Learning from failure in healthcare
In this episode of ‘Listen to THIS’, podcast from the THIS Institute at Cambridge University, the hosts discuss learning from failure as essential for improvement, to better understand what doesn’t work and why.
Access a range of articles and resources written by clinical governance experts and search our carefully curated list of safety and quality journal articles and reports.
AICG articles, resources and curated journals and reports are available to all AICG members. Members must be logged in, in order to access all content. Users who are not AICG members will only be able to access publicly available articles.
In this episode of ‘Listen to THIS’, podcast from the THIS Institute at Cambridge University, the hosts discuss learning from failure as essential for improvement, to better understand what doesn’t work and why.
This systematic review explores the relationship between management practices and care quality, and finds that hospitals with management systems focused on effective operations, monitoring, target-setting and supportive human resources consistently outperform their peers on clinical quality metrics. We might call this the ‘clinical governance and management system’ within which both boards and executives must play their role for success. The authors describe roles for boards and executives.
The PaRIS survey is an OECD initiative designed to systematically collect patient-reported data on experiences and outcomes in primary care, particularly among individuals with chronic conditions across OECD countries. The findings paint a useful picture for all health and human service organisations (not just primary care) on the consumer experience.
The SCV Quality Improvement Toolkit includes fact sheets, practical tools, templates and resources to help you improve the quality of care, developed for Victorian Health Services.
Unleashing the Potential of our Health Workforce, led by Professor Mark Cormack, looked at the available evidence about health professionals’ ability to deliver on their full scope of practice in primary care. The review identified opportunities to remove the barriers stopping health professionals from working to their full scope of practice. It also drew on examples of multi-disciplinary teams where members are working to their full scope of practice to deliver best-practice primary care. Here, Mark presented some barriers and opportunities for health professionals to work at their full scope of practice.
We all understand that the essential role of patient experience in achieving successful healthcare delivery. Or do we? This article argues that really understanding the patient experience in such a way that it drives organisation-wide improvement, requires a comprehensive view that captures the full range of interactions across a health service organisation, beyond completing a survey.
Leadership and culture are pillars of any clinical governance framework and often cited as the key framework components. But Dr. Kedar Mate and Josh Clark from IHI challenge us to understand the role that systems play in good care. They argue that many improvement initiatives fail due to systemic issues rather than a lack of vision or communication from leaders, and advocate for a focus on ‘operating systems’ that support good care.
This longitudinal assessment of a new electronic audit and feedback (e-A&F) system in a large tertiary hospital was conducted to determine the system's impact on patient safety outcomes over an extended period.
This IHI blog reinforces the importance of SPC charts and provides links to tools and guides for their use.
Designed for leaders and teams across the sector, this webinar examined how cultural change can be achieved by embedding clinical governance principles into daily practice. Our panelists discussed the importance of fostering a shared language and building staff capabilities through targeted training, and spoke on how leadership at every level can drive process improvements to establish robust, supportive systems.
Subscribe now to receive our latest updates, articles, courses and events.