A well-designed national reporting system, that remains closely linked to local and frontline services, should add to continuous learning. National reporting already occurs for adverse reactions to medications (through the Yellow Card scheme) and Health Protection Scotland already produces reports on infections regularly, such as Staphylococcus aureus bacteraemia infection (which is then analysed and reported back at NHS Board level), so precedents exist. A country Scotland could follow in promoting a national adverse events reporting system is Denmark (Box 2.10). Notably, six years later, the system was expanded to include adverse events occurring in primary care, including in general practice and pharmacy.