Responding to patient safety incidents: the "seven pillars."
McDonald TB, Helmchen LA, Smith KM, et al. Responding to patient safety incidents: the "seven pillars". Qual Saf Health Care. 2010;19(6):e11. doi:10.1136/qshc.2008.031633.
This article describes one institution's principles for reporting, investigating, analyzing, and disclosing adverse events.