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. 2023 May 15;12(2):e002058. doi: 10.1136/bmjoq-2022-002058

Table 2.

Planned improvement actions with exemplar quotes from the incident reports

Planned improvement actions n(%) Example quotes
Patient care focused 822 (32)
Adequate support and care to patient
  • Placing a patient into a private room to calm down

  • Managing a challenging behaviour with a ‘Verge method’

Patient education/counselling/decision support
  • Educating a patient to handle irritating situations

  • Counselling a patient for agreeing to treatment

  • Talking to patient, relatives, fellow patients

Monitoring equipment/medication dispensing aids to patient
  • Providing a dispensing aid for medicines

  • Organising an extra monitor

  • Providing additional aids to support patient’s mobility

Staff focused 932 (37)
Staff orientation/supervision/assistance
  • Discussion of an incident analysis with involved staff members

  • Supervising the team

Staff training
  • Special training was planned for taking lab tests

Checklists/protocols/policies availability and adherence
  • Reminding about an adherence to the guideline

  • New protocol needed

Adequate staff numbers/quality
  • Calling out for extra staff/a security specialist

Equipment/agents/general protocols 260 (10)
Provision/improvement of resources/equipment/medication alerts/systems/services
  • Replacing faulty instruments

  • Using stop sign stickers for additional attention

  • Informing/calling for Police

General protocols and guidelines support
  • Organising a patient transport in general level

  • Organising an incident-related discussion between partner institutions

Environment/organisational issues 520 (21)
Environmental changes/matching physical environment
  • Contact isolation established in the ward

  • Furnishing a special room (for an aggressive patient)

Organising risk assessment/root cause analysis/audits
  • Organising a risk analysis

  • Informing a medical company about faulty equipment

Improving leadership/guidance
  • Suggesting changes in working organisation

Matching staff/planning adequate staff
  • Hiring a security service

Improving a safety culture
  • Reminding about IRS

Total 2534 (100)

IRS, incident reporting system.