An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data

Journal article

Cook, R., Jones, S., Williams, G., Worsley, D., Walker, Ray, Radford, Mark and Leary, A. (2019). An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data. Health informatics journal. 26 (2), pp. 1333-1346. https://doi.org/10.1177/1460458219874637
AuthorsCook, R., Jones, S., Williams, G., Worsley, D., Walker, Ray, Radford, Mark and Leary, A.
AbstractEvidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider. Two databases comprising nurse staffing levels and adverse events were modelled using latent variable methods to account for the presence of multiple underlying behaviours. The analysis reveals a strong dependence of the rate of adverse events on the location and perceived clinical demand of the wards, and a reduction in adverse events where registered nurses exceed ‘clinically required levels’. In the first study of its kind, these findings present significant implications for nursing workforce policy and present an opportunity to not only improve safety but potentially impact nurse retention.
KeywordsHealth Informatics
Year2019
JournalHealth informatics journal
Journal citation26 (2), pp. 1333-1346
PublisherSage
ISSN1460-4582
1741-2811
Digital Object Identifier (DOI)https://doi.org/10.1177/1460458219874637
Web address (URL)https://journals.sagepub.com/doi/full/10.1177/1460458219874637
Funder/ClientNHS Improvement
Publication dates
Online03 Oct 2019
Publication process dates
Accepted12 Aug 2019
Deposited04 Sep 2019
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Open
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