Authors: (including presenting author): :
Yuen CW(1), Leung PT(1), Law SK(1), Yeung YM(1)
Affiliation: :
(1) Nursing Services Division, Castle Peak Hospital/ Siu Lam Hospital
Keyword 1: :
Clinical safety
Keyword 2: :
Safety culture
Keyword 3: :
Psychiatric Setting
Keyword 4: :
Multi-Modal Training Programme
Introduction: :
Psychiatric inpatient settings in HK face recurrent safety risks such as falls, choking and workplace violence, where safety culture and teamwork are key determinants of safe, person‑centred care. Multi‑modal, team‑based safety training can enhance safety culture and staff engagement, yet programmes are often fragmented. In response, a year‑round “Safety Highlights” pilot multi‑modal programme was implemented for ward staff in Castle Peak Hospital and Siu Lam Hospital to enhance clinical safety and safety culture.
Objectives: :
To increase ward staff awareness of priority safety risks in HK psychiatric inpatient settings. To enhance safety related knowledge and skills of ward staff through a pilot multi-modal training package aligned with Hospital Authority guidelines and ward protocols. To promote teamwork, communication, and shared responsibility for safety across psychiatric wards, supporting a culture where staff feel able to speak up about safety concerns. To foster a sustainable, positive safety culture by embedding recurring themed safety activities into routine ward practice.
Methodology: :
This pilot programme was implemented by the NSD of CPH/ SLH, targeting ward nurses and PCAs involved in direct patient care in CPH & SLH. Three priority themes from the risk registers—falls prevention, choking prevention, and workplace violence—were delivered in separate monthly cycles using a structured multi‑modal design. In each cycle, week 1 featured a Fun Day with carnival‑style game booths using situational pictures and mini‑games to help staff identify ward risks and discuss improvement strategies. Weeks 2 and 3 comprised team‑based workshops where ward nurses and patient care assistants learned together through small‑group discussion, role‑play and case sharing, emphasizing clinical response, teamwork, and communication. Weeks 3 to 4, “123 – Online Challenges” provided online quizzes to consolidate knowledge and further promote safety culture. Participation was recorded for all activities, and brief post‑training questionnaires assessed perceived clarity of goals, practicality, knowledge and skills gain, teamwork, communication, and safety culture.
Result & Outcome: :
Across the three themes, Fun Day game booths recorded over 500 attendances with 333 evaluation forms, and about 88–94% of respondents agreed the activities improved awareness, practicality, skills and safety culture. Team‑based workshops engaged 388 participants with 368 questionnaires, with 85–92% reporting better incident handling and team communication; “123 – Online Challenges” attracted 592 submissions, reinforcing key messages across wards and indicating strong acceptance of the programme.
