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Psychiatric Facilities
PATIENT SAFETY PRIMERS
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Diagnostic Errors (4)
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Identification Errors (1)
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Discontinuities, Gaps, and Hand-Off Problems (4)
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Medication Safety (7)
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Medical Complications (3)
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Surgical Complications (1)
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Psychological and Social Complications (2)
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Epidemiology of Errors and Adverse Events (7)
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Near Miss (2)
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Setting of Care
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NEWSPAPER/MAGAZINE ARTICLE
Approved: no new National Patient Safety Goals, only minor revisions for 2011.
Jt Comm Perspect. August 2010;30:6-7.
BOOK/REPORT
Adverse Health Events in Minnesota: Ninth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2013.
BOOK/REPORT
Improving Communication During Transitions of Care.
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.
COMMENTARY
Global priorities for patient safety research.
Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775.
PENNSYLVANIA LEGISLATION
Prohibition of Excessive Overtime for Nurses Act.
The General Assembly of Pennsylvania. HB957 (2005).
BOOK/REPORT
Safety in Doses.
London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.
NEWSPAPER/MAGAZINE ARTICLE
Learning from the best.
Grantham D. Behav Healthc. April 2010;30:22-24.
CONGRESSIONAL TESTIMONY
Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations.
Testimony before the Permanent Subcommittee on Investigations of the Senate Committee of Governmental Affairs, 108th Cong, 1st Sess (June 11, 2003) (statement of Carolyn M. Clancy, MD).
REVIEW
Medication errors in mental healthcare: a systematic review.
Maidment ID, Lelliott P, Paton C. Qual Saf Health Care. 2006;15:409-413.
STUDY
Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely.
Young JQ, Wachter RM. Jt Comm J Qual Patient Saf. 2009;35:439-448.
STUDY
Medication safety in a psychiatric hospital.
Rothschild JM, Mann K, Keohane CA, et al. Gen Hosp Psychiatry. 2007;29:156-162.
COMMENTARY
Code Blue—Where To?
Adams BD. AHRQ WebM&M [serial online]. October 2007.
NEWSPAPER/MAGAZINE ARTICLE
Hospital infections hard to gauge.
Hamill SD. Pittsburgh Post-Gazette. April 18, 2010:A1.
STUDY
Supporting a psychiatric hospital culture of safety.
Mahoney JS, Ellis TE, Garland G, Palyo N, Greene PK. J Am Psychiatr Nurses Assoc. 2012;18:299-306.
REVIEW
Patient safety in psychiatric inpatient care: a literature review.
Kanerva A, Lammintakanen J, Kivinen T. J Psychiatr Ment Health Nurs. 2012 Jul 8; [Epub ahead of print].
STUDY
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.
Mills PD, King LA, Watts BV, Hemphill RR. Gen Hosp Psychiatry. 2013 May 20; [Epub ahead of print].
COMMENTARY
When “Psychiatric” Symptoms are Not.
Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.
STUDY
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.
STUDY
Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives.
Brickell TA, McLean C. J Patient Saf. 2011;7:39-44.
STUDY
What near misses tell us about risk and safety in mental health care.
Jeffs L, Rose D, Macrae C, Maione M, Macmillan KM. J Psychiatr Ment Health Nurs. 2012;19:430-437.
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