Safety of patients with mental disorders: a collective construction of strategies

ABSTRACT Objective: to describe risk management implementation in the safety of patients with mental disorders through action research. Method: an action research carried out with a multidisciplinary team from a reference hospital in mental health in Southeast Brazil. Results: three strategies considered as managerial technologies for the mentally ill patient were developed: risk management diagram for patient safety; patient safety protocols; and textual proposal of software for internal management of incident notifications. Final considerations: this action research allowed a collective discussion by the whole multidisciplinary team, enabling strategy drafting for risk management implementation and improvement of care quality in the safety of patients with mental disorders at the study site.摘要 研究目的：通过行动研究，阐述精神障碍患者安全领域的风险管理实践。 研究方法：采用行动研究法，以巴西东南部某精神卫生专科定点医院的多学科团队为研究对象开展研究。 研究结果：开发了三项可作为精神障碍患者管理技术的策略：患者安全风险管理流程图、患者安全操作规程，以及用于内部事件上报管理的软件文本方案。 研究结论：本次行动研究推动多学科团队开展集体研讨，为本次研究所在机构制定精神障碍患者安全风险管理实施方案提供了依据，同时助力提升该机构精神障碍患者照护质量与安全保障水平。