Lack of written observation protocol for child and adolescent mental health unit

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2014 → 2015Kimberley Lindfield9 months after Samiyo Farah · different coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight the absence of a clear, written policy governing how patient observations should be conducted and recorded. The earlier report focuses on child/adolescent observation in specialist units, while the later report concerns observation protocols linked to mental health assessments after self‑harm.

  Samiyo Farah · 30 Apr 2014

  “Observation protocol - there is no national guidance/policy on the observation of children and adolescents within specialist mental health units. At present, clinicians are forced to adopt/adapt policies applied to adults with mental health issues.”

  Check it in the source

  Kimberley Lindfield · 2 Feb 2015

  “Whenever an increased level of observations is initiated pending a mental health assessment because of the concern about a patient's mental state and/or self harrm/suicidal behaviour there should be a clear written policy or protocol setting out what those observations actually involve (e.g. what 1 in every 15 minutes means and precisely what should be recorded)”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2014 → 2015Kimberley Lindfield8 months after Mark Bartholomew · different coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports highlight deficiencies in the observation documentation process for patients requiring heightened monitoring. The earlier report notes missing detail on who and when observations are recorded, while the later report calls for a clear written policy defining exactly what observations entail and how they should be recorded.

  Mark Bartholomew · 21 May 2014

  “actual observation sheet apparently in use at present indicates a poor level of detail as to who and when it is completed”

  Check it in the source

  Kimberley Lindfield · 2 Feb 2015

  “there should be a clear written policy or protocol setting out what those observations actually involve (e.g. what 1 in every 15 minutes means and precisely what should be recorded)”

  Check it in the source

  Earlier report in the app · Later report in the app