Every error a treasure: improving medication use with a nonpunitive reporting system.
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.1016/s1553-7250(07)33046-8.
The authors describe the implementation of a nonpunitive reporting system at their hospital and the improvements that happened as a result of the change.