“…Three indices represent the current state of CRM at hospital level: H2 – implementation of the CRM process [7,18] structured along the Australia/New Zealand risk management standard [19,20]; H3 – leadership, staff participation and training [21–24]; and H4 – implementation of incident reporting systems [25–27]. Six indices provide an overview of CRM at service level: S2 – CRM process (for references, see above); S3 – communication and information [28]; S4 – documentation [29]; S5 – learning and developing [14,18,22]; S6 – training (references see above); and S7 – local incident reporting systems (for references, see above). Incident reporting (indices H4 and S7) was not included in indices G1, H1 and S1, as the response rate was lower because only hospitals planning, or already using, incident reporting systems responded ( n = 85 or 69 instead of n = 98, see Table 3).…”