4The Institute of Medicine. To Error is Human: Building a Safety Health System, 1999. http://www. iom. edu/Object. File/Master/4/117/ToErr-8pager. pdf.
5The Quality Interagency Coordination Task Force (QuIC). Doing what counts for patient safety: federal actions to reduce medical errors and their impact (report to the president). February 2000. http://www. quic. gov/Report/errors6. pdf.
8Department of Health. An Organisation with a Memory. Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by Chief Medical Officer. 2000. http://www.pcpoh, bham. ac. uk/publichealth/psrp/Pdf/an_organisation_with_a_memory. pdf.
9Department of Health. Building a Safer NHS for Patients: Implementing an organization with a memory. 2001. http://www.dh. gov. uk/assetRoot/04/05/80/94/04058094, pdf.
