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Quality improvement in practice—part 1: creating learning systems

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.


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