PT  - JOURNAL ARTICLE
AU  - Julius Cuong Pham
AU  - Sebastiana Gianci
AU  - James Battles
AU  - Paula Beard
AU  - John R Clarke
AU  - Hilary Coates
AU  - Liam Donaldson
AU  - Noel Eldridge
AU  - Martin Fletcher
AU  - Christine A Goeschel
AU  - Eugenie Heitmiller
AU  - Jörgen Hensen
AU  - Edward Kelley
AU  - Jerod Loeb
AU  - William Runciman
AU  - Susan Sheridan
AU  - Albert W Wu
AU  - Peter J Pronovost
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.