Learning reports

No learning reports are currently published in the directory.

Classification and structure

Reports do not constitute public judgements about individual doctors. Statements about causes, uncertainty and transferability are clearly distinguished. Missing information is explicitly identified as a limitation.

What a Learning Report Shows

  • The relevant process phase and a summary of the situation.
  • Possible contributing factors and existing protective measures.
  • Improvement approaches and limitations of the statement.
  • Professional review and privacy approval.
  • Sources, release date, version and correction option.

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About the reporting systemNIFSAC Preventable Harm Papers
NIFSAC · Safety learningBack to top