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thumbnail of Exploring the application of systems-based tools in menta

Author
Tracey Herlihey, Melanie Ottewill, Deinniol Owens, Lauren Mosley
Abstract
This study examines the application of the Patient Safety Incident Response Framework (PSIRF) Learning Response Toolkit within mental health settings. Through a survey, discussion forums, and cognitive walkthroughs, the research identifies usability gaps and the need for tailored guidance to address the unique complexities of mental health care, particularly in cases involving suicide or homicide. Findings emphasise that effective learning from safety events requires not just tools, but also foundational human factors knowledge, cultural support, and stakeholder engagement.