The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis.

Helen Haylor; Tony Sparkes; Gerry Armitage; Melanie Dawson-Jones; Keith Double; Lisa Edwards

Review

The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis.

January 31, 2024

Haylor H, Sparkes T, Armitage G, et al. BJPsych Bull. 2024;Epub Jan 4.

View more articles from the same authors.

Root cause analysis is frequently used to investigate serious adverse events, but it may not be appropriate for organizational learning from suicide investigations. This review identified alternative investigative methods such as Safety II and inclusion of the patient in investigations. The authors also note that an upstream focus on regulatory bodies and healthcare organizations is needed.

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See More About The Topic

Ambulatory Care

Mental Health Care (Psychiatry and Clinical Psychology)

Inpatient suicide

Regulation

Error Reporting and Analysis

The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis.

Suicide Prevention in an Emergency Department Population: ED-SAFE

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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