RT Book, Section A1 Wachter, Robert M. SR Print(0) ID 56251341 T1 Chapter 14. Reporting Systems, Root Cause Analysis, and Other Methods of Understanding Safety Issues T2 Understanding Patient Safety, 2e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-176578-7 LK accessmedicine.mhmedical.com/content.aspx?aid=56251341 RD 2024/11/12 AB In the late 1990s, as patients, reporters, and legislators began to appreciate the scope of the medical errors problem, the response was nearly Pavlovian: we need more reporting! This commonsensical appeal had roots in several places, including the knowledge that transparency often drives change, the positive experiences with reporting in the commercial aviation industry,1 the desire by many interested parties (patients, legislators, the media, healthcare leaders) to understand the dimensions of the safety problem, and the need of individual healthcare organizations to know which problems to work on.