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421. Never Events--Framework 2010-11. | PSNet
     psnet.ahrq.gov/issue/never-events-framework-200910
     January 31, 2018 - January 31, 2018 A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services. … July 16, 2014 Safer Services: A Toolkit for Specialist Mental Health Services and Primary

422. Hospitals win safety award for simple changes.  | PSNet
     psnet.ahrq.gov/issue/hospitals-win-safety-award-simple-changes
     September 06, 2006 - June 7, 2006 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.

423. 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

424. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
     December 01, 2007 - After being treated for his worsening cardiomyopathy and renal failure, his mental status began to clear … Does patient have physical or mental impairments that increase their risk of harm to self or others? … immediate organizational response or Code Green should be initiated when any patient with decreased mental … Responsibility Legal duty to exercise reasonable care and attention for patients’ safety as their mental … Perform routine risk assessment Request family member or nursing assistant sit with the patient In mental

425. Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study. | PSNet
     psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
     August 10, 2022 - 10, 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 21, 2021 Frequency and nature of medication errors and adverse drug events in mental

426. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. | PSNet
     psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
     August 11, 2021 - Same Author(s) 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 13, 2022 Frequency and nature of medication errors and adverse drug events in mental

427. A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge. | PSNet
     psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
     July 22, 2020 - November 14, 2018 Evaluating the safety of mental health-related prescribing in UK primary … June 7, 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.

428. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. | PSNet
     psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
     November 16, 2022 - 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. … December 14, 2022 Frequency and nature of medication errors and adverse drug events in mental

429. The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. | PSNet
     psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
     February 22, 2023 - the Same Author(s) The role of bias in clinical decision-making of people with serious mental … September 20, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at … Ambulatory Clinic or Office Information Professionals Policy Makers Primary Care Mental

430. Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. | PSNet
     psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
     August 10, 2022 - May 5, 2021 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.

431. JCAHO tightens leash on medication reconciliation. | PSNet
     psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
     April 12, 2006 - July 27, 2005 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.

432. USP drug safety review: medication errors involving NMBAs.    | PSNet
     psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
     July 27, 2005 - February 21, 2007 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.

433. Tenfold errors can lead to tragedy. | PSNet
     psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
     February 21, 2007 - April 6, 2022 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.

434. Eliminating insulin errors: RPhs share tricks.  | PSNet
     psnet.ahrq.gov/issue/eliminating-insulin-errors-rphs-share-tricks
     June 13, 2011 - July 27, 2005 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.

435. Former pharmacist indicted for manslaughter after med error. | PSNet
     psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
     October 17, 2018 - April 6, 2022 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.

436. Dependence vs. Pain | PSNet
     psnet.ahrq.gov/web-mm/dependence-vs-pain
     October 30, 2019 - Diagnostic and Statistical Manual of Mental Disorders DSM-IV. 4th ed. … Substance Abuse and Mental Health Services Administration. … Rockville, MD: Substance Abuse and Mental Health Services Administration, US Dept of Health and Human … Substance Abuse and Mental Health Services Administration. … Substance Abuse and Mental Health Services Administration.

437. 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

438. Coming Up Short | PSNet
     psnet.ahrq.gov/web-mm/coming-short
     May 20, 2020 - However, according to the endocrinologist, the child's mental function is unlikely to recover. … The age at onset is crucial in terms of the mental prognosis in untreated hypothyroidism: the earlier … However, I fear that the onset was much earlier, in which case mental retardation may not respond to

439. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - model ( 7,8 ), much less a team mental model.( 9 ) Said another way, this child's arrest and subsequent … Even if the mental model generated at the time of handover from the OR to the ICU was "good repair and … When, as in this case, data falls outside what the mental model predicts or therapy does not produce … Data inconsistent with the common mental model must be reconciled. … Metaphor no more: a 15-year review of the team mental model construct. J Manage. 2010;36:876-910.

440. Answers to improved medication reconciliation lie with pharmacists. | PSNet
     psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
     June 13, 2011 - April 6, 2022 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.