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Approach to Improving Safety
Search results for "Education and Training"
- Education and Training
- Mental Health Care (Psychiatry & Clinical Psychology)
- Quality Improvement Strategies
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Journal Article > Study
Psychiatry morbidity and mortality rounds: implementation and impact.
Goldman S, Demaso DR, Kemler B. Acad Psychiatry. 2009;33:383-388.
Discussion of adverse events in morbidity and mortality (M&M) conferences serves as an important tool for both educational and quality improvement initiatives. This study found that 80% of cases reviewed in monthly psychiatry M&M conferences at a children's hospital provided opportunities for patient care improvement.
Journal Article > Study
Near misses: paradoxical realities in everyday clinical practice.
Jeffs L, Affonso DD, Macmillan K. Int J Nurs Pract. 2008;14:486-494.
This focus group study used information from nurses, pharmacists, and patients to classify the types of near misses that occur in ambulatory and hospital settings.
Cases & Commentaries
Don't Push
- Web M&M
Herbert Y. Meltzer, MD; November 2003
Inappropriate use of IV haloperidol to manage psychosis in an AIDS patient causes polymorphic v-tach ("torsade de pointes"), necessitating a transvenous pacemaker.
Cases & Commentaries
The Dangerous Detour
- Web M&M
Josh Gibson, MD; David H. Taylor, MD; June 2003
En route to x-ray, suicidal patient attempts to hang herself in washroom.
Cases & Commentaries
When "Psychiatric" Symptoms Are Not
- Web M&M
Richard J. Goldberg, MD, MS; February 2003
An elderly man with delusions and progressive neurological symptoms initially attributed to psychosis is found to have metastatic cancer.