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psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety
June 01, 2022 - mental health treatment settings over a ten-year period and found that unplanned discharges are significantly … higher in mental health settings. … April 6, 2022
Patient safety and mental health-a growing quality gap in Canada. … December 16, 2020
A qualitative exploration of mental health service user and carer perspectives … Safety Professionals
Mental Health Care (Psychiatry and Clinical Psychology)
Psychiatric Nursing
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psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
November 10, 2021 - how diagnostic overshadowing of a patient with substance use disorder led to undertreatment of a cardiovascular … primary care to improve patient care. … health: a review. … safety within community-based mental health services. … Health Care (Psychiatry and Clinical Psychology)
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psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
May 20, 2020 - Reporting on challenges to medication safety in the context of home, hospital, and cancer care, this … news article recommends patient and health care professional education and support for collaboration … April 6, 2022
Frequency and nature of medication errors and adverse drug events in mental … in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE … December 3, 2008
Cardiovascular drugs: linked to many errors.
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psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge
August 11, 2021 - such as antibiotics, antidiabetics, analgesics, and cardiovascular drugs. … preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD … harm in mEntal health hospitals (MADE) study. … mental health hospitals: a systematic review. … neonatal intensive care unit: a systematic review and meta-analysis.
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psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
March 24, 2021 - mental health hospitals: a systematic review. … in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE … Cases of Poor-quality Care Since the Dobbs Decision. … Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular … adverse outcomes of care.
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psnet.ahrq.gov/issue/which-adverse-events-and-which-drugs-are-implicated-drug-related-hospital-admissions
August 11, 2021 - The drug groups with the highest reported prevalence rates were ‘nervous system’, ‘cardiovascular system … preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD … harm in mEntal health hospitals (MADE) study. … September 11, 2013
Safer out of hours primary care. … Providers
Quality and Safety Professionals
Primary Care
Medication Errors/Preventable Adverse
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psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - patient mental health . … Citation
Related Resources From the Same Author(s)
A handoff protocol from the cardiovascular … September 30, 2020
Missed nursing care in the critical care unit, before and during the … February 2, 2022
Inpatient telemedicine and new models of care during COVID-19: hospital … Facility and Group Administrators
Nurse Managers
Public Health
Critical Care Nursing
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - physical illness, and the risks associated with inadequate care coordination for this population. … requires careful metabolic monitoring, as patients with severe mental illness have elevated risks of cardiovascular … This tragic case reflects both positives and negatives about our health care system. … Mental illness and medical illness are highly comorbid and require close care coordination—particularly … Providers
Emergency Medicine
Mental Health Care (Psychiatry and Clinical Psychology)
Discontinuities
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psnet.ahrq.gov/issue/good-care-slow-enough-be-able-pay-attention-primary-care-time-scarcity-and-patient-safety
August 04, 2015 - "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety … mental health, and investigating subtle clinical suspicions or red flags. … The authors outline structural and mitigating interventions to address time scarcity in care delivery … "Good care is slow enough to be able to pay attention": primary care time scarcity and patient safety … of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
July 22, 2020 - Hastened death due to disease burden and distress that has not received timely, quality palliative care … Hastened death due to disease burden and distress that has not received timely, quality palliative care … August 12, 2020
A handoff protocol from the cardiovascular operating room to cardiac … April 19, 2023
Care Delivery within Community Mental Health Teams. … February 9, 2022
Safety in pediatric hospice and palliative care: a qualitative study
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - , hemorrhage, infection, embolism, cardiomyopathy, mental health conditions, and pre-eclampsia/eclampsia … , whereas mental health conditions were the leading cause in non-Hispanic White women. … Mental health causes of maternal death appear related to drug overdose and suicide. 4
The causes of … cardiovascular conditions (14.6%). … Racial and ethnic disparities in maternal morbidity and obstetric care.
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psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
October 23, 2024 - emergencies and improved transitions of care. … Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care … Mental Health
March 29, 2023
Developing an action plan for patient radiation … safety in adult cardiovascular medicine. … October 11, 2023
Advancing Diagnostic Excellence in Maternal Health Care.
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psnet.ahrq.gov/issue/cybersecurity-health-urgent-patient-safety-concern-we-can-learn-existing-patient-safety
October 28, 2020 - attacks in health care. … Interventions should be simple and easy to implement and could be based on lessons learned in other … February 9, 2022
Is it time for the mental health field to consider unplanned discharge … May 4, 2022
A handoff protocol from the cardiovascular operating room to cardiac ICU … Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
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psnet.ahrq.gov/issue/fighting-against-covid-19-innovative-strategies-clinical-pharmacists
March 24, 2019 - workforce guidelines, utilizing remote inpatient order review and dispensing, and other telepharmacy … March 24, 2019
Factors associated with mental health outcomes among health care workers … Strategy (REMS) Programs and Medication Safety: Parts I and II. … January 12, 2022
Pharmacist linkage in care transitions: from academic medical center … in outpatients with cardiovascular disease.
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psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives
October 20, 2021 - May 25, 2022
A handoff protocol from the cardiovascular operating room to cardiac ICU … January 12, 2022
Medication safety in mental health hospitals: a mixed-methods analysis … A qualitative exploration across diverse acute care settings in the United States. … health care cost savings. … Executives and Administrators
Quality and Safety Professionals
Nosocomial Infections
Surgical
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - 2020
Computerized physician order entry with clinical decision support in long-term care … facilities: costs and benefits to stakeholders. … April 26, 2023
Use of complete medication history to identify and correct transitions-of-care … April 30, 2012
Cardiovascular drugs: linked to many errors. … Safety Professionals
Mental Health Care (Psychiatry and Clinical Psychology)
Hospital Pharmacy
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psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
January 12, 2022 - December 14, 2022
Hospital- and system-wide interventions for health care-associated … May 10, 2023
Healthcare-associated infections in Veterans Affairs acute-care and long-term … February 23, 2022
Factors associated with missed nursing care and nurse-assessed quality … September 23, 2020
Declines in hospitalizations for acute cardiovascular conditions during … July 1, 2020
Factors associated with mental health outcomes among health care workers
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psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
December 14, 2022 - , trust, role definition, and effective briefing/debriefing and transitions of care strategies. … December 14, 2022
Use of complete medication history to identify and correct transitions-of-care … February 15, 2023
Health care providers’ negative implicit attitudes and stereotypes … September 6, 2023
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular … Quality and Safety Professionals
Critical Care
Critical Care Nursing
Latent Errors
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - care into mental health care. … They’ve been used for transitions in care, for chronic disease management, substance use, mental health … KH: I want to shift to talking about your work around bringing primary care into mental health, rather … than having primary care integrate the mental health piece. … to a mental health provider.
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - to the critical care unit. … ACLS is an algorithm-based approach to cardiovascular resuscitation, and successful resuscitation attempts … , provide appropriate follow-up, and generally provide quality care for patients. 10 Teamwork and communication … for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. … emergency cardiovascular care.