top of page

Quality improvement in practice—part 1: creating learning systems

Aug 31, 2021
1 min read

Updated: Jan 12, 2025

Quality improvement in practice—part 1: creating learning systems (British Journal of Healthcare Management, August 2021)


Summary:

This article explores how to build "learning systems" to support quality improvement in healthcare. These systems help staff and patients work together to improve care.

The key elements of a learning system are:

  • Shared purpose: Everyone needs to be clear on the goal and feel connected to it.

  • Common language: Using quality improvement tools and methods helps everyone understand each other and contribute.

  • Autonomy:  Staff and patients need to feel empowered to try new ideas without fear of failure.

  • Collective leadership:  Encourage leadership at all levels, not just from managers.

  • Connections and relationships: Build strong relationships within and across teams.

  • Data and measures: Use data to understand how things are working and track improvement.

  • Infrastructure: Provide the right support, including access to improvement expertise and resources.

The article gives examples of learning systems in action, both within a single organisation and across multiple organisations working together.


Web Link:

Keep up with the evidence.

One useful update. Once a month. 

Get the latest healthcare improvement research, evidence, resources and ideas from The QI Hub straight to your inbox.

Helping people keep up with healthcare improvement, find what they need and learn from others.

    CONTACT
     

    Dr Andrea Gibbons

    © 2026 The QI Hub

    bottom of page