Shapiro E. Disclosing medical errors: Best practices from the "leading edge." Unpublished manuscript; March 2008.

Medical institutions are seeking to turn the tide of medical errors by confronting and openly admitting their mistakes, disclosing them to patients and families and throughout their institutions, investigating their causes, and using what they learn to improve processes and systems so these errors do not recur. This paper highlights the work of seven organizations to prevent and disclose medical errors, including how they’re doing it and what they’re learning in the process.