Works Cited

Medical Error Prevention for Mental Health Professionals

Course #71312 - $15 • 2 Hours/Credits

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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. Florida Senate. The 2019 Florida Statutes: 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 November 11, 2019.

4. The Joint Commission. Sentinel Event Policy and Procedures. Available at https://www.jointcommission.org/Sentinel_Event_Policy_and_Procedures. Last accessed November 11, 2019.

5. The Joint Commission. 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 November 11, 2019.

6. 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.

7. The Joint Commission. 2020 Accreditation Standards. Oakbrook Terrace, IL: The Joint Commission; 2019.

8. 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 November 11, 2019.

9. 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?:embed=y&:showAppBanner=false&:showShareOptions=true&:display_count=no&:showVizHome=no. Last accessed November 11, 2019.

10. The Joint Commission. Sentinel Events. Available at https://www.jointcommission.org/assets/1/6/CAMBHC_21_SE_all_CURRENT.pdf. Last accessed November 11, 2019.

11. The Joint Commission. Summary Data of Sentinel Events Reviewed by The Joint Commission. Available at https://www.jointcommission.org/assets/1/18/Summary_2Q_2019.pdf. Last accessed November 11, 2019.

12. 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 November 4, 2019.

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

14. 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 November 11, 2019.

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

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

17. U.S. Department of Veterans Affairs. Suicide Risk Assessment Guide. Available at https://www.mentalhealth.va.gov/docs/Suicide_Risk_Assessment_Guide.doc. Last accessed November 11, 2019.

18. National Coordinating Council for Medication Error Reporting and Prevention. About Medication Errors. Available at https://www.nccmerp.org/about-medication-errors. Last accessed November 11, 2019.

19. The Joint Commission. Sentinel Event Alert, Issue 23: Medication Errors Related to Potentially Dangerous Abbreviations. Available at https://www.jointcommission.org/sentinel_event_alert_issue_23_medication_errors_related_to_potentially_dangerous_abbreviations. Last accessed November 11, 2019.

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

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

22. Florida Department of Children and Families. Reporting Abuse of Children and Vulnerable Adults. Available at https://www.myflfamilies.com/service-programs/abuse-hotline/publications/mandatedreporters.pdf. Last accessed November 11, 2019.

23. Administration for Children and Families, Children's Bureau. Child Maltreatment 2017. Available athttps://www.acf.hhs.gov/ sites/default/files/cb/cm2017.pdf. Last accessed November 2, 2019.

24. 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).

25. Michigan Department of Human Services. School Personnel Guide for Reporting Suspected Child Abuse and Neglect. Available at https://chanceatchildhood.msu.edu/sites/default/files/Pamphlets/MandatedReporterSCHOOL.pdf. Last accessed November 11, 2019.

26. 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 November 11, 2019.

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

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

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

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

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

32. 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.

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

34. 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.

35. 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.

36. 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.

37. 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.

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

39. National Center for PTSD. Understanding PTSD Treatment. Available at https://www.ptsd.va.gov/understand_tx/index.asp. Last accessed November 11, 2019.

40. 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.

41. The Joint Commission. Most Commonly Reviewed Sentinel Event Types. Available at https://www.jointcommission.org/assets/1/6/Event_type_4Q_2018.pdf. Last accessed November 11, 2019.

42. O'Connor E, Gaynes B, Burda BU, Williams C, Whitlock EP. Screening for Suicide Risk in Primary Care: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality; 2013.

43. 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.

44. World Health Organization. Preventing Suicide: A Resource for General Physicians. Available at https://www.who.int/mental_health/media/en/56.pdf. Last accessed November 11, 2019.

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

46. 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.

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

48. 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.

  • 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.