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

https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. Haylor H, Sparkes T, Armitage G, et al. BJPsych Bull. 2024;Epub Jan 4:1-13. 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.