Journal Article

Learning from failure: the need for independent safety investigation in healthcare.

Macrae C, Vincent C. Journal of the Royal Society of Medicine. 2014;107:439-43.

High reliability organizations learn from experience. To promote learning and improve health care safety in the United Kingdom, this commentary recommends establishing an independent center dedicated to coordinating investigations into medical errors and system failures that would draw from other high-risk industries practices and provide guidance to organizations seeking to apply this model.