AHRQ Patient Safety Network

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

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Safety Target

•Diagnostic Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (9)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (18)

•Medical Complications (5)

•Surgical Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

•Europe (12)

•North America (42)

Resource Types

•Book/Report (2)

•Journal Article (55)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (19)

•Active Errors (14)

•Latent Errors (3)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (12)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (25)

•Communication Improvement (14)

•Human Factors Engineering (4)

•Teamwork (3)

•Specialization of Care (3)

•Logistical Approaches (6)

•Culture of Safety (3)

•Technologic Approaches (3)

•Education and Training (16)

Clinical Areas
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Mental Health Care (Psychiatry & Clinical Psychology)

Target Audience

•Health Care Providers (49)

•Health Care Executives and Administrators (41)

•Non-Health Care Professionals (16)

•Patients (4)

Setting of Care

•Hospitals (23)

•Psychiatric Facilities (24)

•Residential Facilities (2)

•Ambulatory Care (11)

1 - 20 of 61

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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.

STUDY

Medication safety in a psychiatric hospital.

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

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

Psychiatry morbidity and mortality rounds: implementation and impact.

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

REVIEW

Medication errors in mental healthcare: a systematic review.

Maidment ID, Lelliott P, Paton C. Qual Saf Health Care. 2006;15:409-413.

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

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

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.

COMMENTARY

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

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.

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

Environmental changes increase hospital safety for dementia patients.

Goodall D. Holist Nurs Pract. March/April 2006;20:80-84.

BOOK/REPORT

Safety in Doses.

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

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.

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

High-risk, high-alert medication management practices in a regional state psychiatric facility.

McKee J, Cleary S. Hosp Pharm. 2007;42:323–330.

STUDY

Using root cause analysis to reduce falls with injury in the psychiatric unit.

Lee A, Mills PD, Watts BV. Gen Hosp Psychiatry. 2012;34:304-311.

COMMENTARY

When “Psychiatric” Symptoms are Not.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Hospital mistakes kept secret.

Judd A. The Atlanta Journal-Constitution. November 20, 2011.

STUDY

Functional decline associated with polypharmacy and potentially inappropriate medications in community-dwelling older adults with dementia.

Lau DT, Mercaldo ND, Shega JW, Rademaker A, Weintraub S. Am J Alzheimers Dis Other Demen. 2011;26:606-615.

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