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Journal Article > Study
Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.
Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.
The article outlines initiatives undertaken by the New York City Health and Hospitals Corporation to encourage patient and family member involvement in the safety of mental health services.
Legislation/Regulation > Sentinel Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Sentinel Event Alert. 2010 Nov 17;(46):1-4.
Suicide among hospitalized patients remains an under-recognized never event, as it has ranked among the most common sentinel events reported to The Joint Commission over the past decade. While specialized psychiatric units are designed and staffed to minimize suicide risk, emergency departments and general medical wards are not, and prior research has shown that a significant proportion of inpatient suicide attempts occur in these settings. This Sentinel Event Alert reviews risk factors for inpatient suicide, and delineates prevention strategies hospitals can use to minimize risk. A case of an inpatient suicide attempt on a general medical ward is discussed in this AHRQ WebM&M commentary.
Journal Article > Commentary
Bor JS. Health Aff (Millwood). 2015;34:727-731.
This commentary spotlights missed and delayed diagnosis of psychiatric conditions in older patients. The authors explore how insufficient physician experience with mental illness in geriatric patients, patient reluctance to discuss emotional challenges, and comorbidities with physical problems can contribute to errors.