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 (9)

•Medication Safety (15)

•Medical Complications (5)

•Surgical Complications (1)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (1)

•Europe (16)

•North America (32)

Resource Types

•Book/Report (2)

•Journal Article (47)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (9)

•Latent Errors (1)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (9)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (22)

•Communication Improvement (12)

•Human Factors Engineering (3)

•Teamwork (4)

•Specialization of Care (2)

•Logistical Approaches (3)

•Culture of Safety (4)

•Technologic Approaches (2)

•Education and Training (10)

Clinical Areas
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Mental Health Care (Psychiatry & Clinical Psychology)

Target Audience

•Health Care Providers (39)

•Health Care Executives and Administrators (38)

•Non-Health Care Professionals (11)

•Patients (3)

Setting of Care

•Hospitals (14)

•Psychiatric Facilities (24)

•Residential Facilities (3)

•Ambulatory Care (12)

1 - 20 of 52

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STUDY

Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.

Kelly T, Roper C, Elsom S, Gaskin C. Int J Ment Health Nurs. 2011;20:371-379.

STUDY

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.

Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.

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

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.

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

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

Prescription errors in psychiatry - a multi-centre study.

Stubbs J, Haw C, Taylor D. J Psychopharmacol. 2006;20:553-61.

STUDY

Medication safety in a psychiatric hospital.

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

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

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

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

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.

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.

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

Near misses: paradoxical realities in everyday clinical practice.

Jeffs L, Affonso DD, Macmillan K. Int J Nurs Pract. 2008;14:486-494.

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.

BOOK/REPORT

Safety in Doses.

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

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

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.

COMMENTARY

When “Psychiatric” Symptoms are Not.

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

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