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401. 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

402. 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

403. 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

404. 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

405. Race and the clinical diagnosis of depression in new primary care patients. | PSNet
     psnet.ahrq.gov/issue/race-and-clinical-diagnosis-depression-new-primary-care-patients
     October 21, 2020 - Citation Related Resources From the Same Author(s) Diagnosis of physical and mental … April 26, 2023 Person-first treatment strategies: weight bias and impact on mental … More About The Topic Ambulatory Clinic or Office Health Care Providers Primary Care Mental

406. 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

407. 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

408. 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.

409. 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

410. 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.

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49611/psn-pdf
     October 01, 2010 - Mental health disorders are incredibly common: up to 26% of Americans have psychiatric disorders in … a given year and 6% have a serious mental illness that significantly impairs their life.(1,2) The data … The Numbers Count: Mental Disorders in America. … Bethesda, MD: National Institute of Mental Health; February 4, 2009. [Available at] 2. … The de facto US mental and addictive disorders service system.

412. When the hospital fires the bullet. | PSNet
     psnet.ahrq.gov/issue/when-hospital-fires-bullet
     February 03, 2016 - newspaper article and companion podcast report on the experience of a patient who disclosed a need for mental … View More See More About The Topic Hospitals Patients Medicine Mental

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44337/psn-pdf
     July 22, 2015 - technologies, the Sign up to Safety campaign, and improvement initiatives in emergency surgery and mental … reducing-errors-emergency-surgery https://psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis

414. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
     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

415. "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet
     psnet.ahrq.gov/issue/change-what-can-actually-make-tough-times-better-patient-centred-patient-safety-intervention
     September 24, 2017 - May 4, 2022 A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services. … August 5, 2020 Health professionals' perspectives of safety issues in mental health services … , 2020 Implementing and evaluating patient-focused safety technology on adult acute mental

416. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. | PSNet
     psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
     August 21, 2018 - June 23, 2021 Enhancing psychological safety in mental health services. … June 9, 2021 Safe clinical practice for patients hospitalised in mental health wards … April 8, 2020 Patient safety in inpatient mental health settings: a systematic review … Topic Psychiatric Facilities Health Care Providers Quality and Safety Professionals Mental

417. Prevalence, causes and severity of medication administration errors in the neonatal intensive care unit: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
     January 17, 2024 - 17, 2024 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

418. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
     May 01, 2012 - Coverage (1) 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. … the night float team as the primary reason why that team did not identify the patient’s deteriorating mental

419. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
     psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
     October 25, 2023 - July 22, 2020 Medication safety in mental health hospitals: a mixed-methods analysis … April 19, 2023 Identifying potential prescribing safety indicators related to mental … August 14, 2019 Evaluating the safety of mental health-related prescribing in UK primary

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46161/psn-pdf
     May 31, 2017 - future research should draw on team science to inform design of simulation strategies that augment team mental … five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration