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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - January 16, 2008
Barriers and facilitators to incident reporting in mental healthcare … More
Related Resources
Barriers and facilitators to incident reporting in mental … November 13, 2019
What causes medication administration errors in a mental health hospital … January 23, 2019
Medication-administration errors in an urban mental health hospital: … The perceptions of nurses towards barriers to the safe administration of medicines in mental
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psnet.ahrq.gov/node/48145/psn-pdf
July 17, 2019 - Mental mayhem: the peril of multitasking in medicine.
July 17, 2019
Joseph R; Harry E. … https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine
Multitasking can negatively affect … https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine
https://psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - After being treated for his worsening cardiomyopathy and renal failure, his mental status began to clear … "( 1 ) In many cases of elopement, the patient may have a decreased mental capacity related to dementia … or temporary delirium, or intermittent mental status changes related to medication, disease, or traumatic … In this case, the patient had a known history of altered mental status at the time he was deemed to be … For patients who have intermittent mental status changes, it is foreseeable that they could be at risk
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psnet.ahrq.gov/node/838086/psn-pdf
September 14, 2022 - September 14, 2022
Rockville, MD: Substance Abuse and Mental Health Services Administration; 2022. … addressing-burnout-behavioral-health-workforce-through-organizational-strategies
https://psnet.ahrq.gov/issue/burnout-mental-health-professionals-systematic-review-and-meta-analysis-prevalence-and … influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
https://psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services-qualitative-study
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psnet.ahrq.gov/node/849122/psn-pdf
May 17, 2023 - Structural racism and implicit biases can affect clinical judgement and impede the delivery of effective
mental … at the structural,
institutional, and interpersonal levels to address racism’s impact on pediatric mental … diagnostic-overshadowing-among-groups-experiencing-health-disparities
https://psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
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psnet.ahrq.gov/node/37443/psn-pdf
July 14, 2008 - Medication errors in older people with mental health
problems: a review. … https://psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
This review … sought to determine medication error rates in elderly patients with mental health diagnoses but
found … https://psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
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psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control
March 24, 2021 - July 22, 2020
Frequency and nature of medication errors and adverse drug events in mental … 21, 2022
Prevalence, nature, severity and preventability of adverse drug events in mental … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental … 21, 2010
View More
See More About The Topic
Health Care Providers
Mental
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psnet.ahrq.gov/issue/factors-associated-workplace-violence-among-healthcare-workers-academic-medical-center
May 11, 2022 - Conceptual and practical challenges associated with understanding patient safety within community-based mental … July 13, 2022
Is it time for the mental health field to consider unplanned discharge … May 4, 2022
Patient safety and mental health-a growing quality gap in Canada. … October 6, 2021
A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services.
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psnet.ahrq.gov/node/35761/psn-pdf
February 15, 2017 - SBAR: a shared mental model for improving
communication between clinicians. … SBAR: a shared mental model for improving communication between
clinicians. … https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
The … https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
https
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psnet.ahrq.gov/node/846150/psn-pdf
March 15, 2023 - patient-and-health-care-professional-perspectives-stigma-integrated-
behavioral-health
Stigma can prevent patients from seeking necessary mental … study, researchers
conducted qualitative interviews with patients and health care providers to assess mental … Participants identified the
importance of normalizing discussions about mental health care and patient-centered
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - The Case A 70-year-old woman was admitted to the intensive care unit (ICU) with acute change in mental … On day 4 of her ICU admission, a Friday, she exhibited fluctuating mental status with prolonged episodes … Signout to the incoming night float team did not highlight the change in mental status. … The night float team assumed it was her baseline mental status. … Subsequent root cause analysis determined that earlier recognition of the change in mental status might
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
September 27, 2017 - December 15, 2011
View More
Related Resources
Adverse mental health … November 20, 2024
Relationships between medications used in a mental health hospital … September 11, 2024
Understanding the medication safety challenges for patients with mental … June 23, 2021
What causes medication administration errors in a mental health hospital … September 27, 2017
View More
See More About The Topic
Mental Health Care
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psnet.ahrq.gov/issue/influence-comorbid-depression-and-diagnostic-workup-diagnosis-physical-illness-randomized
January 25, 2023 - Patients with mental illness are at greater risk of diagnostic overshadowing , or the tendency to … assign symptoms to the mental illness rather than to a potential physical illness. … See More About The Topic
Ambulatory Clinic or Office
Family Medicine
Primary Care
Mental
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psnet.ahrq.gov/issue/safe-handover-psychiatry-it-time-set-standards
October 08, 2014 - August 22, 2012
View More
Related Resources
Adverse mental health … November 20, 2024
Discharge from Mental Health Care: Making it Safe and Patient-centred … April 17, 2024
Health professionals' perspectives of safety issues in mental health services … on safety issues in UK mental health services. … View More
See More About The Topic
Quality and Safety Professionals
Mental
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
May 03, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental … Citation Text:
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental … Citation Text:
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental
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psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative … https://psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls … https://psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
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psnet.ahrq.gov/issue/six-major-steps-make-investigations-suicide-valuable-learning-and-prevention
December 07, 2022 - November 10, 2021
View More
Related Resources
Diagnostic error in mental … August 2, 2023
The role of bias in clinical decision-making of people with serious mental … Conceptual and practical challenges associated with understanding patient safety within community-based mental … March 31, 2021
The psychological and mental impact of coronavirus disease 2019 (COVID … See More About The Topic
Ambulatory Clinic or Office
Quality and Safety Professionals
Mental
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - July 13, 2022
Is it time for the mental health field to consider unplanned discharge … May 4, 2022
Safe clinical practice for patients hospitalised in mental health wards during … December 23, 2020
A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services. … More About The Topic
Psychiatric Facilities
Hospitals
Quality and Safety Professionals
Mental
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
January 01, 2021 - meeting with
dept/unit; introduce program
and determine specific
stressors/needs of staff/faculty
Mental … weekly “drop-in”
huddle video
conference
meetings to assess
progress and
provide feedback
Mental … seeking individual
support (ongoing)
*Stand-alone Battle Buddy Program:
For organizations without a mental
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psnet.ahrq.gov/issue/exploring-fear-clinical-errors-associations-socio-demographic-professional-burnout-and-mental
October 30, 2024 - Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental … Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental … Exploring the fear of clinical errors: associations with socio-demographic, professional, burnout, and mental