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The cost of safety

Balancing risk and liberty in psychiatric units

Bibliographic Data

ID21504124
AuthorsRocksheng Zhong (0000-0003-4061-443X, Law and Psychiatry Division Department of Psychiatry Yale School of Medicine New Haven CT, corresponding author), Tobias Wasser (0000-0003-1084-834X, Department of Psychiatry Yale School of Medicine New Haven CT)
Year2021
Volume35
Issue2
Pages173-177
Publication date2021-02-01
Open AccessYes
TypeARTICLE
VenueBioethics (JOURNAL)
Journal identifiersISSN: 0269-9702 • E-ISSN: 1467-8519
PublisherWiley (PUBLISHER • GB)
DOI10.1111/bioe.12804
PMID32939790
OpenAlexW3087341663
LanguageEN
Citations received3

The systems approach is a widely accepted method for addressing healthcare adverse events. However, when adverse events are behavioral in nature, such as self‐injury or aggression, a systems approach can restrict patient autonomy. We propose guidelines for balancing safety and autonomy considerations when developing systems for behavioral adverse events: interventions that do not limit patient liberty, or that therapeutically address the root causes of behavioral adverse events, should be fully utilized. Clinicians should collaborate with patients when designing systems that may restrict patient liberty. And clinicians should be supported in managing the stress that accrues from working in hazardous environments

Adverse effect · Aggression · Autonomy · Computer security · Health care · Medical emergency · Patient safety · Political science · Psychiatry · Psychological intervention · Computer Science · Ethics in medical practice · Healthcare Decision-Making and Restraints · Law · Medicine · Mental Health and Psychiatry · Psychology

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Citations per year1
Citation span2023 - 2024 (2)
Highly citedNo

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