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Root Cause Analysis and Mental Health Incidents

Root Cause Analysis and Mental Health Incidents Focus on… Root Cause Analysis and Mental Health Incidents Suzette Woodward Assistant Director of Patient Safety National Patient Safety Agency Mike Rejman Assistant Director of Patient Safety National Patient Safety Agency Kathryn Hill Assistant Director of Mental Health National Patient Safety Agency Introduction To ascertain the suitability of RCA for use in mental health incidents, the National Patient Safety Agency Clinical governance: a framework through which NHS (NPSA) evaluated a number of homicide inquires organisations are accountable for continuously where RCA had been deployed. This found that RCA improving the quality of their services and was generally well received: the focus on the system safeguarding high standards of care by creating an rather than the individual was welcomed; the process environment in which excellence in clinical care will was considered less threatening than panel inquires and flourish. therefore conducive to more honest responses; and the ‘Learning and applying the lessons’ when things skills, sensitivity and expertise of those conducting the have gone wrong is one means to improve service inquiry were considered paramount. It was concluded quality, but the current process for investigating that RCA was indeed appropriate for use in homicide homicides committed by mental health service users http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Mental Health Review Journal Emerald Publishing

Root Cause Analysis and Mental Health Incidents

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References (3)

Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
1361-9322
DOI
10.1108/13619322200400026
Publisher site
See Article on Publisher Site

Abstract

Focus on… Root Cause Analysis and Mental Health Incidents Suzette Woodward Assistant Director of Patient Safety National Patient Safety Agency Mike Rejman Assistant Director of Patient Safety National Patient Safety Agency Kathryn Hill Assistant Director of Mental Health National Patient Safety Agency Introduction To ascertain the suitability of RCA for use in mental health incidents, the National Patient Safety Agency Clinical governance: a framework through which NHS (NPSA) evaluated a number of homicide inquires organisations are accountable for continuously where RCA had been deployed. This found that RCA improving the quality of their services and was generally well received: the focus on the system safeguarding high standards of care by creating an rather than the individual was welcomed; the process environment in which excellence in clinical care will was considered less threatening than panel inquires and flourish. therefore conducive to more honest responses; and the ‘Learning and applying the lessons’ when things skills, sensitivity and expertise of those conducting the have gone wrong is one means to improve service inquiry were considered paramount. It was concluded quality, but the current process for investigating that RCA was indeed appropriate for use in homicide homicides committed by mental health service users

Journal

Mental Health Review Journal – Emerald Publishing

Published: Sep 1, 2004

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