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psnet.ahrq.gov/issue/barriers-and-facilitators-incident-reporting-mental-healthcare-settings-qualitative-study
February 05, 2020 - Study
Barriers and facilitators to incident reporting in mental healthcare settings … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … Researchers conducted focus groups in this qualitative study of staff in mental healthcare settings and … The authors identified unique challenges to incident reporting in mental health, including the incidence … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.
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psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units
December 16, 2020 - Study
How does the environment influence consumers' perceptions of safety in acute mental … How does the environment influence consumers' perceptions of safety in acute mental health units? … Patient safety is an emerging focus within the mental health field. … How does the environment influence consumers' perceptions of safety in acute mental health units? … March 3, 2019
What causes medication administration errors in a mental health hospital
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psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
November 10, 2021 - Study
Preventing pregnancy-related mental health deaths: insights from 14 US maternal … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees … Missed diagnosis of mental health conditions can lead to serious adverse outcomes . … A substantial proportion of people with a pregnancy-related mental health cause of death had a history … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study.
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psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
May 04, 2022 - Study
National cross-sectional cohort study of the relationship between quality of mental … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … Previous research has emphasized suicide prevention in inpatient mental health settings , but less is … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … April 27, 2022
The benefits and harms of open notes in mental health: a Delphi survey
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care … Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study … GOLD database to examine prevalence, variation, and patient- and practice-level risk factors for 22 mental … Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study.
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psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
November 10, 2021 - Review
The role of bias in clinical decision-making of people with serious mental … The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities … Patients with mental illness may receive lower quality healthcare care than patients without mental … healthcare providers, the majority demonstrated unfavorable clinical decisions towards patients with mental … The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-preventability-adverse-drug-events-mental-health-settings
December 18, 2017 - Study
Prevalence, nature, severity and preventability of adverse drug events in mental … from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … June 28, 2023
Care Delivery within Community Mental Health Teams. … on safety issues in UK mental health services.
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psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts
July 07, 2021 - Study
The benefits and harms of open notes in mental health: a Delphi survey of international … The benefits and harms of open notes in mental health: a Delphi survey of international experts. … This study focused on risks and benefits of patient access to mental health care records. … The benefits and harms of open notes in mental health: a Delphi survey of international experts. … April 13, 2022
Patient safety and mental health-a growing quality gap in Canada.
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psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
May 31, 2023 - Supporting carers to improve patient safety and maintain their well-being in transitions from mental … Supporting carers to improve patient safety and maintain their well‐being in transitions from mental … Supporting carers to improve patient safety and maintain their well‐being in transitions from mental … July 5, 2023
Care Delivery within Community Mental Health Teams. … September 14, 2022
What does safety in mental healthcare transitions mean for service
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psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
December 18, 2017 - Study
Medication safety in mental health hospitals: a mixed-methods analysis of incidents … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … Medication errors are common in mental health hospitals. … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … August 11, 2021
Identifying potential prescribing safety indicators related to mental
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psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm-beach-va-medical-center-florida
January 24, 2024 - Book/Report
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach … Citation Text:
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center … Cite
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Patient Suicide on a Locked Mental … August 2, 2023
Inadequate Outpatient Mental Health Triage and Care of a Patient at the … April 5, 2023
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Book/Report
Inadequate Outpatient Mental Health Triage and Care of a Patient at the … Citation Text:
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based … URL
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Inadequate Outpatient Mental … July 27, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … April 19, 2023
Care Delivery within Community Mental Health Teams.
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psnet.ahrq.gov/issue/diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
June 30, 2021 - Study
Emerging Classic
Diagnosis of physical and mental … Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective … Between March and May 2020, there was a 50% reduction in expected diagnoses for mental health conditions … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … April 14, 2021
Mental health of staff working in intensive care during COVID-19.
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psnet.ahrq.gov/issue/association-dose-tapering-overdose-or-mental-health-crisis-among-patients-prescribed-long
July 13, 2022 - Study
Association of dose tapering with overdose or mental health crisis among patients … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term … This observational study evaluated the link between tapering and overdose, and mental health crisis among … Association of dose tapering with overdose or mental health crisis among patients prescribed long-term … June 22, 2022
Factors associated with mental health outcomes among health care workers
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psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - Study
Root cause analyses of suicides of mental health clients. … Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level … This study used root cause analysis to identify underlying causes of suicide among mental health … Researchers found that most patients had denied suicidal ideation and had missed follow-up in their mental … Their results underscore the challenge of preventing suicide in patients with mental illness.
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psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
April 27, 2022 - Review
Medication errors in older people with mental health problems: a review. … This review sought to determine medication error rates in elderly patients with mental health diagnoses … Related Resources
Frequency and nature of medication errors and adverse drug events in mental … September 19, 2012
With Safety in Mind: Mental Health Services and Patient Safety. … 2010
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Risk Managers
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psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
November 25, 2009 - Tools/Toolkit
Safer Services: A Toolkit for Specialist Mental Health Services and … Citation Text:
Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. … National Confidential Inquiry into Suicide and Safety in Mental Health. … National Confidential Inquiry into Suicide and Safety in Mental Health. … on safety issues in UK mental health services.
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psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
June 02, 2021 - Study
Classic
Mental health of staff working in intensive … Mental health of staff working in intensive care during COVID-19. … The burden of the COVID-19 pandemic has placed healthcare workers at higher risk for poor mental … Mental health of staff working in intensive care during COVID-19. … June 2, 2021
Diagnosis of physical and mental health conditions in primary care during
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psnet.ahrq.gov/issue/patient-provider-and-system-factors-contributing-patient-safety-events-during-medical-and
November 18, 2016 - 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 … How does the environment influence consumers' perceptions of safety in acute mental … January 23, 2019
Behavioral & Mental Health Toolbox.
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psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
July 17, 2019 - Commentary
Improving inpatient mental health medication safety through the process … Citation Text:
Improving inpatient mental health medication safety through the process of obtaining … how one hospital used professional standard achievement to motivate medication safety in inpatient mental … URL
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Improving inpatient mental … April 20, 2022
Patient safety and mental health-a growing quality gap in Canada.