New @BMJOpen study: Mental healtg services learn most from serious incidents when they take a systems view- not just investigations. Real safety comes from linking learning, culture & action across the whole system
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bmjopen.bmj.com/content/15/1...
bmjopen.bmj.com
Understanding adverse incident responses in mental health care: a qualitative study of systems-based patient safety practices
Background A key part of the patient safety system is how it responds to and learns from safety incidents. To date, there is limited research on understanding system-based approaches to investigating ...