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Learning from excellence and patient safety incidents
  1. Jennifer Cooper,
  2. Natalie MacLeod,
  3. Huw Williams,
  4. Andrew Carson-Stevens
  1. Primary Care Patient Safety Research Group, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
  1. Correspondence to Dr Andrew Carson-Stevens, Primary Care Patient Safety Research Group Division of Population Medicine, Cardiff University, Neuadd Meirionydd, Heath Park, Cardiff CF14 4YS, UK; carson-stevensap{at}

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We agree with Kelly et al's characterisation of the prominent role and well-known limitations of incident reporting in supporting improvement in healthcare delivery.1 ,2

The positive principles espoused by the Learning from Excellence team, particularly the emphasis on moving away from a blame culture, which can hold back effective learning from ‘adverse incident reporting’, are to be encouraged. However, to completely ‘eliminate …

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  • Contributors AC-S, HW, JC and NM discussed the article by Kelly et al and agreed on the content of the response. JC and NM drafted the letter, and AC-S and HW were also involved in editing.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.