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Riblet NB, Gottlieb DJ, Watts BV, et al. J Nerv Ment Dis. 2022;210:227-230.
… . This study compared unplanned discharges across Veterans Health Affairs (VHA) acute inpatient and residential mental health treatment settings over a ten-year period and … that unplanned discharges are significantly higher in mental health settings. The authors recommend that unplanned …
Brierley-Jones L, Ramsey L, Canvin K, et al. Res Involv Engagem. 2022;8:8.
Patient engagement in safety efforts is encouraged, but patients are less often included as active participants in designing patient safety interventions. This review identified 52 studies that included mental health patients in the design, delivery, implementation, and/or evaluation of patient safety research. The authors argue that increased inclusion of patients in safety research may lead to development of higher quality safety interventions.

An 18-year-old man with a history of untreated depression and suicide attempts (but no history of psychiatric hospitalizations) was seen in the ED for suicidal ideation after recent gun purchase. Due to suicidal ideation, he was placed on safety hold and a psychiatric consultation was requested. The psychiatry team recommended discharge with outpatient therapy; he was discharged with outpatient resources, the crisis hotline phone number, and strict return precautions.

Segal M, Giuffrida P, Possanza L, et al. J Behav Health Serv Res. 2022;49:221-230.
… Effective integration of health information systems can improve decision making and care coordination across practice settings. This article … action-oriented safe practice recommendations from health information technology and electronic health record …
Svensson J. J Patient Saf. 2022;18:245-252.
… Safety and quality of care for psychiatric patients is a relatively understudied … scoping review explores patient safety strategies used in psychiatry. The review identified seven key strategies that … and falls. … Svensson J.  Patient safety strategies in psychiatry and how they construct the notion of preventable …
Trost SL, Beauregard JL, Smoots AN, et al. Health Aff (Millwood). 2021;40:1551-1559.
Missed diagnosis of mental health conditions can lead to serious adverse outcomes. Researchers evaluated data from 2008 to 2017 from 14 state Maternal Mortality Review Committees and found that 11% of pregnancy-related deaths were due to mental health conditions. A substantial proportion of people with a pregnancy-related mental health cause of death had a history of depression or past/current substance use. Researchers conclude that addressing gaps maternal mental health care is essential to improving maternal safety.

Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.

… onset of the COVID-19 pandemic . Using the Six Domains of Health Care Quality (safe, timely, effective, efficient, equitable, … the safety and quality of psychiatric and behavioral health care provided via telehealth for older adults and …
Alshehri GH, Ashcroft DM, Nguyen J, et al. Drug Saf. 2021;44:877-888.
… setting. Using retrospective record review from three mental health hospitals, clinical pharmacists confirmed that ADEs … severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD …
Alshehri GH, Keers RN, Carson-Stevens A, et al. J Patient Saf. 2021;17:341-351.
Medication errors are common in mental health hospitals. This study found medication administration and prescribing were the most common stages of medication error. Staff-, organizational-, patient-, and equipment-related factors were identified as contributing to medication safety incidents.