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  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use
    September 27, 2017 - February 16, 2011 The mental health trigger tool: development and testing of a specialized … trigger tool for mental health settings. … July 13, 2022 Is it time for the mental health field to consider unplanned discharge … July 21, 2021 Safe clinical practice for patients hospitalised in mental health wards … January 23, 2019 Medication-administration errors in an urban mental health hospital:
  9. psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
    December 24, 2008 - Baltimore, MD: Maryland Department of Health and Mental Hygiene. … Baltimore, MD: Maryland Department of Health and Mental Hygiene. … Baltimore, MD: Maryland Department of Health and Mental Hygiene. … , 2008 National cross-sectional cohort study of the relationship between quality of mental … July 21, 2021 Investigation of mental and physical health of nurses associated with errors
  10. psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
    October 19, 2022 - September 28, 2022 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 … View More See More About The Topic Hospitals Internal Medicine Mental
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49830/psn-pdf
    May 01, 2018 - Patients under observation in emergency departments and mental health units are sometimes allowed to … Assessing the patient's level of distress and suicidality as well as her overall mental and physical … In the VHA, we use the checklist to review all mental health units in our system every 6 months. … Adverse events occurring on VHA mental health units. Gen Hosp Psychiatry. 2018;50:63-68. … Mental Health Environment of Care Checklist (MHEOCC).
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46220/psn-pdf
    August 09, 2017 - contributing to patient safety events 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 … This retrospective study analyzed 790 medical or surgical hospitalizations among adults with serious mental … The authors suggest that improving safety in patients with mental illness will require multifaceted
  13. psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - View More Related Resources Relationships between medications used in a mental … 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 Health Care Providers Mental
  14. psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
    January 27, 2016 - January 1, 2019 View More Related Resources Adverse mental … July 13, 2022 Is it time for the mental health field to consider unplanned discharge … September 1, 2021 Safe clinical practice for patients hospitalised in mental health wards … December 23, 2020 Nurses' influence on consumers' experience of safety in acute mental … September 20, 2017 Inpatient suicide on mental health units in Veterans Affairs (VA)
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44025/psn-pdf
    February 22, 2018 - unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental … Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best Model for Error Investigation in Mental … Reviewing for mental health events, mostly suicides and homicides, researchers found that recommendations … causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
  16. psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
    January 01, 2021 - If this is occurring, it is best to reach out to a mental health professional or to your employee assistance … The mental health consultant for your unit is: They can be reached at: BATTLE BUDDY CHECK-IN … Buddy to Anticipate and Plan for Specific Stressors Once the Battle Buddy program is initiated, a mental … The mental health consultant is also available to help Deter more serious mental health problems, by … Please move into the Deter phase by seeking or helping your BB to connect with your dedicated mental
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845278/psn-pdf
    March 01, 2023 - fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label https://psnet.ahrq.gov/issue/long-term-risk-overdose-or-mental-health-crisis-after-opioid-dose-tapering … https://psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long … https://psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
  18. psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
    September 27, 2017 - The investigators analyzed medication errors in UK mental health units and found prescribing errors to … Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental … See More About The Topic Pharmacists Health Care Executives and Administrators Mental
  19. psnet.ahrq.gov/issue/creating-culture-caregiver-support
    May 18, 2022 - “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on … mental health diagnosis, treatment, and reporting. … “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on … mental health diagnosis, treatment, and reporting.
  20. psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
    August 11, 2021 - September 29, 2017 Health professionals' perspectives of safety issues in mental health … June 23, 2021 Nurses' influence on consumers' experience of safety in acute mental health … April 8, 2020 What causes medication administration errors in a mental health hospital … More See More About The Topic Psychiatric Facilities Nurses Nurse Managers Mental

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