Abstract

BackgroundA management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health.MethodsWe conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013. The study was conducted in Grenoble University Hospital in France. We analysed all reported incidents, reports of meetings and event analysis reports. Adverse events were classified according to the Conceptual Framework for the International Classification for Patient Safety.ResultsA total of 30 meetings were attended by 22 professionals including seven physicians and 12 paramedical practitioners. We identified 475 incidents reported to the Experience Feedback Committee. Most of them (92 %) had no medical consequence for the patient. Eleven incidents were investigated with an analysis method inspired by civil aviation security systems. Twenty-one corrective actions were set up, including eight responses to the specific problems of a mental health unit, such as training to respond to situations of violence or management of suicide attempts.ConclusionsThe Experience Feedback Committee makes it possible to involve mental healthcare professionals directly in safety management. This tool seems appropriate to manage specific patient safety issues in mental health.Electronic supplementary materialThe online version of this article (doi:10.1186/s12991-015-0062-2) contains supplementary material, which is available to authorized users.

Highlights

  • A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments

  • Statistical analysis We reported the characteristics of the Experience Feedback Committee (EFC)’s main functioning, the adverse events reported and the analysis reports as medians and interquartile ranges (IQR; i.e., 25th and 75th percentiles) for continuous variables and number and percentages for categorical variables

  • The EFC is a tool allowing the direct involvement of mental health professionals to manage patient safety

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Summary

Introduction

A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. Even if many adverse events are similar in all medical units, there are specific patient safety issues in mental. Air transport safety systems require that any incident, even minor, must be treated by a systemic analysis within the air crew Inspired by those security systems, Boussat et al Ann Gen Psychiatry (2015) 14:23 a specific mechanism, called the Experience Feedback Committee (EFC), was created in 2005 to analyse adverse events within a medical team. The main principles of the method are managing patient safety within a medical team and setting up corrective actions concerning latent factors that contributed to the occurrence of events or near-miss events

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