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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 …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.