This issue includes items on use of chlorhexidine, diagnostic safety, mental health, ambulance services, open disclosure, audit and feedback, and more. Also covered are the latest from BMJ Quality &Safety, International Journal for Quality in Health Care and the USA’s AHRQ.

This guide explains how digital mental health service providers should prepare for and manage clinical and technical incidents and use an open disclosure process to communicate with service users about unexpected poor health outcomes or harm.