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Psychiatr Serv. 2010 Jul;61(7):660-2. doi: 10.1176/ps.2010.61.7.660.

Best practices: Use of an administrative review committee at New Hampshire Hospital to mitigate risk with high-profile patients.

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  • 1Dartmouth Medical School, New Hampshire Hospital, 36 Clinton St., Concord, NH 03301, USA.


An increasing number of patients manifesting violent and aggressive behaviors are treated at New Hampshire Hospital. Over the past ten years, the volume of referrals on an involuntary emergency petition has increased 70%. New Hampshire Hospital has successfully initiated its Administrative Review Committee, which confers a risk management process to mitigate potential liability for the hospital and treating clinicians for these high-risk patients. This best practice is viewed as helpful by clinicians and by the hospital's legal counsel. Hospitals treating similar high-risk patients may also benefit from developing a similar committee and risk management process.

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