RRR<\/jats:styled-content> release\u2010related incidents involving choking\/cardiac\/respiratory arrest in M<\/jats:styled-content>ental H<\/jats:styled-content>ealth and L<\/jats:styled-content>earning D<\/jats:styled-content>isabilities settings was conducted; (3) Organisational compliance with the patient safety alert for all National Health Service O<\/jats:styled-content>rganisations in E<\/jats:styled-content>ngland was measured. There were five deaths post\u2010implementation of the RRR<\/jats:styled-content> that were considered to have serious enough error associated with the resuscitation. This was down from 18 deaths pre the RRR<\/jats:styled-content> release. Although our survey responses show a contradiction between organisational implementation and clinical staff awareness, our analysis suggests a reduction in moderate and severe harm cases and of deaths. There is evidence of a reduction in the worst types of error resulting in death, albeit with small numbers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpm.12126","type":"journal-article","created":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T03:32:51Z","timestamp":1386732771000},"page":"806-813","source":"Crossref","is-referenced-by-count":5,"title":["Is knowledge and practice safer in E<\/scp>ngland after the release of national guidance on the resuscitation of patients in mental health and learning disabilities?"],"prefix":"10.1111","volume":"21","author":[{"given":"C.","family":"Flood","sequence":"first","affiliation":[{"name":"Adult Years Division City University London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Gull","sequence":"additional","affiliation":[{"name":"Central London Healthcare London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Learning Disability and Dementia Care Professional Officer \u2013 Mental Health Public Health Nursing Division, Department of Health London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Gordon","sequence":"additional","affiliation":[{"name":"Mental Health Learning Disability and Offender Health NHS England London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Cleary","sequence":"additional","affiliation":[{"name":"East London Foundation NHS Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,10]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1300\/J084v10n01_07"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2006.10.024"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-9572(01)00439-7"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.173.1.11"},{"key":"e_1_2_5_6_1","first-page":"372","article-title":"Survey of sudden death associated with the use of antipsychotic or antidepressant drugs: 49 cases in Finland","volume":"81","author":"Mehtonen O.P.","year":"1991","journal-title":"Acta Psychiatrica Scandinavica"},{"key":"e_1_2_5_7_1","volume-title":"Safer Care for the Acutely Ill Patient","author":"National Patient Safety Agency","year":"2007"},{"key":"e_1_2_5_8_1","unstructured":"National Patient Safety Agency(2008)Rapid response report NPSA\/2008\/RRR010: resuscitation in mental health and learning disability settings. Supporting information."},{"key":"e_1_2_5_9_1","unstructured":"National Institute for Health and Care Excellence Clinical Guideline 25(2005).The short\u2010term management of disturbed\/violent behaviourFebruary."},{"key":"e_1_2_5_10_1","unstructured":"Number of mental health trusts(2011) Available at:http:\/\/www.nhs.uk\/NHSEngland\/thenhs\/about\/Pages\/authoritiesandtrusts.aspx."},{"key":"e_1_2_5_11_1","unstructured":"Resuscitation Council UK(2005).Resuscitation guidelines."},{"key":"e_1_2_5_12_1","unstructured":"Resuscitation Council UK(2010).Resuscitation guidelines. Available at:http:\/\/www.resus.org.uk\/pages\/guide.htm(accessed 1 June 2013)."}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpm.12126","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjpm.12126","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.12126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T20:38:12Z","timestamp":1696192692000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.12126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,10]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1111\/jpm.12126"],"URL":"https:\/\/doi.org\/10.1111\/jpm.12126","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,10]]}}}