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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Supporting carers to improve patient safety and maintain their well-being in transitions from mental … June 9, 2021
What does safety in mental healthcare transitions mean for service users … January 13, 2021
Safe clinical practice for patients hospitalised in mental health wards … Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental … March 4, 2020
Barriers and facilitators to incident reporting in mental healthcare settings
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - If a task involves mental calculation or many steps, then your working memory load will be high and thus … The mental model to have is that we can carry about five primary tasks in working memory. … That's your mental to-do list, and when you get interrupted you can lose any item from it. … If you're in the middle of a complex task, the obvious one is a mental calculation, it's very good to
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psnet.ahrq.gov/issue/learning-errors-and-resilience
December 18, 2019 - September 15, 2021
Association of dose tapering with overdose or mental health crisis … July 20, 2022
Long-term risk of overdose or mental health crisis after opioid dose tapering
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psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
June 06, 2018 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental … contributing to patient safety events during medical and surgical hospitalizations for persons with serious mental
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - Rockville (MD): Substance Abuse and Mental
Health Services Administration; 2006.
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psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study
May 13, 2015 - April 10, 2019
What causes medication administration errors in a mental health hospital … The perceptions of nurses towards barriers to the safe administration of medicines in mental
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psnet.ahrq.gov/periodic-issue/periodic-issue-392
April 26, 2023 - Center for Patient Safety between January 2018 and June 2022, researchers found that deficiencies in mental … Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental
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psnet.ahrq.gov/periodic-issue/periodic-issue-424
January 04, 2024 - discussion of commonalities between medical error and COVID-19 shares how data and stories, appropriate mental … Due to his persistently altered mental status, ultrafast magnetic resonance imaging (MRI) of the brain
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psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
April 24, 2024 - Diagnostic Approach to Altered Mental Status and Diagnostic Error in Stroke
The bedrock of clinical … When the patient’s history is unreliable or unobtainable, such as in cases of altered mental status, … The differential diagnosis of altered mental status is broad, and a full examination of its causes is … Nevertheless, AAI is a common cause of altered mental status and is a well-known “stroke mimic.” … The workup of patients with altered mental status with suspected stroke should include direct and collateral
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - help—adolescents who are assured confidentiality are more likely to disclose personal information about sexuality, mental
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psnet.ahrq.gov/web-mm/mismanagement-delirium
May 01, 2016 - Medical students rounded on days 5 and 6 and administered mini-mental status exams, but no in-depth medical … Actions History Check baseline cognitive function and recent (within past 2 weeks) changes in mental
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psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
October 04, 2006 - Commentary
Perspective: a culture of respect—part 1 and part 2.
Citation Text:
Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858.
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
December 01, 2014 - At 11:20, the nurse noted acute changes in mental and neurological status, including severe drowsiness … effects of sleep aids include residual daytime sedation leading to increased risk for falls, altered mental … an increased risk for adverse effects and poor outcomes, such as residual daytime sedation, altered mental … August 28, 2019
Mental mayhem: the peril of multitasking in medicine.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
January 03, 2018 - occur in both sexes and in younger patients as well.( 1 ) The key diagnostic features are (i) altered mental
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental
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psnet.ahrq.gov/issue/development-checklist-safe-discharge-practices-hospital-patients
June 17, 2015 - Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental
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psnet.ahrq.gov/web-mm/routine-goes-awry
December 01, 2015 - abscess.( 1 ) Because adenotonsillar hypertrophy has been recognized as the most common cause of sleep disturbance … October 29, 2008
Medication errors in older people with mental health problems: a review
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Rockville (MD): Substance Abuse and Mental Health Services Administration; 2006. [ Free full text ]
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
December 01, 2016 - 2006
Perspective
Maternal Safety and Perinatal Mental … May 24, 2017
Mental mayhem: the peril of multitasking in medicine.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - The providers thought that the patient's mental status change was likely due to urinary tract infection … Phenytoin was held, and the patient's mental status returned to baseline in 72 hours. … finding led to the appropriate next step—holding phenytoin—which resulted in recovery of the patient's mental … phenytoin half-life is about 24 hours" is inaccurate, which is why it took so long for the patient's mental