Safety Incidents in Psychiatric Inpatient Care: A Qualitative Content Analysis of Safety Incident Reports

Table 4

Consequences of the safety incidents.

Subcategories	Categories	Main categories
No consequences or harm to other patients	No reported harms	Consequences for patients
No consequences or harm to the patients themselves
Possibility for serious injuries	Physical harms
Minor physical injuries
Probable death
Manual restraint	Use of coercive measures
Seclusion
Mechanical restraint
Comfort room
Additional or forced medication
Constant observation
Patient is discharged from the hospital	Changes in planned treatment and care
Treatment measures cannot be performed
Patient was sent to emergency ward
Another patient’s condition gets worse	Harms other patients
Endangered safety of other patients
Other patients are scared
Small physical injury to the other patient
Challenges for working arrangements	Decreased occupational safety	Harmful consequences for personnel
Endangers working environment
Extra works due to safety incidents
Being involved in potentially dangerous situations
Increased physical distress	Decreased health and well-being
Increased emotional distress
Receive physical injuries
Being the target of actual physical violence	Physical violence
Being the target of attempted physical aggression
Being verbally insulted	Verbal threats and insults
Being verbally threatened of violence
Patient’s relative verbally threatens
Calling additional nursing staff to work	Need for additional resources	Operational difficulties for wards
Need for help from nursing staff from other units
Consulted medical staff
Need for outside resources
Impossibility to be present for other patients	Difficulties in caring for other patients
Disturbs constant observation of other patients