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  1. psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
    September 05, 2018 - November 18, 2016 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … June 15, 2012 Medication errors in mental healthcare: a systematic review. … View More See More About The Topic Psychiatric Facilities Physicians Mental
  2. psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
    September 27, 2017 - June 23, 2021 Safe clinical practice for patients hospitalised in mental health wards … March 3, 2019 What causes medication administration errors in a mental health hospital … More See More About The Topic Psychiatric Facilities Nurses Nurse Managers Mental
  3. psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
    November 26, 2008 - May 17, 2023 Safer Services: A Toolkit for Specialist Mental Health Services and Primary … June 26, 2019 Burnout in mental health professionals: a systematic review and meta-analysis … See More About The Topic Health Care Providers Health Care Executives and Administrators Mental
  4. psnet.ahrq.gov/curated-library/national-family-caregivers-month-2024
    June 14, 2023 - HMDC, HEC-C | March 27, 2024 A 76-year-old was readmitted for altered mental … Twitter Linkedin Copy URL A 76-year-old was readmitted for altered mental … In subsequent days, the patient's mental status improved, and he was able to express opposition to hospice
  5. psnet.ahrq.gov/periodic-issue/periodic-issue-383
    March 15, 2023 - Pediatric mental health is a patient safety concern. … Christie Allen about Maternal Safety and Perinatal Mental Health March 28, 2023 Christie Allen … is care for mental health conditions during pregnancy and the twelve months following delivery … Perspective Maternal Safety and Perinatal Mental Health

    Christie Allen, MSN, RNC-NIC … Mossburg, RN, PhD

    | March 29, 2023 This piece focuses on perinatal mental health and efforts
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
    February 01, 2006 - risk at shift transitions Case: Lost in Transition A 41-year-old woman came to the ED with mental … The patient was transferred to the ICU due to progressive deterioration in mental status, and was eventually … Pre-turnover stage Clinicians content with diagnosis of urinary tract infection for explanation of mental … The clinicians in this case may have been subject to anchoring error when they concluded mental status … only when clearly supported Say: “This patient has recently been treated for UTI and presents with mental
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40618/psn-pdf
    August 27, 2012 - The authors discuss the negative impact of environments where mental models are not shared, conflict … communication-failure-basic-components-contributing-factors-and-call-structure https://psnet.ahrq.gov/primer/teamwork-training https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
  8. psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
    August 04, 2021 - August 4, 2021 Discharge from Mental Health Care: Making it Safe and Patient-centred. … July 16, 2014 Safer Services: A Toolkit for Specialist Mental Health Services and Primary
  9. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
    December 01, 2009 - Patient Situations Patients who are homeless and uninsured and who also have substance abuse problems, mental … 9072-2 Against Medical Advice (AMA) Discharges AMA not uncommon; 1.44% rate For patients with mental … The prevalence of mental disorders among the homeless in western countries: systematic review and meta-regression … options Capacity particularly important to assess in homeless patients because they have higher risk of mental … The prevalence of mental disorders among the homeless in western countries: systematic review and meta-regression
  10. psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospitals-impact-teamwork
    October 22, 2014 - January 12, 2011 Towards understanding and improving medication safety for patients with mental … unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental … February 28, 2024 Understanding the medication safety challenges for patients with mental
  11. psnet.ahrq.gov/issue/advanced-medication-reconciliation-systematic-review-impact-medication-errors-and-adverse
    December 18, 2017 - the Same Author(s) Frequency and nature of medication errors and adverse drug events in mental … 18, 2017 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.
  12. psnet.ahrq.gov/web-mm/dont-push
    March 02, 2011 - The patient’s mental status deteriorated rapidly after admission: she tossed about on her bed and had … She was able to return to a regular medical floor 1 day later, and her mental status improved without … The limited mental status data provided in the case summary made the need for rapid and deep sedation … Was it correct to discharge this patient without any antipsychotic treatment after her mental status … There is too little information to draw firm conclusions about the basis for the mental changes that
  13. psnet.ahrq.gov/issue/safety-doses
    July 01, 2009 - June 17, 2014 With Safety in Mind: Mental Health Services and Patient Safety. … November 30, 2023 Safer Services: A Toolkit for Specialist Mental Health Services and
  14. psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
    October 25, 2013 - April 14, 2021 A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49426/psn-pdf
    November 01, 2003 - The patient’s mental status deteriorated rapidly after admission: she tossed about on her bed and had … She was able to return to a regular medical floor 1 day later, and her mental status improved without … Was it correct to discharge this patient without any antipsychotic treatment after her mental status … There is too little information to draw firm conclusions about the basis for the mental changes that … Take-Home Points Obtain a detailed history of the type and temporal course of mental status changes
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
    May 01, 2009 - Altered Mental Status in Hospitalized Patients All patients should be screened for cognitive impairment … The prevalence and documentation of impaired mental status in elderly emergency department patients. … Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision. … MMSE = Mini Mental State Examination; APACHE = Acute physiology, age, and chronic health evaluation; … cognition and attention, is common, morbid, and costly In the inpatient setting, all new changes in mental
  17. psnet.ahrq.gov/issue/indiana-medical-error-reporting-system
    October 03, 2017 - August 4, 2021 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.
  18. psnet.ahrq.gov/issue/nhs-redress-act-2006
    June 12, 2013 - February 8, 2011 With Safety in Mind: Mental Health Services and Patient Safety. … September 2, 2020 Keeping Children and Young People with Mental Health Needs Safe: the
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental … With treatment, both his mental status and his creatinine improved. … The nurse alerted the primary care team of the patient's declining mental status and their concern about … After being transferred to the ICU, the patient's mental status further deteriorated, and he became … Additionally, the patient's laboratory results and mental status updates were documented.
  20. psnet.ahrq.gov/issue/what-doctor-may-miss-reaching-mri-first
    May 22, 2013 - She seemed trapped in a downward mental health spiral. The real cause was a profound shock. … April 29, 2020 How common mental shortcuts can cause major physician errors.

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