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Dear colleagues & distinguished guests:

We are delighted to invite you to attend “2012 International conference of Analysis of unintended events in hospitals”, December 10, 2012 in Shihezi University, Xinjiang, China.Since the early nineties, many studies have been performed to examine the incidence of adverse events, with reported incidence rates ranging from 3 to 17% of all hospital admiions.A quarter to half of the adverse events was considered preventable.These studies have increased the sense of urgency to take effective countermeasures in order to improve patient safety in hospitals.Improvements can only be achieved if the interventions tackle the dominant under lying causes.When examining causal factors, not only adverse events but also other unintended events are informative.The theme of the meeting is “Analysis of

unintended events in hospitals”.In order to identify the causes of unintended events, there are a number of analysis tools, brought together under the umbrella term Root Cause Analysis.One common tool is causal tree analysis.Causal trees are the basis for the PRISMA

(Prevention and Recovery Information System for

Monitoring and Analysis)method(see below), which is becoming the standard in Dutch hospitals to analyse the root causes of unintended events and has also been used in studies abroad.The corresponding taxonomy to claify root causes.We anticipate the first international PRISMA symposium to be filled with fervent enthusiasm and active academic interaction.We are very glad to see everyone in the conference.Sincerely yours