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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
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Psychiatric Facilities
Physicians
Mental
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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
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Psychiatric Facilities
Nurses
Nurse Managers
Mental
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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
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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.
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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
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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
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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.
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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
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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.
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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.