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Cases & Commentaries
- Web M&M
Anthony P. Weiss, MD, MBA, and Jerrold F. Rosenbaum, MD; April 2013
A young man with a history of Crohn disease and severe mental illness was admitted with acute pancreatitis. The medical team decided to discontinue olanzapine, an antipsychotic medication that can cause pancreatitis, without consulting the patient's psychiatrist. The outcome was fatal.
Journal Article > Study
Mariano MT, Brooks V, Digiacomo M. Jt Comm J Qual Patient Saf. 2016;42:316-320.
This study describes a quality improvement project to enhance handoffs among psychiatry residents. The use of a mnemonic PSYCH (Patient information, Situation leading to hospitalization, Your assessment, Critical information, and Hindrance to discharge) led to more complete and efficient handoffs, consistent with other studies of structured handoff communications.