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Hospital Reporting of Deaths Related to Restraint and Seclusion. | PSNet

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September 20, 2006 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … April 10, 2024 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 23, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. | PSNet

psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk

May 16, 2018 - July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … May 13, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … Suicide at the John Cochran Division of the VA St.

How health care systems let our patients down: a systematic review into suicide deaths. | PSNet

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October 19, 2022 - Seven themes contributing to suicide deaths were identified: (1) inappropriate or incomplete risk assessment … identifying at-risk patients on the ward. … September 23, 2015 Identifying high-risk medication: a systematic literature review. … December 16, 2009 Outpatient adverse drug events identified by screening electronic health … View More See More About The Topic Psychiatric Facilities Hospitals Risk

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020

August 25, 2021 - Recommendations drawn from the analysis call for improvements in suicide death review , root cause analysis … April 26, 2006 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … May 13, 2015 Promoting Patient Safety Through Effective Health Information Technology Risk

Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet

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February 10, 2021 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … October 16, 2019 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … 2011 Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk

Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. | PSNet

psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27

July 26, 2023 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … November 16, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … May 27, 2020 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

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October 12, 2022 - Suicide at the John Cochran Division of the VA St. … April 22, 2020 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … Compliance with Screening Requirements is Poor. … July 23, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … March 9, 2022 Improving shared situation awareness for high-risk therapies in hospitalized

The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist

March 10, 2021 - August 17, 2016 Evidence-based guidelines for fatigue risk management in emergency medical … August 11, 2021 Estimation of breast cancer overdiagnosis in a U.S. breast screening … August 10, 2011 Overdiagnosis in low-dose computed tomography screening for lung cancer … August 11, 2021 Suicide and suicide attempts on hospital grounds and clinic areas. … August 4, 2021 Analysis of suicides reported as adverse events in psychiatry resulted

Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet

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February 01, 2023 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … June 8, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications … May 13, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

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August 11, 2021 - March 15, 2006 Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … September 1, 2021 Implementing universal suicide risk screening in a pediatric hospital … August 11, 2021 Suicide and suicide attempts on hospital grounds and clinic areas. … August 4, 2021 Analysis of suicides reported as adverse events in psychiatry resulted

Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet

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August 02, 2023 - July 27, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications … December 23, 2020 Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk

Crossing the Borderline | PSNet

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May 01, 2019 - Despite occasional gestures suggesting ongoing risk for self-harm as well as continued conflicts with … attempt ( 8 ), and the rate of actual suicide in patients with BPD is between 8% and 10%.( 9,10 ) Risk … In the case presented here, the patient had known risk factors of former suicide attempts and self-inflicted … Evaluation tools to assess degree of suicide risk, such as the Suicide Behaviors Questionnaire (revised … Development and evaluation of the Clinician Suicide Risk Assessment Checklist.

Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic

October 07, 2020 - This article describes one health system’s experience adapting suicide risk assessments for virtual … risk among patients receiving virtual mental health care. … September 23, 2020 Implementing universal suicide risk screening in a pediatric hospital … July 22, 2020 Keeping patients at risk for self-harm safe in the emergency department … November 9, 2022 Six major steps to make investigations of suicide valuable for learning

Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet

psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths

September 10, 2014 - January 9, 2019 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … a Risk-Based Framework.

Delirium in hospitalized older adults. | PSNet

psnet.ahrq.gov/issue/delirium-hospitalized-older-adults

February 13, 2008 - November 30, 2022 Opioid prescribing after childbirth and risk for serious opioid-related … November 25, 2009 Overdiagnosis in low-dose computed tomography screening for lung cancer … June 8, 2016 Managing the risks of concurrent surgeries. … April 7, 2021 Keeping patients at risk for self-harm safe in the emergency department … Suicide Risk Assessment November 27, 2019 Comparing rates of adverse events

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 - May 11, 2022 Implementing universal suicide risk screening in a pediatric hospital. … October 21, 2020 Suicide and suicide attempts on hospital grounds and clinic areas. … October 12, 2022 Physician task load and the risk of burnout among US physicians in a … June 16, 2021 Combined proactive risk assessment: unifying proactive and reactive risk … June 29, 2022 Bracing for the storm: one health care system's planning for the COVID-

“Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure

April 24, 2024 - As a result of implementation, screening for IPV greatly increased, and healthcare teams learned about … IPV is a critical risk factor that limits the ability of patients to adhere to treatment for chronic … conditions and can cause mental health issues, chronic pain, and high-risk pregnancies. … For example, positive responses to the depression screening questions would prompt the administration … July 19, 2023 Systems approach to suicide prevention: strengthening culture, practice

Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet

psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among

July 26, 2023 - Suicide at the John Cochran Division of the VA St. … April 10, 2024 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 23, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet

psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report

February 11, 2015 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … November 16, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … Compliance with Screening Requirements is Poor. … July 23, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … August 23, 2023 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide

Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals

January 09, 2019 - August 25, 2021 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … November 16, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006 VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 23, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

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