Florida Psychology Ebook Continuing Education

of betrayal, loss of trust, isolation, and heightened vulnerability. Professionals involved in adverse events that harm their clients are called second victims, and they may suffer from guilt, sleep disturbance, depression, anxiety, and decreased self-esteem. Al Madani, R., Al-Rayes, S. A., & Alumran, A. (2020). Policies vs practice of medical error disclosure at a teaching hospital in Saudi Arabia. Risk Management and Healthcare Policy, 13, 825-831. https://doi.org/10.2147/RMHP.S253275 Š Alshehri, G. H., Keers, R. N., & Ashcroft, D. M. (2017). Frequency and nature of medication errors and adverse drug events in mental health hospitals: A systematic review. Drug Safety, 40, 871-886. https://doi.org/10.1007/s40264-017-0557-7 Š Amalberti, R., & Vincent, C. (2020). Managing risk in hazardous conditions: Improvisation is not enough. BMJ Quality & Safety, 29(1), 60-63. Š Ayer, L., Horowitz, L. M., Colpe, L., Lowry, N. J., Ryan, P. C., Boudreaux, E., ... & Schoenbaum, M. (2022). Clinical pathway for suicide risk screening in adult primary care settings: Special recommendations. Journal of the Academy of Consultation-Liaison Psychiatry, 63(5), 497-510. https://doi.org/10.1016/j.jaclp.2022.05.003. Š Bates, D. W., & Singh, H. (2018). Two decades since to err is human: An assessment of progress and emerging priorities in patient safety. Health Affairs, 37(11), 1736-1743. Š References Š Beckett, P., Holmes, D., Phipps, M., Patton, D., & Molloy, L. (2017). Trauma-informed care and practice: Practice improvement strategies in an inpatient mental health ward. Journal of Psychosocial Nursing and Mental Health Services, 55(10), 34-38. Š Bennett, S. A. (2019). The training and practice of crew resource management: Recommendations from an inductive in vivo study of the flight deck. Ergonomics, 62(2), 219-232. Š Boothman, R. C., Blackwell, A. C., Campbell, D. A., Commiskey, E., & Anderson, S. (2009). A better approach to medical malpractice claims? The University of Michigan experience. Journal of Health Life Science Law, 2(2), 125-159. Š Brickell, T. A., & McLean, C. (2011). Emerging issues and challenges for improving patient safety in mental health: A qualitative analysis of expert perspectives. Journal of Patient Safety, 7(1), 39-44. Š Burlison, J. D., Scott, S. D., Browne, E. K., Thompson, S. G., & Hoffman, J. M. (2017). The Second Victim Experience and Support Tool: Validation of an organizational resource for assessing second victim effects and the quality of support resources. J Patient Saf, 13(2), 93-102. Š Cash, R. E., Anderson, S. E., Lancaster, K. E., Lu, B., Rivard, M. K., Camargo Jr, C. A., & Panchal, A. R. (2020). Comparing the prevalence of poor sleep and stress metrics in basic versus advanced life support emergency medical services personnel. Prehospital Emergency Care, 24(5), 644-656. Š Castro-Rodríguez, C., Solís-García, G., Mora-Capín, A., Díaz-Redondo, A., Jové-Blanco, A., Lorente-Romero, J., ... & Marañón, R. (2020). Briefings: a tool to improve safety culture in a pediatric emergency room. The Joint Commission Journal on Quality and Patient Safety, 46(11), 617-622. Š Chassin, M. (2019). To err is human: The next 20 years. The Joint Commission High Reliability Healthcare Blog. www.jointcommission.org/resources/news-and-multimedia/ blogs/high-reliability-healthcare/2019/11/to-err-is-human-the-next-20-years/ Š Cheema, F., Mckechnie, P., Carlyle, A., Ross, J., Renwick, C., & Hall, D. (2013). Improving patient safety in mental health through quality risk management. European Psychiatry, 28(Suppl. 1), 1. Š Cho, S. M., & Choi, J. (2018). Patient safety culture associated with patient safety competencies among registered nurses. Journal of Nursing Scholarship, 50(5), 549. https:// doi.org/10.1111/jnu.12413 Š Delbanco, T., & Sigall, K. B. (2007). Guilty, afraid, and alone: Struggling with medical error. New England Journal of Medicine, 357, 1682-1683. Š Deng, M., Chen, W., Pang, T., & Lin, C. (2019). Effect of daily safety briefing huddles on the reporting of adverse events and near-misses. American Journal of Nursing, 8(3), 92-96. Š D'Lima, D., Crawford, M. J., Darzi, A., & Archer, S. (2017). Patient safety and quality of care in mental health: A world of its own? BJPsych Bulletin, 41(5), 241-243. Š Etchegaray, J. M., Gallagher, T. H., Bell, S. K., Dunlap, B., & Thomas, E. J. (2012). Error disclosure: A new domain for safety culture assessment. BMJ Quality & Safety, 21(7), 594- 599. Š Ferguson, M., Rhodes, K., Loughhead, M., McIntyre, H., & Procter, N. (2022). The effectiveness of the safety planning intervention for adults experiencing suicide-related distress: A systematic review. Archives of Suicide Research, 26(3), 1022-1045. Š Flick, C., & Schweitzer, K. (2021). Influence of the fundamental attribution error on perceptions of blame and negligence. Experimental Psychology, 68(4), 175-188. https://doi. org/10.1027/1618-3169/a000526 Š Frogner, B. K., Fraher, E. P., Spetz, J., Pittman, P., Moore, J., Beck, A. J., ... & Buerhaus, P. I. (2020). Modernizing scope-of-practice regulations: Time to prioritize patients. N Engl J Med, 382(7), 591-593. Š Frueh, B. C., Knapp, R. G., Cusack, K. J., Grubaugh, A. L., Sauvageot, J. A., Cousins, V. C., ... & Hiers, T. G. (2005). Special section on seclusion and restraint: Patients' reports of traumatic or harmful experiences within the psychiatric setting. Psychiatric Services, 56(9), 1123-1133. Š Helmchen, L. A., Richards, M. R., & McDonald, T. B. (2011). Successful remediation of patient safety incidents: A tale of two medication errors. Healthcare Management Review, 36(2), 114-123. Š Institute for Safe Medication Practices. (2011, July). Too many abandon the “second victims” of medical errors. ISMP Medication Safety Alert. http://www.ismp.org/Newsletters/ acutecare/articles/20110714.asp Š Jayaram, G., Doyle, D., Steinwachs, D., & Samuels, J. (2011). Identifying and reducing medication errors in psychiatry: Creating a culture of safety through the use of an adverse event reporting mechanism. Journal of Psychiatric Practice, 17(2), 81-88. Š Jedick, R. (2022). Human factors in medicine: A medical error model that isn't full of holes. Emergency Medicine News, 44(11), 24. Š The Joint Commission. (2022a). Comprehensive accreditation manual for behavioral health care and human services: Sentinel event policy. https://www.jointcommission.org/-/ media/tjc/documents/resources/patient-safety-topics/sentinel-event/sentinel-event-policy/ cambhc_21_se_all_current.pdf Š The Joint Commission. (2022b). Sentinel event data: General information & 2022 Q1, Q2 Update. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety- topics/sentinel-event/sentinel-event-general_information-june-2022.pdf Š The Joint Commission. (2023). Behavioral health care and human services: 2023 national patient safety goals. https://www.jointcommission.org/-/media/tjc/documents/standards/ national-patient-safety-goals/2023/npsg_chapter_bhc_jan2023.pdf Š Jung, S. J., Lee, Y., & Bae, S. H. (2022). Influence of clinical nurses’ second-victim experience and second-victim support in relation to patient safety incidents on their work-related outcomes. Journal of Korean Academy of Nursing Administration, 28(4), 331-341. https:// doi.org/10.11111/jkana.2022.28.4.331 Š Large, M., Myles, N., Myles, H., Corderoy, A., Weiser, M., Davidson, M., & Ryan, C. J. (2018). Suicide risk assessment among psychiatric inpatients: A systematic review and meta-analysis of high-risk categories. Psychological Medicine, 48(7), 1119-1127.

Behavioral health professionals can provide safer care by learning to identify vulnerable clients and error-prone conditions in the work setting and by providing psychosocial services to victims of medical mistakes. Š Liu, D., Liu, X., & Wu, S. (2022, June). A Literature Review of Diffusion of Responsibility Phenomenon. In 2022 8th International Conference on Humanities and Social Science Research (ICHSSR 2022) (pp. 1806-1810). Atlantis Press. Š Luva, B., & Naweed, A. (2022). Authority gradients between team workers in the rail environment: A critical research gap. TheoreTical issues in ergonomics science, 23(2), 155- 181. Š Makary, M. A., & Daniel, M. (2016). Medical error: The third leading cause of death in the US. BMJ, 353. doi: 10.1136/bmj.i2139 Š Martínez-Alés, G., Jiang, T., Keyes, K. M., & Gradus, J. L. (2022). The recent rise of suicide mortality in the United States. Annual Review of Public Health, 43, 99-116. Š Mills, P. D., Watts, B. V., Shiner, B., & Hemphill, R. R. (2018). Adverse events occurring on mental health units. General Hospital Psychiatry, 50, 63-68. https://doi-org.ezproxy.umgc. edu/10.1016/j.genhosppsych.2017.09.001 Š Montague, J., Crosswaite, K., Lamming, L., Cracknell, A., Lovatt, A., & Mohammed, M. A. (2019). Sustaining the commitment to patient safety huddles: Insights from eight acute hospital ward teams. British Journal of Nursing, 28(20), 1316-1324. Š Morrissey, J., & Higgins, A. (2018). “Attenuating anxieties”: A grounded theory study of mental health nurses’ responses to clients with suicidal behaviour. Journal of Clinical Nursing, 28(5-6), 947-958. Š Mueller, B. U., Neuspiel, D. R., Fisher, E. R. S., Franklin, W., Adirim, T., Bundy, D. G., Ferguson, L. E., Gleeson, S. P., Leu, M., Quinonez, R. A., Rinke, M. L., Shiffman, R. N., Saarel, E. V., Tieder, J. S., Yin, H. S., Phillips, S. C., Quinonez, R., Brown, J. M., Walsh, K. M., ... Hsu, B. (2019). Principles of pediatric patient safety: Reducing harm due to medical care. Pediatrics, 143(2). https://doi.org/10.1542/peds.2018-3649 Š Murray, M., & Cope, V. (2021). Leadership: Patient safety depends on it! Collegian, 28(6), 604-609. Š National Patient Safety Foundation. (2015). RCA2: Improving root cause analyses and actions to prevent harm. Institute for Healthcare Improvement. Š Niederkrotenthaler T., Logan, J. E., Karch, D. L., & Crosby A. (2014). Characteristics of U.S. suicide decedents in 2005–2010 who had received mental health treatment. Psychiatric Services, 65(3), 387-390. Š Okuyama, A., Wagner, C., & Bijnen, B. (2014). Speaking up for patient safety by hospital- based health care professionals: A literature review. BMC Health Services Research, 14(1), 61. doi: 10.1186/1472-6963-14-61 Š Oster C., & Braaten J. (2021). High reliability organizations: A healthcare handbook for patient safety & quality (2nd ed.). Sigma Theta Tau International. Š Palaganas, J. C., Maxworthy, J. C., Epps, C. A., & Mancini, M. E. (2014). Defining excellence in simulation programs. Lippincott Williams & Wilkins. Š Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., ... & Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ, 366:l4185 doi:10.1136/ bmj.l4185 Š Patra, K. P., & De Jesus, O. (2022). Sentinel event. StatPearls. StatPearls Publishing. PMID: 33232058. Š Peerally, M. F., Carr, S., Waring, J., & Dixon-Woods, M. (2017). The problem with root cause analysis. BMJ Quality & Safety, 26(5), 417-422. Š Reamer, F. G. (2018). Ethical issues in integrated health care: Implications for social workers. Health & Social Work, 43(2), 118-124. Š Reason, J. (1990). Human error. Cambridge University Press. Š Reason, J. (2005). Safety in the operating theatre—Part 2: “Human error and organisational failure.” BMJ Quality and Safety 14, no. 1, (2005): 56-60. Š Schrøder, K., Bovil, T., Jørgensen, J. S., & Abrahamsen, C. (2022). Evaluation of “The Buddy Study”, a peer support program for second victims in healthcare: A survey in two Danish hospital departments. BMC Health Services Research, 22(1), 1-10. https://doi.org/10.1186/ s12913-022-07973-9 Š Schwappach, D. L., & Boluarte, T. A. (2008). The emotional impact of medical error involvement on physicians: A call for leadership and organisational accountability. Swiss Medical Weekly, 138(1-2), 9-15. Š Schwappach, D., & Richard, A. (2018). Speak up-related climate and its association with healthcare workers’ speaking up and withholding voice behaviours: A cross-sectional survey in Switzerland. BMJ Quality & Safety, 27(10), 827-835. Š Schwendimann, R., Blatter, C., Dhaini, S. et al. (2018). The occurrence, types, consequences and preventability of in-hospital adverse events: A scoping review. BMC Health Services Research, 18, 521. https://doi.org/10.1186/s12913-018-3335-z Š Seshia, S. S., Bryan Young, G., Makhinson, M., Smith, P. A., Stobart, K., & Croskerry, P. (2018). Gating the holes in the Swiss cheese: Part I. Expanding professor Reason’s model for patient safety. Journal of Evaluation in Clinical Practice, 24(1), 187-197. Š Shields, M. C., Stewart, M. T., & Delaney, K. R. (2018). Patient safety in inpatient psychiatry: A remaining frontier for health policy. Health Affairs, 37(11), 1853-1861. Š Smith, A. F., & Plunkett, E. (2019), People, systems and safety: Resilience and excellence in healthcare practice. Anaesthesia, 74, 508-517. https://doi.org/10.1111/anae.14519 Š Svensson, J. (2022). Patient safety strategies in psychiatry and how they construct the notion of preventable harm: A scoping review. Journal of Patient Safety, 18(3), 245-252. Š Thibaut, B., Dewa, L. H., Ramtale, S. C., D'Lima, D., Adam, S., Ashrafian, H., ... & Archer, S. (2019). Patient safety in inpatient mental health settings: A systematic review. BMJ Open, 9(12), e030230. Š Truog, R. D., Browning, D. M., Johnson, J. A., & Gallagher, T. H. (2011). Talking with patients and families about medical error: A guide for education and practice. Johns Hopkins University Press. Š U.S. Department of Veterans Affairs. (2014). Root cause analysis. http://www.patientsafety. va.gov/professionals/onthejob/rca.asp Š Veazie, S., Peterson, K., & Bourne, D. (2019). Evidence brief: Implementation of high reliability organization principles. Department of Veterans Affairs. Š Vincent, C., & Amalberti, R. (2015). Safety in healthcare is a moving target. BMJ Quality & Safety, 24(9), 539-540. doi: 10.1136/bmjqs-2015-004403 Š Walby, F. A., Myhre, M. Ø., & Kildahl, A. T. (2018). Contact with mental health services prior to suicide: A systematic review and meta-analysis. Psychiatric Services, 69(7), 751-759. Š Watts, P. I., McDermott, D. S., Alinier, G., Charnetski, M., Ludlow, J., Horsley, E., ... & Nawathe, P. A. (2021). Healthcare simulation standards of best practice TM simulation design. Clinical Simulation in Nursing, 58, 14-21. Š Weiss, M., & Morrison, E. W. (2018). Speaking up and moving up: How voice can enhance employees’ social status. Journal of Organizational Behavior. doi: 10.1002/job.2262 Š Wright, M. I., Polivka, B., Odom-Forren, J., & Christian, B. J. (2021). Normalization of Deviance: Concept Analysis. Advances in Nursing Science, 44(2), 171-180. Š Young, R. S., Deslandes, P., Cooper, J., Williams, H., Kenkre, J., & Carson-Stevens, A. (2020). A mixed methods analysis of lithium-related patient safety incidents in primary care. Therapeutic Advances in Drug Safety, 11. doi: 10.1177/2042098620922748

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