title: Adverse health-care events: Part 3. Learning the lessons.
abstract: If the NHS is to achieve its goal of developing a safety culture, active learning from adverse events and near misses is crucial. This paper, the third in the series, will discuss how learning from adverse events is informing practice and promoting the development of a safety culture. It also discusses a number of case studies where learning has occurred from adverse events.
authors.affiliation: Hinchingbrooke Healthcare NHS Trust, Huntingdon, Cambridgeshire.
authors.forename: David
authors.initials: D
authors.lastname: Bird
authors.forename: Frank
authors.initials: F
authors.lastname: Milligan
mesh_terms: D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D007857:Leadership; D007858:Learning; D019300:Medical Errors / Q000517:prevention & control*; D009313:National Health Programs; D015279:Organizational Culture; D009936:Organizational Innovation; D017751:Safety Management / Q000458:organization & administration*; D006113:United Kingdom