Experience Feedback Committee: a management tool to improve patient safety in mental health

BACKGROUND: A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. METHODS: We conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013. The study was conducted in Grenoble University Hospital in France. We analysed all reported incidents, reports of meetings and event analysis reports. Adverse events were classified according to the Conceptual Framework for the International Classification for Patient Safety. RESULTS: A total of 30 meetings were attended by 22 professionals including seven physicians and 12 paramedical practitioners. We identified 475 incidents reported to the Experience Feedback Committee. Most of them (92 %) had no medical consequence for the patient. Eleven incidents were investigated with an analysis method inspired by civil aviation security systems. Twenty-one corrective actions were set up, including eight responses to the specific problems of a mental health unit, such as training to respond to situations of violence or management of suicide attempts. CONCLUSIONS: The Experience Feedback Committee makes it possible to involve mental healthcare professionals directly in safety management. This tool seems appropriate to manage specific patient safety issues in mental health. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12991-015-0062-2) contains supplementary material, which is available to authorized users

Intramolecular and intermolecular reactions of alkenylsilyl radicals

The radicals formed during photolysis of di-t-butyl peroxide and a number of alkenyldimethylsilanes have been examined by e.s.r. spectroscopy. Only carbon-centred radicals were observed. These were either secondary alkyl radicals formed by the addition of the initially formed silyl radical to a double bond and/or allyl radicals formed by hydrogen-atom abstraction from the alkenyl group. In most cases addition to the double bond was an intermolecular process. However, pent-4-enylsilyl radicals undergo intramolecular addition with endo-cyclization to form the six-membered ring being strongly favoured over exocyclization to form the five-membered ring. This preference was confirmed by product studies on 3,3-dimethylpent-4-enyldimethylsilane. The factors that control homolytic exo:endo cyclization rates for species in which the radical centre is located on a second row element are adumbrated.Peer reviewed: YesNRC publication: Ye

On the Conformation of Sterically Hindered Aniline Cation Radicals and Benzyl Cations

A series of aniline cation radicals have been generated in a flow apparaturs and their ESR spectra have been recorded and interpreted. The data show that the NR1R2 substituents in the isoelectronic but sterically less hindered benzyl radicals, in accordance with MNDO calculations. The conformations of these systems are strongly influenced by electronic π-resonance effects which limit the usefuless of steric models for structural predictions. The results suggest that the CR1R2 substituent in the benzyl cations is less twisted than in the corresponding radicals. An ESR measurement of these radicals should therefore provide an upper limit to the twist angle in the cations, which is difficult to determine otherwise by experiment

Absolute rate constants for some reactions involving triethylsilyl radicals in solution

Peer reviewed: YesNRC publication: Ye