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<p>There are 25 serious incident categories classified as ‘never events’. All of these
incidents must be reported to the Strategic Executive Information System. A never
event is a serious, largely preventable patient safety incident that should not occur
if the available preventative measures are implemented. Although there are two never
event categories which are directly relevant to mental health (<em>13.</em> <em>Suicide
using non-collapsible rails</em> and <em>14.</em> <em>Escape of a transferred prisoner</em>)
never event reports are not classified by care setting.</p><p> </p>
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