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psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
December 14, 2022 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - June 22, 2022
Clinical outcomes and mortality associated with weekend admission to psychiatric
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psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
February 13, 2019 - February 13, 2019
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric
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psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
January 17, 2019 - March 8, 2017
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
August 04, 2021 - August 4, 2021
Adverse events in Veterans Affairs inpatient psychiatric units: staff
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psnet.ahrq.gov/issue/using-patient-safety-indicators-detect-potential-safety-events-among-us-veterans-psychotic
November 16, 2022 - of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric
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psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
November 10, 2021 - January 28, 2011
Applying Toyota Production System principles to a psychiatric hospital
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psnet.ahrq.gov/issue/health-care-providers-negative-implicit-attitudes-and-stereotypes-american-indians
January 18, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric
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psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
November 16, 2022 - April 8, 2011
Incident and long-term opioid therapy among patients with psychiatric conditions
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psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
January 01, 2019 - resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric
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psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
June 02, 2021 - June 13, 2011
Identifying psychiatric diagnostic errors with the Safer Dx Instrument.
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psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
December 21, 2018 - November 30, 2022
Incident and long-term opioid therapy among patients with psychiatric
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - Pain
July 1, 2008
WebM&M Cases
When "Psychiatric
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - February 11, 2013
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
July 22, 2020 - : Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward.
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - December 12, 2012
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric
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psnet.ahrq.gov/node/50659/psn-pdf
November 13, 2019 - Barriers and facilitators to incident reporting in mental
healthcare settings: a qualitative study.
November 13, 2019
Archer S, Thibaut BI, Dewa LH, et al. Barriers and facilitators to incident reporting in mental healthcare
settings: a qualitative study. J Psychiatr Ment Health Nurs. 2019;27(3):211-223. doi:10.111…
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psnet.ahrq.gov/node/35235/psn-pdf
September 27, 2017 - What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors.
September 27, 2017
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors. J Psychiatr Pract. 20…
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psnet.ahrq.gov/node/40961/psn-pdf
May 04, 2012 - What near misses tell us about risk and safety in mental
health care.
May 4, 2012
Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J
Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x.
https://psnet.ahrq.gov/issue/what-near-miss…
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - August 14, 2013
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Outpatient Surgery
Psychiatric