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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836794/psn-pdf
     March 31, 2022 - mental capacity is fairly common in hospitalized patients. … similar studies in general hospitals have found 9-52% of patients lacked mental capacity.1 Thus, it … resources to identify and mitigate psychosocial issues that affect one’s mental capacity. … The assessment of mental capacity. Clin Med (London). 2005;5(6):580-584. [Free full text] 2. … Assessment of mental capacity and decision-making. Medicine. 46(7):405-410. [Available at] 5.

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50937/psn-pdf
     February 26, 2020 - based changes, including a shared mental model, standardization in equipment and its location, checklist … ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived https://psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications

363. 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

364. 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

365. 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

366. 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.

367. 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

368. 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

369. 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

370. 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

371. 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.

372. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. | PSNet
     psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
     April 01, 2015 - 14, 2018 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. … February 17, 2021 Prevalence, nature and predictors of omitted medication doses in mental … March 11, 2020 Frequency and nature of medication errors and adverse drug events in mental

373. Communication elements supporting patient safety in psychiatric inpatient care. | PSNet
     psnet.ahrq.gov/issue/communication-elements-supporting-patient-safety-psychiatric-inpatient-care
     July 01, 2013 - July 21, 2021 What does safety in mental healthcare transitions mean for service users … March 3, 2021 Safe clinical practice for patients hospitalised in mental health wards … April 8, 2020 What causes medication administration errors in a mental health hospital … See More About The Topic Hospitals Nurse Managers Quality and Safety Professionals Mental

374. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. | PSNet
     psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
     April 01, 2015 - 14, 2018 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. … February 17, 2021 Prevalence, nature and predictors of omitted medication doses in mental … March 11, 2020 Frequency and nature of medication errors and adverse drug events in mental

375. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet
     psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
     June 25, 2014 - 14, 2018 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. … February 17, 2021 Prevalence, nature and predictors of omitted medication doses in mental … March 11, 2020 Frequency and nature of medication errors and adverse drug events in mental

376. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. | PSNet
     psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
     March 24, 2021 - October 20, 2021 Frequency and nature of medication errors and adverse drug events in mental … 22, 2020 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.

377. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
     May 20, 2020 - November 2, 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. … August 11, 2021 Frequency and nature of medication errors and adverse drug events in mental

378. Initiatives to identify and mitigate medication errors in England. | PSNet
     psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england
     July 22, 2020 - July 22, 2020 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.

379. Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet
     psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center
     March 16, 2022 - the Same Author(s) Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … November 29, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … May 31, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the

380. Unintended consequences of online consultations: a qualitative study in UK primary care. | PSNet
     psnet.ahrq.gov/issue/unintended-consequences-online-consultations-qualitative-study-uk-primary-care
     November 16, 2022 - March 23, 2022 Evaluating the safety of mental health-related prescribing in UK primary … March 2, 2011 A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services.