PT  - JOURNAL ARTICLE
AU  - Pham, Julius Cuong
AU  - Gianci, Sebastiana
AU  - Battles, James
AU  - Beard, Paula
AU  - Clarke, John R
AU  - Coates, Hilary
AU  - Donaldson, Liam
AU  - Eldridge, Noel
AU  - Fletcher, Martin
AU  - Goeschel, Christine A
AU  - Heitmiller, Eugenie
AU  - Hensen, Jörgen
AU  - Kelley, Edward
AU  - Loeb, Jerod
AU  - Runciman, William
AU  - Sheridan, Susan
AU  - Wu, Albert W
AU  - Pronovost, Peter J
TI  - Establishing a global learning community for incident-reporting systems
AID  - 10.1136/qshc.2009.037739
DP  - 2010 Oct 01
TA  - Quality and Safety in Health Care
PG  - 446--451
VI  - 19
IP  - 5
4099  - http://qualitysafety.bmj.com/content/19/5/446.short
4100  - http://qualitysafety.bmj.com/content/19/5/446.full
SO  - Qual Saf Health Care2010 Oct 01; 19
AB  - Background Incident-reporting systems (IRS) collect snapshots of hazards, mistakes and system failures occurring in healthcare. These data repositories are a cornerstone of patient safety improvement. Compared with systems in other high-risk industries, healthcare IRS are fragmented and isolated, and have not established best practices for implementation and utilisation.Discussion Patient safety experts from eight countries convened in 2008 to establish a global community to advance the science of learning from mistakes. This convenience sample of experts all had experience managing large incident-reporting systems. This article offers guidance through a presentation of expert discussions about methods to identify, analyse and prioritise incidents, mitigate hazards and evaluate risk reduction.