{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T10:59:37Z","timestamp":1785236377906,"version":"3.55.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Open-door policies for acute inpatient mental health units (AIMHU) have shown promising results in reducing coercive measures, but concerns remain among patients and staff regarding increased workload, constant surveillance, and potential safety risks associated with these policies. This study aims to develop a monitoring tool to facilitate safety management in AIMHUs by monitoring behavioral risks and nursing workload.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study employed a qualitative approach using the content analysis method. Data were collected through three in-depth interviews and two focus groups involving staff (n=19) from the AIMHU of the hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>34 items were identified to define behavioral risks related to self-harm and suicide, aggressiveness, and absconding, alongside factors affecting nursing workload. These items were categorized into three levels of risk: low, moderate, and high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>RutiSafeNet is a preliminary, observation-based monitoring prototype intended to support, rather than to predict, structured risk and workload monitoring in acute inpatient mental health units. As a qualitatively developed instrument, it requires psychometric validation, including inter-rater reliability, construct and criterion validity, predictive value, and clinical feasibility, before it can be implemented as a validated scale in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1882340","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T10:10:20Z","timestamp":1785233420000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["RutiSafeNet: a behavioral risk and nursing workload monitoring tool for open-door acute inpatient mental health units"],"prefix":"10.3389","volume":"17","author":[{"given":"Laura","family":"Miro-Mezquita","sequence":"first","affiliation":[{"name":"Servei de Psiquiatria, Hospital Germans Trias i Pujol","place":["Badalona, Spain"]},{"name":"INnovation, health Economics and DIgital Transformation (INEDIT) Research Group on Innovation, Health Economics and Digital Transformation, Institut de Recerca Germans Trias i Pujol","place":["Badalona, Spain"]},{"name":"Directorate of Healthcare Strategy and Innovation, Hospital Universitari Germans Trias i Pujol","place":["Badalona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Moreno-Orea","sequence":"additional","affiliation":[{"name":"Servei de Psiquiatria, Hospital Germans Trias i Pujol","place":["Badalona, Spain"]},{"name":"NURECARE-IGTP Nursing Research Group, Institut Germans Trias i Pujol","place":["Badalona, Spain"]},{"name":"Institut de Recerca Germans Trias i Pujol","place":["Badalona, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"de Pablo-Rabasso","sequence":"additional","affiliation":[{"name":"Servei de Psiquiatria, Hospital Germans Trias i Pujol","place":["Badalona, Spain"]},{"name":"Departament Psiquiatria, Universitat Autonoma de 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