Introduction Psychiatric Quarterly, Vol. 76, No. 1, Spring 2005 ( 2005) DOI: 10.1007/s11089-005-5580-4 Special Section Patient Safety on Adult Inpatient Services Ann Marie Sullivan, M.D. Guest Editor The safe treatment of patients in crisis is a challenge. Acute care psy- chiatric inpatient services are called upon every day to treat safely and effectively patients whose behaviors are truly acutely dangerous to self or others. Surprisingly, there is a paucity of research on best practices to treat these behaviors in an acute inpatient setting. The three papers presented here detail a systems approach to patient safety on the adult inpatient service in a New York City municipal safety net hospital, and at its Corporate headquarters. At Elmhurst Hospital Center, where I am the director, the administrative and clinical team joined together to improve patient safety in the two most critical areas unique to psychiatry: violence and suicide. The third paper outlines a Health and Hospitals Corporation system wide initiative to empower patients and increase their active participation in the management of their illness. The first paper describes a patient violence safety project that dra- matically decreased the use of seclusion and restraints in our large inpatient service, without increasing injuries, altercations Psychiatric Quarterly Springer Journals


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Kluwer Academic Publishers-Plenum Publishers
Copyright © 2005 by Springer Science+Business Media, Inc.
Medicine & Public Health; Psychiatry; Public Health; Sociology, general
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