September 25, 2025Journal of Patient SafetyOpen Access

Evaluating Safety Concerns for Pediatric Mental and Behavioral Health Patients and Providers in the Emergency Department: A Systems Perspective

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Self-harm, harm to others, and elopement are significant safety concerns for pediatric mental health patients in emergency departments.
The study identified increased risks associated with the presence of ligatures and the layout of emergency department environments.
Semistructured interviews with 55 ED staff members revealed challenges in safety incident prevention due to inadequate training.
There is an urgent need for systemic safety improvements that incorporate organizational policies, environment design, and technology.

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Qualitative analysis identifies key safety issues for pediatric mental health patients and providers, suggesting systemic improvements.

Joseph et al. (2025) studied this question.

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