Within the data we collect we look at whether it is a product-related issue. Was it a naming, packaging, or labelling issue? Was it a systems issue? For example, is there a way to deliver drugs within institutions in a safer way? Was it a patient identification issue that contributed to the error?
There's a fairly large piece of data that needs to be collected around contributing factors to the error. Then you can apply that information to put forward better quality standards, so we deliver safer heath care.