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Office of Mental Health

Clinical Risk Management | Incident Management | Special Investigation | Sentinel Events | Resources

Special Investigations

A Special Investigation is a comprehensive and objective inquiry regarding the factual aspects of an incident with a goal towards understanding the clinical, administrative and human factors involved in the cause of the incident.

A Special Investigation differs from a regular investigation in that it shifts the focus from a staff member's or recipient's behaviors to one of an emphasis on systems analysis, risk management, quality improvement and incident prevention.

For more information on Special Investigations refer to the
Guidelines for Investigation of Significant Incidents in OMH Facilities manual. (742kb)

Comments or questions about the information on this page can be directed to the Division of Quality Management.