Patient journey mapping in an open-door psychiatric inpatient unit - Report - MDSpire

Mapping the Patient Experience in a Psychiatric Inpatient Unit with an Open-Door Policy

  • By

  • Jorge Cuevas-Esteban

  • Esther Ruiz-Garros

  • Encarnacion Romero-Diaz

  • Nicole Motta-Rojas

  • Beltran Jimenez-Fernandez

  • Aurea Fernandez-Ribas

  • Barbara Martinez-Cirera

  • Anna Moreno-Orea

  • Laura Miro-Mezquita

  • July 20, 2026

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Clinical Report: Mapping the Patient Experience in a Psychiatric Inpatient Unit

Overview

This study utilized Patient Journey Mapping to analyze patient experiences in a psychiatric unit with a structured open-door policy. Key findings indicate challenges remain in areas such as the admission process and communication.

Background

Open-door policies in psychiatric care aim to enhance patient autonomy and reduce coercive practices, addressing issues associated with traditional closed-door environments. However, systematic evaluations of patient experiences in these settings are limited, necessitating methodologies like Patient Journey Mapping to identify critical touchpoints in care.

Data Highlights

Data TypeDetails
Qualitative Participants18 patients
Quantitative Participants32 patients
Key Touchpoints IdentifiedMoments of Truth, Moments of Pain, Wow Moments

Key Findings

  • Open-door policies were perceived to support patient autonomy and reduce psychological distress.
  • Key experiential touchpoints included 'Moments of Truth,' 'Moments of Pain,' and 'Wow Moments.'
  • Challenges were noted in the admission process and privacy during medication administration.
  • Patient Journey Mapping effectively highlighted both positive and negative experiences during hospitalization.

Clinical Implications

Understanding patient experiences through structured methodologies like Patient Journey Mapping can inform improvements in service delivery in psychiatric settings.

Conclusion

The findings from this study highlight the use of Patient Journey Mapping in evaluating patient experiences in open-door psychiatric units.

Related Resources & Content

  1. Joint Commission, R3 Report Issue 44, 2024 -- New and Revised Restraint and Seclusion Requirements for Behavioral Health Care and Human Services Organizations
  2. Open-door policy versus treatment-as-usual in urban psychiatric inpatient wards: a pragmatic, randomised controlled, non-inferiority trial in Norway, 2024 -- ScienceDirect
  3. Patient journey mapping: emerging methods for understanding and improving patient experiences of health systems and services, 2023 -- PubMed
  4. Journal of Hospital Medicine — Leadership & professional development: WAIT: Setting expectations in hospitalized patients
  5. BMC Psychiatry (Springer) — Redesigning Psychiatric Seclusion Rooms: Insights from a Mixed-Methods Pre-Evaluation Involving Individuals with Lived Experience
  6. Ophthalmology Management — Viewpoint
  7. Frontiers in Psychiatry — Comparison of the therapeutic effects of open psychiatric wards for patients with depression: a meta-analysis
  8. R3 Report Issue 44: New and Revised Restraint and Seclusion Requirements for Behavioral Health Care and Human Services Organizations | Joint Commission
  9. Open-door policy versus treatment-as-usual in urban psychiatric inpatient wards: a pragmatic, randomised controlled, non-inferiority trial in Norway - ScienceDirect
  10. Patient journey mapping: emerging methods for understanding and improving patient experiences of health systems and services - PubMed

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