@article{7180,
  author = {Julius Cuong Pham and Sebastiana Gianci and James Battles and Paula Beard and John R. Clarke and Hilary Coates and Liam J. Donaldson and Noel Eldridge and Martin Fletcher and Christine A. Goeschel and Eugenie S. Heitmiller and Jörgen Hensen and Edward Kelley and Jerod M. Loeb and William B. Runciman and Susan Sheridan and Albert W. Wu and Peter Pronovost},
  title = {Establishing a global learning community for incident-reporting systems.},
  abstract = {<p><b>BACKGROUND: </b>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.</p><p><b>DISCUSSION: </b>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.</p>},
  year = {2010},
  journal = {Qual Saf Health Care},
  volume = {19},
  pages = {446-51},
  month = {10/2010},
  issn = {1475-3901},
  doi = {10.1136/qshc.2009.037739},
  language = {eng},
}