• S Reed, D Arnal, O Frank, J I Gomez-Arnau, J Hansen, O Lester, K L Mikkelsen, T Rhaiem, P H Rosenberg, M St Pierre, A Schleppers, S Staender, and A F Smith.
• Department of Anaesthesia, Royal Lancaster Infirmary, Lancaster, UK.
• Br J Anaesth. 2014 Mar 1;112(3):546-55.

BackgroundCritical incident reporting is a key tool in the promotion of patient safety in anaesthesia.MethodsWe surveyed representatives of national incident reporting systems in six European countries, inviting information on scope and organization, and intelligence on factors determining success and failure.ResultsSome systems are government-run and nationally conceived; others started out as small, specialty-focused initiatives, which have since acquired a national reach. However, both national co-ordination and specialty enthusiasts seem to be necessary for an optimally functioning system. The role of reporting culture, definitional issues, and dissemination is discussed.ConclusionsWe make recommendations for others intending to start new systems and speculate on the prospects for sharing patient safety lessons relevant to anaesthesia at European level.

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