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Opportunities for incident reporting. Response to: ‘The problem with incident reporting’ by Macrae et al
  1. Huw Williams1,
  2. Alison Cooper1,
  3. Andrew Carson-Stevens1,2,3
  1. 1 Primary Care Patient Safety Research Group, School of Medicine, Cardiff University, Cardiff, UK
  2. 2 Wales Centre for Primary and Emergency Care Research, Cardiff, UK
  3. 3 Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada
  1. Correspondence to Professor Andrew Carson-Stevens, Patient Safety Research Lead, Wales Centre for Primary and Emergency Care Research, Cardiff University, Cardiff CF14 4YS, UK; carson-stevensap@cardiff.ac.uk

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Macrae highlights well-discussed challenges of using safety incident reporting systems as a source of learning and improvement in healthcare.1 Our research group has analysed over 50 000 free-text reports from primary care submitted to the England and Wales National Reporting and Learning System, and developed a mixed methods approach to identify learning from these reports.2

We agree that simply aiming for a greater number of reports to remedy problems arising from under-reporting is not desirable. There is, however, an opportunity to target specific discipline or professional …

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