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 (10)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (19)

•Medical Complications (5)

•Surgical Complications (1)

•Psychological and Social Complications (13)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

•Europe (16)

•North America (43)

Resource Types

•Book/Report (2)

•Journal Article (58)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (13)

•Latent Errors (3)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (14)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (26)

•Communication Improvement (15)

•Human Factors Engineering (4)

•Teamwork (4)

•Specialization of Care (3)

•Logistical Approaches (6)

•Culture of Safety (4)

•Technologic Approaches (2)

•Education and Training (17)

Clinical Areas
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Mental Health Care (Psychiatry & Clinical Psychology)

Target Audience

•Health Care Providers (50)

•Health Care Executives and Administrators (45)

•Non-Health Care Professionals (17)

•Patients (4)

Setting of Care

•Hospitals (23)

•Psychiatric Facilities (25)

•Residential Facilities (3)

•Ambulatory Care (11)

1 - 20 of 66

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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

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

Psychiatry morbidity and mortality rounds: implementation and impact.

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

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

Diagnostic errors and temporal stability in bipolar disorder.

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

STUDY

An observational study of medication administration errors in old-age psychiatric inpatients.

Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.

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

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].

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.

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

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.

STUDY

Dementia and risk of adverse warfarin-related events in the nursing home setting.

Tjia J, Field TS, Mazor KM, et al. Am J Geriatr Pharmacother. 2012;10:323-330.

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

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.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

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

Drug administration errors in an institution for individuals with intellectual disability: an observational study.

van den Bemt PM, Robertz R, de Jong AL, van Roon EN, Leufkens HG. J Intellect Disabil Res. 2007;51:528-536.

REVIEW

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

Mann K, Rothschild JM, Keohane CA, Chu JA, Bates DW. World J Biol Psychiatry. 2008;9:24-33.

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.

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