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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72508/psn-pdf
     January 01, 2021 - helping-healthcare-teams-save-lives-during-covid-19-insights-and-countermeasures-team-science https://psnet.ahrq.gov/issue/psychological-and-mental-impact-coronavirus-disease … -2019-covid-19-medical-staff-and-general https://psnet.ahrq.gov/issue/factors-associated-mental-health-outcomes-among-health-care-workers-exposed-coronavirus

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851200/psn-pdf
     July 05, 2023 - This report examined one incident and identified care deficiencies associated with lack of mental health … how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths https://psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849332/psn-pdf
     May 24, 2023 - Center for Patient Safety between January 2018 and June 2022, researchers found that deficiencies in mental … detecting-and-treating-suicide-ideation-all-settings https://psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death

364. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
     January 01, 2020 - team did not treat the patient as though he could make any decisions — When care team members see mental … — In some circumstances, depending on the severity of the mental illness/episode or developmental … — However, a diagnosis of developmental delay or mental illness alone do not speak to a patient’s … — However, if the mental model was that “home with hospice” meant “discontinue everything, except … Capacity for mental healthcare decisions under the Mental Healthcare Act.

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50912/psn-pdf
     February 26, 2020 - and physicians recalled three patient experiences (an angry encounter, a positive encounter and a mental … Perceived patient safety risks were higher during angry and mental health encounters; positive encounters

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60023/psn-pdf
     March 11, 2020 - patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first https://psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review … https://psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review https

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60837/psn-pdf
     August 26, 2020 - communications for timely, reliable and reassuring messages, and (3) developing robust psychosocial and mental … supporting-emotional-well-being-health-care-workers-during-covid-19-pandemic https://psnet.ahrq.gov/issue/psychological-and-mental-impact-coronavirus-disease

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49651/psn-pdf
     May 01, 2012 - 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. … status and the inclusion of an "if/then" statement, such as "if the patient's mental status worsens

369. Refused Medication Error | PSNet
     psnet.ahrq.gov/web-mm/refused-medication-error
     November 01, 2005 - The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status … 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 comatose … Additionally, the patient's laboratory results and mental status updates were documented.

370. Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims. | PSNet
     psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
     November 16, 2022 - November 9, 2022 Barriers and facilitators to incident reporting in mental healthcare … July 18, 2016 With Safety in Mind: Mental Health Services and Patient Safety. … See More About The Topic Hospitals Pharmacists Facility and Group Administrators Mental

371. ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: a mixed-mode survey | PSNet
     psnet.ahrq.gov/issue/ask-me-routine-measurement-patient-experience-patient-safety-ambulatory-care-mixed-mode
     April 14, 2021 - April 14, 2021 The benefits and harms of open notes in mental health: a Delphi survey … November 24, 2021 What causes medication administration errors in a mental health hospital … March 2, 2022 Identifying potential prescribing safety indicators related to mental health

372. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
     psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
     March 10, 2021 - Resources Implementing and evaluating patient-focused safety technology on adult acute mental … September 27, 2017 Medication errors in mental healthcare: a systematic review. … Psychiatric Facilities Hospitals Physicians Health Care Executives and Administrators Mental

373. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
     psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
     April 19, 2023 - July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … May 26, 2021 Deficiencies in Inpatient Mental Health Care Coordination and Processes … May 26, 2021 Deficiencies in Inpatient Mental Health Care Coordination and Processes

374. Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. | PSNet
     psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
     July 27, 2022 - November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … Care and Meeting Workforce Challenges August 30, 2023 Inadequate Outpatient Mental

375. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet
     psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations
     March 29, 2023 - November 28, 2016 A national study links nurses' physical and mental health to medical … March 21, 2018 Critical care nurses’ physical and mental health, worksite wellness support … July 14, 2021 Family involvement, patient safety and suicide prevention in mental healthcare

376. Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet
     psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
     September 18, 2019 - August 11, 2021 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental … September 19, 2016 Reducing falls and fall-related injuries in mental health: a 1-year

377. Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions. | PSNet
     psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients
     December 16, 2020 - 25, 2023 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. … August 10, 2022 Preventing pregnancy-related mental health deaths: insights from 14 US

378. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. | PSNet
     psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
     October 28, 2020 - View More Related Resources Relationships between medications used in a mental … June 29, 2022 What causes medication administration errors in a mental health hospital … View More See More About The Topic Psychiatric Facilities Pharmacists Mental

379. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. | PSNet
     psnet.ahrq.gov/issue/association-between-opioid-tapering-and-subsequent-health-care-use-medication-adherence-and
     August 25, 2021 - Related Resources From the Same Author(s) Association of dose tapering with overdose or mental … August 25, 2021 Long-term risk of overdose or mental health crisis after opioid dose … July 20, 2022 Long-term risk of overdose or mental health crisis after opioid dose tapering

380. Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. | PSNet
     psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
     July 07, 2021 - 16, 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. … April 29, 2018 Frequency and nature of medication errors and adverse drug events in mental