Brooke Short1, Carrie Marr2, Murray Wright3. 1. Lecturer, University of Newcastle, Newcastle, NSW, and; Psychiatry Fellow, Higher Education and Training Institute, Sydney, NSW, and; Medical Officer, NSW Health, Gosford Hospital, Gosford, NSW, Australia. 2. Chief Executive, Clinical Excellence Commission, Sydney, NSW, Australia. 3. Senior Lecturer, University of New South Wales, Sydney, NSW, and; Chief Psychiatrist, NSW Health, Sydney, NSW, Australia.
Abstract
OBJECTIVE: : Development of a Mental Health Quality and Safety Framework with co-designed priority areas for improvement. METHOD: : A qualitative and inductive approach was utilised, including a literature search, consultations with staff and focus groups with consumers and carers. RESULTS: : Thematic analysis resulted in 32 categories, grouped into seven key themes. Combined with the evidence base, these were distilled into component parts of the Framework. CONCLUSIONS: : A change in strategy and culture is required, balancing a traditionally centralised top-down approach to health care governance and improvement, with a complementary localised bottom-up model that embeds improvement science principles involving frontline staff, consumers and carers. This Framework, that centres on patient safety and quality improvement, in combination with a corresponding cultural change, can enhance clinical outcomes, service efficiency, staff morale and staff retention rates.
OBJECTIVE: : Development of a Mental Health Quality and Safety Framework with co-designed priority areas for improvement. METHOD: : A qualitative and inductive approach was utilised, including a literature search, consultations with staff and focus groups with consumers and carers. RESULTS: : Thematic analysis resulted in 32 categories, grouped into seven key themes. Combined with the evidence base, these were distilled into component parts of the Framework. CONCLUSIONS: : A change in strategy and culture is required, balancing a traditionally centralised top-down approach to health care governance and improvement, with a complementary localised bottom-up model that embeds improvement science principles involving frontline staff, consumers and carers. This Framework, that centres on patient safety and quality improvement, in combination with a corresponding cultural change, can enhance clinical outcomes, service efficiency, staff morale and staff retention rates.
Entities:
Keywords:
health policy; health services; mental health; patient safety; quality improvement