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81. Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet
    psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
    November 29, 2023 - This report examined one incident and identified care deficiencies associated with lack of mental health … August 2, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the … October 12, 2022 Patient Suicide on a Locked Mental Health Unit at the West Palm Beach … April 19, 2023 View More Related Resources Discharge from Mental … April 19, 2023 Care Delivery within Community Mental Health Teams.

82. Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. | PSNet
    psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis
    June 17, 2009 - Study Emerging issues and challenges for improving patient safety in mental health … Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis … Patient safety is a relatively new domain within the mental health field. … Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis … August 11, 2021 Enhancing psychological safety in mental health services.

83. Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet
    psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
    August 09, 2017 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental … Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental … the frequency of preventable adverse events during medical hospitalizations in patients with serious mental … Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental … July 3, 2014 With Safety in Mind: Mental Health Services and Patient Safety.

84. Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet
    psnet.ahrq.gov/issue/critical-care-nurses-physical-and-mental-health-worksite-wellness-support-and-medical-errors
    March 21, 2018 - Study Critical care nurses’ physical and mental health, worksite wellness support … Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. … Nurses with poor physical or mental health reported making more medical errors than their healthier … counterparts and nurses in supportive workplaces were more likely to have better physical and mental … Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors.

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867396/psn-pdf
    December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for the Delivery of Safe and Therapeutic Care … December 18, 2024 Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And … https://psnet.ahrq.gov/issue/mental-health-inpatient-settings-creating-conditions-delivery-safe-and- … therapeutic-care The mental health patient safety domain is understudied. … https://psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review https

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866738/psn-pdf
    September 18, 2024 - 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards … 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards … Int J Mental Health Nurs. 2024;33(6):2227-2238. doi:10.1111/inm.13381. … In this study, researchers interviewed 12 former inpatient mental health service users in the United … Kingdom about their perspectives on psychological safety in inpatient mental health settings.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866313/psn-pdf
    July 17, 2024 - Towards understanding and improving medication safety for patients with mental illness in primary care … Towards understanding and improving medication safety for patients with mental illness in primary care … https://psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental- … illness-primary-care People with mental illness frequently receive treatment from their primary care … perspectives on mental health medication safety within primary care.

88. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet
    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review … Team mental models and their potential to improve teamwork and safety: A review and implications for … Exploring team mental models in health care, this review identifies gaps in the evidence base that should … Team mental models and their potential to improve teamwork and safety: A review and implications for

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846935/psn-pdf
    March 29, 2023 - Maternal Safety and Perinatal Mental Health March 29, 2023 Allen C, Van CM, Mossburg S. … Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023. … One topic area that has become prominent over time is perinatal mental health. … Perinatal mental health refers to the mental health of individuals during pregnancy and the first year … Perinatal mental health: a review of progress and challenges.

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48024/psn-pdf
    January 01, 2021 - The mental health trigger tool: development and testing of a specialized trigger tool for mental health … The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger Tool for Mental Health … - mental-health Trigger tools allow for automated detection of patient harm from electronic health … https://psnet.ahrq.gov/issue/mental-health-trigger-tool-development-and-testing-specialized-trigger-tool-mental-health … https://psnet.ahrq.gov/issue/mental-health-trigger-tool-development-and-testing-specialized-trigger-tool-mental-health

91. Mental models: a basic concept for human factors design in infection prevention. | PSNet
    psnet.ahrq.gov/issue/mental-models-basic-concept-human-factors-design-infection-prevention
    April 26, 2017 - Commentary Mental models: a basic concept for human factors design in infection prevention … Mental models: a basic concept for human factors design in infection prevention. … Mental models are psychological representations of situations which affect an individual's expectations … Illustrating how mental models can hinder efforts to improve hand hygiene in health care, this commentary … Mental models: a basic concept for human factors design in infection prevention.

92. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
    psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - This review of root cause analysis reports about suicide within 7 days of discharge from inpatient mental … , 2022 National cross-sectional cohort study of the relationship between quality of mental … 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 … See More About The Topic Psychiatric Facilities Facility and Group Administrators Mental

93. Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet
    psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
    August 21, 2019 - Center for Patient Safety between January 2018 and June 2022, researchers found that deficiencies in mental … September 23, 2020 View More Related Resources Discharge from Mental … October 5, 2022 Is it time for the mental health field to consider unplanned discharge … on safety issues in UK mental health services. … See More About The Topic Psychiatric Facilities Quality and Safety Professionals Mental

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864376/psn-pdf
    March 13, 2024 - Implementing and evaluating patient-focused safety technology on adult acute mental health wards. … focused safety technology on adult acute mental health wards. … Patient safety issues in mental health care settings are understudied. … WardSonar,’ a tool designed to digitally monitor and communicate safety perceptions from adult acute mental … https://psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review https

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867184/psn-pdf
    November 20, 2024 - Adverse mental health inpatient experiences: qualitative systematic review of international literature … Adverse mental health inpatient experiences: qualitative systematic review of international literature … https://psnet.ahrq.gov/issue/adverse-mental-health-inpatient-experiences-qualitative-systematic-review … - international Mental health inpatients are a vulnerable population and have reported negative experiences … psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental

96. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet
    psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
    May 04, 2022 - Preventing suicide among patients with a mental health diagnosis is a National Patient Safety goal … , 2022 National cross-sectional cohort study of the relationship between quality of mental … , 2024 Implementing and evaluating patient-focused safety technology on adult acute mental … June 23, 2021 Safe clinical practice for patients hospitalised in mental health wards … December 23, 2020 Nurses' influence on consumers' experience of safety in acute mental

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846975/psn-pdf
    March 28, 2023 - Christie Allen: Perinatal mental health covers a range of mental health conditions. … health disorders and mental health conditions. … ACOG’s work around mental health spans the lifespan continuum. … Perinatal mental health is no different. … We all have to do it and focus on perinatal mental health.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. … Health professionals’ perspectives of safety issues in mental health services: A qualitative study. … https://psnet.ahrq.gov/issue/health-professionals-perspectives-safety-issues-mental-health-services- … Interviews with 14 mental health professionals identified several factors associated with patient safety … in mental health service settings including safety culture, communication systems, service user factors

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73580/psn-pdf
    August 11, 2021 - 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. … from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … https://psnet.ahrq.gov/issue/prevalence-nature-severity-and-preventability-adverse-drug-events-mental … Using retrospective record review from three mental health hospitals, clinical pharmacists confirmed

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73517/psn-pdf
     July 21, 2021 - Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults … Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults … - models-older Shared mental models contribute to effective team collaboration and communication. … Based on interviews and thematic analysis, the authors explored mental models between the emergency … team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications