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psnet.ahrq.gov/web-mm/do-not-disturb
August 18, 2010 - adaptability, and communication that ensures that a message sent was received.( 9 ) The physical and mental … The patient immediately awoke, and the altered mental status and respiratory depression were reversed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - cmd=retrieve&db=pubmed&dopt=abstract&list_uids=15913126
Systems and Teamwork
The physical and mental … The patient immediately awoke, and the altered mental status and respiratory depression were reversed
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psnet.ahrq.gov/web-mm/dont-push
January 06, 2010 - The patient’s mental status deteriorated rapidly after admission: she tossed about on her bed and had … She was able to return to a regular medical floor 1 day later, and her mental status improved without … The limited mental status data provided in the case summary made the need for rapid and deep sedation … be measured.( 14 ) If the baseline QTc interval is 440 ms or longer, and patients have electrolyte disturbance … Was it correct to discharge this patient without any antipsychotic treatment after her mental status
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - ADMINISTRATION BLUR
A case of lorazepam medication overuse during the night shift
resulting in altered mental … doses when she signed out
– This left the morning nurse unsure as to the cause of the
decrease in mental … lorazepam overnight and given her petite stature, she was
moved back to the ICU for treatment of altered mental … overuse
• Subsequently, the patient improved, was extubated, and
eventually returned to her baseline mental … (1)
• Multiple complicating factors exist during the night shift
– Well documented effect of sleep disturbance
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Altered Mental Status
in Hospitalized Patients
All patients should be screened for cognitive impairment … The prevalence and documentation of impaired mental status in elderly emergency department patients. … Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision. … MMSE = Mini Mental State Examination; APACHE = Acute physiology, age, and chronic health evaluation; … cognition and attention, is common, morbid, and costly
In the inpatient setting, all new changes in mental
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psnet.ahrq.gov/web-mm/crossing-borderline
May 01, 2019 - Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR (Text Revision). 4th ed. … Borderline Personality *Reprinted with permission from the Diagnostic and Statistical Manual of Mental … Identity disturbance: markedly and persistently unstable self-image or sense of self. 4. … April 20, 2022
Bias in mental health diagnosis gets in the way of treatment. … March 30, 2022
Safer Services: A Toolkit for Specialist Mental Health Services and Primary
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - Concurrent motor signs
Catatonia
Atypical age of onset
Confusion
Disorientation
Language disturbance … April 10, 2024
Exploring safety culture within inpatient mental health units: the results … from participant observation across three mental health services. … Implementing and evaluating patient-focused safety technology on adult acute mental … unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental
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psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
April 01, 2015 - March 27, 2013
Medication safety in mental health hospitals: a mixed-methods analysis … health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. … August 11, 2021
Prevalence, nature and predictors of omitted medication doses in mental … August 28, 2013
Evaluating the safety of mental health-related prescribing in UK primary … March 27, 2005
Identifying potential prescribing safety indicators related to mental
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
January 24, 2024 - August 1, 2018
Mental mayhem: the peril of multitasking in medicine.
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - surgery, and a high prevalence of psychiatric comorbidities such as depression, anxiety, and sleep disturbance … Substance Abuse and Mental Health Services Administration. … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2016. … Substance Abuse and Mental Health Services Administration and National Institute on Alcohol Abuse and … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2015. HHS Publication No.
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psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - Unfortunately, many who might benefit from dedicated mental health treatment are unable to access it … First, there remains a significant shortage of psychiatrists and other mental health professionals. … In fact, the majority of those who die by suicide have never seen a mental health professional (62%), … Thus, it is critical to routinely screen for mental health problems in the primary care setting. … Contact with mental health and primary care providers before suicide: a review of the evidence.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - in the Operating Room
Unusual response or lack of response to drug administration: pounding heart, mental
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - undocumented doses when she signed out, leaving the morning nurse unsure as to the cause of the decrease in mental … received 16 mg of intravenous lorazepam overnight, she was moved back to the ICU for treatment of altered mental … Subsequently, the patient improved, was extubated, and eventually returned to her baseline mental status … Multiple complicating factors exist at night, including the well documented effect of sleep disturbance
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psnet.ahrq.gov/primer/opioid-safety
September 07, 2019 - August 10, 2022
Long-term risk of overdose or mental health crisis after opioid dose … September 1, 2021
Association of dose tapering with overdose or mental health crisis
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
February 01, 2017 - of caring for patients with both mental and physical illness, and the risks associated with inadequate … decision to discontinue olanzapine, an atypical antipsychotic medication, in a young man with severe mental … Take-Home Points
Mental illness can be life threatening. … Risk of suicide should be considered in all hospitalized patients with mental illness. … Mental illness and medical illness are highly comorbid and require close care coordination—particularly
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - The providers thought the patient’s mental status change was likely due to urinary tract infection and … Phenytoin was held and the patient's mental status returned to baseline in 72 hours.
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psnet.ahrq.gov/web-mm/delirium-or-dementia
March 06, 2005 - Elderly hospitalized patients frequently develop altered mental status as a complication of their illness … Delirium in the Hospital In the inpatient setting, any change in mental status should be considered … Feature 4, disturbance of consciousness , helps identify the three psychomotor variants (hyperactive … All change in mental status should be assumed to be delirium until proven otherwise. … Diagnostic and Statistical Manual of Mental Disorders, 4th ed, text revision.
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - August 28, 2019
Mental mayhem: the peril of multitasking in medicine. … August 3, 2020
How common mental shortcuts can cause major physician errors.
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - Status and Diagnostic Error in Stroke
17
Diagnostic Approach to Altered Mental Status and Diagnostic … Status and Diagnostic Error in Stroke
(2)
• The differential diagnosis of altered mental status is … • Nevertheless, AAI is a common cause of altered mental status and is a well-
known “stroke mimic … The workup of patients with altered mental status with suspected stroke should include
direct and … In Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.). [Available at]
10.
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
October 04, 2017 - than undergoing the mental and physical stress of detoxification. … Medical, mental, and substance use disorders must receive treatment simultaneously. … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2011. … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2005. Report No. … Rockville, MD: Substance Abuse and Mental Health Services Administration; 2004. Report No.