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The aim of this evidence-based project was to introduce portable personal alarms to all clinical staff on an acute adult psychiatric locked unit at the Mesa Vista Behavioral Health Hospital, San Diego. The purpose was to increase staff’s perceived and actual safety. The project resulted in an increase of staff’s perception of safety in areas such patient safety as perceived by staff, improved perception of addressing medical errors, and improved perception of learning culture at the facility. While 80% of responding staff found the concept of portable personal alarms beneficial, most agreed alternative models of alarms should be investigated, due to high sensitivity of introduced alarms. The results demonstrate significance of early detection of high risk situations in relation to safety attitudes and identified additional areas of staff’s safety concerns. Background Throughout history behavioral health professionals have tried to effectively assess, accurately anticipate, successfully prevent and promptly respond to violent behavior. Violence prediction remains a complex phenomenon, especially considering its multifactorial nature (Grisso & Applebaum, 1992). Demonstration of aggression and violence may constitute a manifestation of acute or chronic range of conditions, both psychiatric and behavioral. It is imperative to recognize crisis promptly and perceive violent behavior as an emergency. Moreover, causes of crisis which may give rise to violence and high risk situations are frequently embedded in the structural arrangement of care, the culture of services and rather than solely dependent on patient pathology. (Fisher, 2003).

The Effect of Personal Portable Alarms on Clinical Staff’s Perception of Safety at an Adult Psychiatric Hospital Unit