Works Cited

Medical Error Prevention for Mental Health Professionals

Course #71313 - $15 -

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  • Participation Instructions
    • Review the course material online or in print.
    • Complete the course evaluation.
    • Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.

1. Committee on Quality of Health Care in American. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.

2. James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128.

3. Makary MA, Daniel M. Medical error—the third leading cause of death in the U.S. BMJ. 2016;353:i2139.

4. Florida Senate. The 2023 Florida Statutes (including Special Session C): 456.013 Department General Licensing Provisions. Available at http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0456/Sections/0456.013.html. Last accessed December 6, 2023.

5. The Joint Commission. Sentinel Event Policy and Procedures. Available at https://www.jointcommission.org/Sentinel_Event_Policy_and_Procedures. Last accessed December 6, 2023.

6. The Joint Commission. Sentinel Event Alert 3: Board of Commissioners Affirms Support for Sentinel Event Policy. Available at https://www.jointcommission.org/sentinel_event_alert_issue_3_board_of_commissioners_affirms_support_for_sentinel_event_policy. Last accessed December 6, 2023.

7. The Joint Commission. Sentinel Event Data Summary: 2022 Annual Review. Available at https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/03162023_sentinel-event-_annual-review_final.pdf Last accessed December 6, 2023.

8. Joint Commission Resources. 2024 Accreditation Standards Books. Available at https://store.jcrinc.com/2024-accreditation-standards-books/. Last accessed December 6, 2023.

9. Framework for Root Cause Analysis and Corrective Actions. Available at https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/rca_framework_101017.pdf. Last accessed December 6, 2023.

10. Florida Legislature. The 2019 Florida Statutes: 395.0197 Internal Risk Management Program. Available at https://www.flsenate.gov/Laws/Statutes/2019/395.0197. Last accessed December 6, 2023.

11. Florida Agency for Health Care Administration. AHCA Incident Reporting System: Quarterly Report—Detail Data. Available at https://bi.ahca.myflorida.com/t/ABICC/views/QuarterlyReport_ASC-HOSP-HMO/DetailData? Last accessed December 6, 2023.

12. The Joint Commission. Sentinel Event Alert: Newsletters. Available at https://www.jointcommission.org/resources/sentinel-event/sentinel-event-alert-newsletters/#sort=%40z95xz95xcontentdate%20descending. Last accessed December 6, 2023.

13. Florida Administrative Code. 64B19-13.003: Continuing Psychological Education Credit. Available at https://www.flrules.org/gateway/ruleno.asp?id=64B19-13.003. Last accessed December 6, 2023.

14. Stone DM, Simon TR, Fowler KA, et al. Vital Signs: Trends in state suicide rates—United States, 1999–2016 and circumstances contributing to suicide—27 states, 2015. MMWR. 2018;67(22):617-624.

15. The Joint Commission. A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46.

16. Centers for Disease Control and Prevention. Suicide Mortality in the United States, 2001-2021. Available at https://www.cdc.gov/nchs/products/databriefs/db464.htm. Last accessed December 6, 2023.

17. Agency for Heathcare Research and Quality. Screening for Suicide Risk: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Available at https://www.ahrq.gov/downloads/pub/prevent/pdfser/suicidser.pdf. Last accessed December 6, 2023.

18. Collander TG, The Joint Commission. Detecting and Treating Suicide Ideation in All Settings. Available at https://www.jointcommission.org/-/media/tjc/documents/resources/webinar-replays/webinar_slides_detecting_treating_suicide_settings_collanderpdf.pdf. Last accessed December 6, 2023.

19. Williams SC, Schmaltz SP, Castro GM, Baker DW. Incidence and method of suicide in hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650.

20. Simon RI. Suicide risk assessment: what is the standard of care? J Am Acad Psychiatry Law. 2002;30(3):340-344.

21. Simon RI. Suicide risk assessment in managed care settings. Primary Psychiatry. 2002;9(4):42-49.

22. U.S. Department of Veterans Affairs. Suicide Risk Assessment Guide. Available at https://www.mentalhealth.va.gov/docs/VA029AssessmentGuide.pdf. Last accessed December 6, 2023.

23. World Health Organization. Preventing Suicide: Information for Health Workers. Available at https://www.who.int/multi-media/details/preventing-suicide--information-for-health-workers. Last accessed December 6, 2023.

24. National Coordinating Council for Medication Error Reporting and Prevention. About Medication Errors. Available at https://www.nccmerp.org/about-medication-errors. Last accessed December 6, 2023.

25. The Joint Commission. Sentinel Event Alert 23: Medication Errors Related to Potentially Dangerous Abbreviations. Available at https://www.jointcommission.org/resources/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-issue-23-medication-errors-related-to-potentially-dangerous-abbreviations/. Last accessed December 6, 2023.

26. National Institutes of Health Committee on Identifying and Preventing Medication Errors. Preventing Medication Errors. Washington, DC: National Academies Press; 2007.

27. Breland BD. Strategies for the prevention of medication errors. Hospital Pharmacy Report. 2000;14(8):56-65.

28. Florida Department of Children and Families. Reporting Abuse of Children and Vulnerable Adults. Available at https://www.myflfamilies.com/sites/default/files/2022-10/mandatedreporters.pdf. Last accessed December 6, 2023.

29. Administration for Children and Families, Children's Bureau. Child Maltreatment 2021. Available at https://www.acf.hhs.gov/cb/report/child-maltreatment-2021. Last accessed December 6, 2023.

30. West B, Gandhi S. Reporting abuse: a study of the perceptions of people with disabilities (PWD) regarding abuse directed at PWD. Disability Studies Quarterly. 2006;26(1).

31. Michigan Department of Human Services. Reporting Process. Reporting Abuse and Neglect. Available at https://www.michigan.gov/mdhhs/adult-child-serv/abuse-neglect/childrens/report-process. Last accessed December 6, 2023.

32. Norman RE, Byambaa M, De R, Butchart A, Scott J, Vos T. The long-term health consequences of child physical abuse, emotional abuse, and neglect: a systematic review and meta-analysis. PLoS Med. 2012;9(11):e1001349.

33. Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med. 2000;9(5):451-457.

34. First MB. Merck Manual: Medical Assessment of the Patient with Mental Symptoms. Available at https://www.merckmanuals.com/professional/psychiatric-disorders/approach-to-the-patient-with-mental-symptoms/medical-assessment-of-the-patient-with-mental-symptoms. Last accessed December 6, 2023.

35. Williams ER, Shepherd SM. Medical clearance of psychiatric patients. Emerg Med Clin North Am. 2000;18(2):185-198.

36. Reeves RR, Parker JD, Loveless P, Burke RS, Hart RH. Unrecognized physical illness prompting psychiatric admission. Ann Clin Psychiatry. 2010;22(3):180-185.

37. Freudenreich O. Psychotic Disorders: A Practical Guide. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2020.

38. Cowan AE. Psychotic disorders. In: Gentile J, Cowan A, Dixon D (eds). Guide to Intellectual Disabilities. New York, NY: Springer; 2019.

39. Han JH, Wilber ST. Altered mental status in older patients in the emergency department. Clin Geriatr Med. 2013;29(1):101-136.

40. Kenney LK. Patient safety: a patient perspective. Prescriptions for Excellence in Health Care Newsletter. 2010;1(9):Suppl 4.

41. Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care. 2002;11(1):76-80.

42. Brandon DT, Isaac LA, LaVeist TA. The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care? J Natl Med Assoc. 2005;97(7):951-956.

43. Rajakumar K, Thomas SB, Musa D, Almario D, Garza MA. Racial differences in parents' distrust of medicine and research. Arch Pediatr Adolesc Med. 2009;163(2):108-114.

44. Boulware LE, Cooper LA, Ratner LE, LaVeist TA, Powe NR. Race and trust in the health care system. Public Health Rep. 2003;118(4):358-365.

45. Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Patient Saf. 2007;33(8):467-476.

46. Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly. 2009;139(1-2):9-15.

47. West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-1078.

48. Kinsella P, Garland A. Cognitive Behavioural Therapy for Mental Health Workers: A Beginner's Guide. New York, NY: Routledge; 2008.

49. U.S. Department of Veterans Affairs. PTSD: National Center for PTSD. Understanding PTSD Treatment. Available at https://www.ptsd.va.gov/understand_tx/index.asp. Last accessed December 6, 2023.

  • Back to Course Home
  • Participation Instructions
    • Review the course material online or in print.
    • Complete the course evaluation.
    • Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.