 An analysis of incidents allows safety alerts to be issued to AORN members.The United States Department of Veterans Affairs (VA) and the National Aeronautics and Space Administration (NASA) developed the "Patient Safety Reporting System" modeled upon the Aviation Safety Reporting System to monitor patient safety through voluntary, confidential reports.CIRAS (the Confidential Incident Reporting and Analysis System) is a confidential reporting system modelled upon ASRS and originally developed by the University of Strathclyde for use in the Scottish rail industry.