Authors: (including presenting author): :
Lai SM(1)
Affiliation: :
(1) Department of Child and Adolescent Psychiatry, Castle Peak Hospital
Keyword 1: :
OSH improvement
Keyword 2: :
Department of Child and Adolescent Psychiatry
Introduction: :
The Department of Child and Adolescent Psychiatry (CAP) provides a wide range of psychiatric care for individuals under the age of 18, perinatal women, and those with intellectual disabilities, including inpatient, outpatient, outreach, and day patient services. In 2024, there were a total of fifteen occurrences of IOD, resulting in an IOD rate of 6.6%. This percentage is significantly higher than the overall rate of 3.41% documented in HA, underscoring the need for measures focused on improving OSH. Consequently, the Department partnered with the NTWC OSH Team to launch the SafeTrack initiative in 2025.
Objectives: :
To establish a tailor-made improvement plan To reduce the IOD cases of the Department
Methodology: :
The OSH Taskforce of CAP was established on 15 April 2025. Subsequently, the NTWC OSH team was invited to participate in the CAP Ward Manager meeting on 13 May 2025, where they discussed with the stakeholders about the SafeTrack initiative. The review of Departmental IOD statistics was incorporated as a standard agenda item in the CAP Ward Manager Meeting. A tailored OSH risk summary was developed, including specific interventions. Investigations and case reviews of IOD incidents were conducted promptly following their occurrence. Additionally, a weekly clinical ward round was implemented with a consultant to monitor staff regarding patient and staff incidents and to recommend corrective measures. A joint OSH inspection and safety round was carried out on 3 June 2025, to identify existing risks and control measures. The 5S improvement project in CAP was successfully completed on 30 September 2025, aimed at preventing strikes, slips, trips, or falls (SSTF). To promote a positive safety culture within CAP, a safety culture workgroup was formed on 18 November 2025. Furthermore, two practical workshops on safe patient handling and soft landings techniques were organized on 27 November 2025 and 22 December 2025.
Result & Outcome: :
The quantity of IOD cases has diminished from 2024 to 2025, evidenced by a 53% decrease in IOD cases, falling from 15 to 7, along with a decline in the IOD rate from 6.6% to 3.0%. Additional OSH improvement measures will be introduced under the Safety Culture Workgroup. These measures will include quarterly meetings to discuss best practices related to patient and staff safety, review departmental IOD statistics, share incidents and recommended corrective actions, identify and assess workplace hazards, enhance the workplace environment, and standardize nursing practices through staff training and collaborative friendly visits.
