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461. The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet
     psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors
     January 14, 2011 - December 16, 2020 Frequency and nature of medication errors and adverse drug events in mental … 16, 2008 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.

462. Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. | PSNet
     psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
     April 26, 2006 - 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 … September 15, 2021 Deficiencies in Inpatient Mental Health Care Coordination and Processes

463. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
     June 27, 2018 - October 31, 2018 Frequency and nature of medication errors and adverse drug events in mental … September 20, 2017 What near misses tell us about risk and safety in mental health care … More See More About The Topic Psychiatric Facilities Health Care Providers Mental

464. Understanding whistleblowing: qualitative insights from nurse whistleblowers. | PSNet
     psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
     April 24, 2018 - April 24, 2018 Longitudinal evaluation of a programme for safety culture change in a mental … , 2017 How does the environment influence consumers' perceptions of safety in acute mental … January 27, 2021 Nurses' influence on consumers' experience of safety in acute mental

465. Patient safety: do nursing and medical curricula address this theme? | PSNet
     psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address-theme
     September 14, 2011 - , 2011 How does the environment influence consumers' perceptions of safety in acute mental … January 27, 2021 Nurses' influence on consumers' experience of safety in acute mental … 'Safer, not safe': service users' experiences of psychological safety in inpatient mental

466. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet
     psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
     January 22, 2017 - Equity in Patient Safety March 27, 2024 Deficiencies in Inpatient Mental … September 19, 2016 Root cause analyses of suicides of mental health clients. … About The Topic Health Care Providers Risk Managers Quality and Safety Professionals Mental

467. Deaths in Acute Hospitals: Caring to the End? | PSNet
     psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
     March 17, 2011 - March 8, 2023 Safer Services: A Toolkit for Specialist Mental Health Services and Primary … October 12, 2016 A qualitative exploration of mental health service user and carer perspectives … on safety issues in UK mental health services.

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38662/psn-pdf
     April 12, 2011 - of errors: action errors, errors of patient behavior such as failing to attend an appointment, and mental … Included among mental errors are factors that have been linked to errors, such as low health literacy

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49571/psn-pdf
     October 01, 2008 - 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

470. Code Status vs. Care Status | PSNet
     psnet.ahrq.gov/web-mm/code-status-vs-care-status
     September 30, 2020 - However, a diagnosis of developmental delay or mental illness alone do not speak to a patient’s ability … If your mental model was that home with hospice meant “discontinue everything, except comfort focused … Creating shared mental models of various clinical situations improves communication and efficiency.  … Take Home Points  A patient with mental health conditions or developmental delay can still fulfill … Capacity for mental healthcare decisions under the Mental Healthcare Act. 

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45862/psn-pdf
     February 08, 2017 - regarding patient deaths and found them to be lacking, particularly in cases involving patients with mental … /psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety

472. Center for Innovations in Quality, Effectiveness and Safety. IQuESt! | PSNet
     psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
     April 06, 2022 - April 20, 2022 Bias in mental health diagnosis gets in the way of treatment. … March 11, 2020 View More See More About The Topic Researchers Mental

473. Six ways to lower errors—and unnecessary surgeries—in radiology exams. | PSNet
     psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
     February 10, 2021 - July 22, 2020 Patient safety in inpatient mental health settings: a systematic review … February 5, 2020 View More Related Resources How common mental

474. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
     February 01, 2006 - risk at shift transitions Case: Lost in Transition A 41-year-old woman came to the ED with mental … The patient was transferred to the ICU due to progressive deterioration in mental status, and was eventually … Pre-turnover stage Clinicians content with diagnosis of urinary tract infection for explanation of mental … The clinicians in this case may have been subject to anchoring error when they concluded mental status … only when clearly supported Say: “This patient has recently been treated for UTI and presents with mental

475. How well do incident reporting systems work on inpatient psychiatric units? | PSNet
     psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
     September 05, 2018 - November 18, 2016 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … June 15, 2012 Medication errors in mental healthcare: a systematic review. … View More See More About The Topic Psychiatric Facilities Physicians Mental

476. Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. | PSNet
     psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
     January 30, 2019 - Supporting carers to improve patient safety and maintain their well-being in transitions from mental … September 19, 2016 Reducing falls and fall-related injuries in mental health: a 1-year … See More About The Topic Psychiatric Facilities General Hospitals Physicians Mental

477. Risk factors for hospital admissions associated with adverse drug events. | PSNet
     psnet.ahrq.gov/issue/risk-factors-hospital-admissions-associated-adverse-drug-events
     October 18, 2018 - September 9, 2015 Prevalence, nature and predictors of omitted medication doses in mental … 11, 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.

478. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet
     psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
     October 29, 2017 - June 8, 2022 View More Related Resources Discharge from Mental … September 19, 2016 Inpatient suicide on mental health units in Veterans Affairs (VA) … View More See More About The Topic Psychiatric Facilities Hospitals Mental

479. Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet
     psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
     January 30, 2019 - January 3, 2017 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … July 1, 2016 What near misses tell us about risk and safety in mental health care. … More See More About The Topic Psychiatric Facilities Health Care Providers Mental

480. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration. | PSNet
     psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
     September 03, 2011 - March 3, 2019 What causes medication administration errors in a mental health hospital … The perceptions of nurses towards barriers to the safe administration of medicines in mental … Topic Psychiatric Facilities Nurses Nurse Managers Quality and Safety Professionals Mental