The results, in combination with key findings elicited through a desktop, non-systematic scan of the peer-reviewed literature, were used to design a draft near-miss reporting form and guidelines, which were reviewed and finalized with input at the second and the third national-level consultative meetings. These were held with the participation of the Director - DHQS, representatives from purposively selected professional colleges and academia (as mentioned above), and purposively selected hospital administrators who are well experienced in health care management in different levels of hospitals in different areas in the country.