AHRQ Patient Safety Network

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•Diagnostic Errors (5)

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Setting of Care
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Psychiatric Facilities

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COMMENTARY

When “Psychiatric” Symptoms are Not.

Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Suicidal Man with Gun.

Simon RI. AHRQ WebM&M [serial online]. May 2003.

BOOK/REPORT

Improving Communication During Transitions of Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.

BOOK/REPORT

Safety in Doses.

London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.

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.

NEWSPAPER/MAGAZINE ARTICLE

Approved: no new National Patient Safety Goals, only minor revisions for 2011.

Jt Comm Perspect. August 2010;30:6-7.

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].

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

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.

NEWSPAPER/MAGAZINE ARTICLE

Learning from the best.

Grantham D. Behav Healthc. April 2010;30:22-24.

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

Diagnostic errors and temporal stability in bipolar disorder.

López J, Baca E, Botillo C, et al. Actas Esp Psiquiatr. 2008;36:205-209.

STUDY

Medication safety in a psychiatric hospital.

Rothschild JM, Mann K, Keohane CA, et al. Gen Hosp Psychiatry. 2007;29:156-162.

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).

STUDY

Interception of potential adverse drug events in long-term psychiatric care units.

Sawamura K, Ito H, Yamazumi S, Kurita H. Psychiatry Clin Neurosci. 2005;59:379-384.

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

Cullen SW, Nath SB, Marcus SC. Psychiatr Q. 2010;81:197-205.

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.

COMMENTARY

Crossing the Borderline

Oldham JM. AHRQ WebM&M [serial online]. December 2006.

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