AHRQ Patient Safety Network

The Collection > Mental Health Care (Psychiatry & Clinical Psychology)

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Safety Target

•Diagnostic Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (19)

•Medical Complications (5)

•Surgical Complications (1)

•Psychological and Social Complications (12)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

•Europe (15)

•North America (41)

Resource Types

•Book/Report (2)

•Journal Article (54)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (12)

•Latent Errors (3)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (11)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (26)

•Communication Improvement (14)

•Human Factors Engineering (4)

•Teamwork (4)

•Specialization of Care (3)

•Logistical Approaches (6)

•Culture of Safety (4)

•Technologic Approaches (3)

•Education and Training (16)

Clinical Areas
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Mental Health Care (Psychiatry & Clinical Psychology)

Target Audience

•Health Care Providers (47)

•Health Care Executives and Administrators (43)

•Non-Health Care Professionals (17)

•Patients (4)

Setting of Care

•Hospitals (21)

•Psychiatric Facilities (23)

•Residential Facilities (3)

•Ambulatory Care (10)

1 - 20 of 62

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STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

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

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.

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

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.

Young JQ, Pringle Z, Wachter RM. Jt Comm J Qual Patient Saf. 2011;37:300-308.

STUDY

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Smith EG, Zhao S, Rosen AK. Int J Qual Health Care. 2012;24:321-329.

STUDY

Electronic medical record availability and primary care depression treatment.

Harman JS, Rost KM, Harle CA, Cook RL. J Gen Intern Med. 2012;27:962-967.

COMMENTARY

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient.

Young JQ, Eisendrath SJ. Acad Psychiatry. 2011;35:54-57.

REVIEW

Inpatient suicide: preventing a common sentinel event.

Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer.

Young JQ, Niehaus B, Lieu SC, O'Sullivan PS. Acad Med. 2010;85:1418-1424.

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.

STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

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.

COMMENTARY

Suicidal Man with Gun.

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

REVIEW

Medication errors in older people with mental health problems: a review.

Maidment ID, Haw C, Stubbs J, Fox C, Katona C, Franklin BD. Int J Geriatr Psychiatry. 2008;23:564-573.

BOOK/REPORT

With Safety in Mind: Mental Health Services and Patient Safety.

Scobie S, Minghella E, Dale C, Thomson R, Lelliott P, Hill K. London, UK: National Patient Safety Agency; July 2006.

STUDY

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.

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.

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