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  1. Article ; Online: Variation in opinions on coercion use among mental healthcare professionals: a questionnaire study.

    Birkeland, Søren / Bogh, Søren Bie / Pedersen, Martin Locht / Kerring, Jonas Harder / Morsø, Lars / Tingleff, Ellen Boldrup / Gildberg, Frederik Alkier

    Nordic journal of psychiatry

    2024  , Page(s) 1–8

    Abstract: Introduction: Even if coercive measures are widely applied in psychiatry and have numerous well-known drawbacks, there is limited known on the agreement among mental healthcare professionals' opinions on their use. In a questionnaire study using ... ...

    Abstract Introduction: Even if coercive measures are widely applied in psychiatry and have numerous well-known drawbacks, there is limited known on the agreement among mental healthcare professionals' opinions on their use. In a questionnaire study using standardized scenarios, we investigated variation in staff opinions on coercion.
    Methods: In a web-based survey distributed to staff at three psychiatry hospitals, respondents were asked to consider if and what coercion to use by introducing two hypothetical scenarios involving involuntary psychiatric admission and in-hospital coercion.
    Results: One hundred thirty-two out of 601 invited staff members responded to the survey (Response Rate = 22%). There was large variation in participating staff members' opinions on how to best manage critical situations and what coercive measures were warranted. In the first scenario, 57% of respondents (
    Conclusion: There is a high degree of variation in coercion use. This study suggests that this variation persists despite staff members being confronted with the same standardized situations. There is a need for evidence-based further guidance to minimize coercion in critical mental healthcare situations.
    Language English
    Publishing date 2024-04-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1104974-1
    ISSN 1502-4725 ; 0803-9488 ; 0029-1455
    ISSN (online) 1502-4725
    ISSN 0803-9488 ; 0029-1455
    DOI 10.1080/08039488.2024.2341928
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Healthcare Complaints Analysis Tool: reliability testing on a sample of Danish patient compensation claims.

    Bogh, Soren Bie / Kerring, Jonas Harder / Jakobsen, Katrine Prisak / Hilsøe, Camilla Hagemann / Mikkelsen, Kim / Birkeland, Søren Fryd

    BMJ open

    2019  Volume 9, Issue 11, Page(s) e033638

    Abstract: Objective: The study aim was to test the intra-assessor and interassessor reliability of the Healthcare Complaints Analysis Tool (HCAT) for categorising the information in the claim letters in a sample of Danish patient compensation claims.: Design, ... ...

    Abstract Objective: The study aim was to test the intra-assessor and interassessor reliability of the Healthcare Complaints Analysis Tool (HCAT) for categorising the information in the claim letters in a sample of Danish patient compensation claims.
    Design, setting and participants: We used a random sample of 140 compensation cases completed by the Danish Patient Compensation Association that were filed in the field of acute medicine at Danish hospitals from 2007 to 2018. Four assessors were trained in using the HCAT manual before assessing the claim letters independently.
    Main outcome measures: Intra-assessor and interassessor reliability was tested at domain, problem category and subcategory levels of the HCAT. We also investigated the reliability of ratings on the level of harm and of the descriptive details contained in the claim letters.
    Results: The HCAT was reliable for identifying problem categories, with reliability scores ranging from 0.55 to 0.99. Reliability was lower when coding the 'severity' of the problem. Interassessor reliability was generally lower than intra-assessor reliability. The categories of 'quality' and 'safety' were the least reliable of the seven HCAT problem categories. Reliability at the subcategory level was generally satisfactory, with only a few subcategories having poor reliability. Reliability was at least moderate when coding the stage of care, the complainant and the staff group involved. However, the coding of 'level of harm' was found to be unreliable (intrareliability 0.06; inter-reliability 0.29).
    Conclusion: Overall, HCAT was found to be a reliable tool for categorising problem types in patient compensation claims.
    MeSH term(s) Compensation and Redress ; Denmark ; Female ; Health Services Research ; Humans ; Linear Models ; Male ; Patient Safety ; Reproducibility of Results ; Safety Management/methods ; Total Quality Management/methods
    Language English
    Publishing date 2019-11-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-033638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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