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Accuracy and completeness of Mental Health Act forms applied to involuntary patients admitted to an inpatient psychiatric ward

Authors Pasyk S, Pikard J, Mauer-Vakil D, Munshi T

Received 21 June 2018

Accepted for publication 18 September 2018

Published 19 February 2019 Volume 2019:11 Pages 11—15

DOI https://doi.org/10.2147/CA.S177868

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Andrew Yee

Peer reviewer comments 2

Editor who approved publication: Dr Zoka Milan


Stanislav Pasyk,1 Jennifer Pikard,2 Dane Mauer-Vakil,2 Tariq Munshi2

1School of Medicine, Queen’s University, Kingston, ON, Canada; 2Department of Psychiatry, Kingston Health Sciences Centre, Queen’s University, Kingston, ON, Canada

Background: The accuracy and completeness of Mental Health Act forms applied to involuntary patients in an inpatient unit is of paramount importance not only for legal but also for patient safety reasons within a hospital.
Materials and methods: This was a retrospective study of 250 patient charts from January 1, 2014 to March 31, 2014.
Results: Chart review provided a total of 224 Form 3, 4, 30, and 33 certificates with an overall error rate of 13.19% completion. Of those physicians who completed these certificates, the error rate was 11.63% if a resident physician were to complete and 19.23% if a staff physician were to apply the form.
Conclusion: As physicians, there is a legal and moral responsibility to ensure the accuracy of such documentation both ethically and practically as well as a responsibility to the patient and their rights under the Mental Health Act.

Keywords: Mental Health Act, Ontario, involuntary, inpatient

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