Lancashire Care Library and Information Service

Provision of mental health care to adults in the emergency department

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Healthcare Safety Investigation Branch, January 2018

This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed the care pathway of the woman spanning the two years preceding her death. During the HSIB’s preliminary investigation the following safety issues were identified and will form the basis of the ongoing investigation:

Click here to view the bulletin.

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