RT Journal
A1 Makary MA
T1 DEvelopment of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients—invited critique
JF Archives of Surgery
JO Archives of Surgery
YR 2009
FD April 1
VO 144
IS 4
SP 311
OP 311
DO 10.1001/archsurg.2009.6
UL http://dx.doi.org/10.1001/archsurg.2009.6
AB 
Regrettably, research in patient safety has lagged behind surgeons' demand for it. That is, the area of safety has been plagued by a paucity of scholarship and data. In light of this deficit, Bilimoria et al have advanced the field by describing a standardized method to capture events and classify them in a systematic way. Commendably, they promote the science of safety by testing a defined intervention. In short, Bilimoria et al show how we can learn from mistakes in a more organized and comprehensive way. Most importantly, they uphold the key pillars of patient safety: evaluate systems, standardize processes, and learn from mistakes.