Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.
| Title: | Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool. |
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| Authors: | Louch G; School of Healthcare, University of Leeds, Leeds, United Kingdom.; Yorkshire Quality and Safety Research Group, Bradford Institute for Health Research, Bradford, United Kingdom.; Berzins K; Health Technology Assessment Unit, Applied Health Research Hub, Implementation and Capacity Building Team, NIHR Applied Research Collaboration North West Coast, University of Central Lancashire, Preston, United Kingdom.; Walker L; School of Health and Psychological Sciences, City, University of London, London, United Kingdom.; Wormald G; Thrive by Design, Leeds and York Partnership NHS Foundation Trust, Leeds, United Kingdom.; Blackwell K; Thrive by Design, Leeds and York Partnership NHS Foundation Trust, Leeds, United Kingdom.; Stephens M; Ayup Digital, Leeds, United Kingdom.; Brown M; Social Spider CIC, London, United Kingdom.; Baker J; School of Healthcare, University of Leeds, Leeds, United Kingdom. |
| Source: | JMIR formative research [JMIR Form Res] 2024 Apr 12; Vol. 8, pp. e53726. Date of Electronic Publication: 2024 Apr 12. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]- |
| Abstract: | Background: Acute mental health services report high levels of safety incidents that involve both patients and staff. The potential for patients to be involved in interventions to improve safety within a mental health setting is acknowledged, and there is a need for interventions that proactively seek the patient perspective of safety. Digital technologies may offer opportunities to address this need.; Objective: This research sought to design and develop a digital real-time monitoring tool (WardSonar) to collect and collate daily information from patients in acute mental health wards about their perceptions of safety. We present the design and development process and underpinning logic model and programme theory.; Methods: The first stage involved a synthesis of the findings from a systematic review and evidence scan, interviews with patients (n=8) and health professionals (n=17), and stakeholder engagement. Cycles of design activities and discussion followed with patients, staff, and stakeholder groups, to design and develop the prototype tool.; Results: We drew on patient safety theory and the concepts of contagion and milieu. The data synthesis, design, and development process resulted in three prototype components of the digital monitoring tool (WardSonar): (1) a patient recording interface that asks patients to input their perceptions into a tablet computer, to assess how the ward feels and whether the direction is changing, that is, "getting worse" or "getting better"; (2) a staff dashboard and functionality to interrogate the data at different levels; and (3) a public-facing ward interface. The technology is available as open-source code.; Conclusions: Recent patient safety policy and research priorities encourage innovative approaches to measuring and monitoring safety. We developed a digital real-time monitoring tool to collect information from patients in acute mental health wards about perceived safety, to support staff to respond and intervene to changes in the clinical environment more proactively.; (©Gemma Louch, Kathryn Berzins, Lauren Walker, Gemma Wormald, Kirstin Blackwell, Michael Stephens, Mark Brown, John Baker. Originally published in JMIR Formative Research (https://formative.jmir.org), 12.04.2024.) |
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| Contributed Indexing: | Keywords: dashboard; dashboards; design; develop; development; digital innovation; evidence scan; interface; interview; interviews; logic model; mental health; monitoring; patient involvement; patient safety; perception; perceptions; programme theory; prototype; qualitative; real time; safety |
| Entry Date(s): | Date Created: 20240412 Latest Revision: 20240429 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11053394 |
| DOI: | 10.2196/53726 |
| PMID: | 38607663 |
| Database: | MEDLINE |
Journal Article