Health system redesign: Changing thoughts, values, and behaviours for the co‐production of a safety culture

2019 ◽  
Vol 34 (4) ◽  
pp. 1477-1484 ◽  
Author(s):  
Kathy Eljiz ◽  
David Greenfield ◽  
Alison Derrett ◽  
Simon Radmore
Keyword(s):  
Health System ◽  
Safety Culture ◽  
Health System Redesign

Expanding patient engagement in quality improvement and health system redesign

2016 ◽  
Vol 29 (5) ◽  
pp. 176-182 ◽  
Author(s):  
G. Ross Baker ◽  
Carol Fancott ◽  
Maria Judd ◽  
Patricia O’Connor
Keyword(s):  
Quality Improvement ◽  
Health System ◽  
Patient Engagement ◽  
Health System Redesign

Health system redesign using Collective Impact: implementation of the Behavioural Supports Ontario initiative in Southwest Ontario

2017 ◽  
Vol 7 (4) ◽  
pp. 261-270 ◽  
Author(s):  
Iris Gutmanis ◽  
Jennifer Speziale ◽  
Loretta M Hillier ◽  
Elisabeth van Bussel ◽  
Julie Girard ◽  
...  
Keyword(s):  
Health System ◽  
Collective Impact ◽  
Health System Redesign

scholarly journals Learning in Practice: Collaboration Is the Way to Improve Health System Outcomes

Healthcare ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 90 ◽  
Author(s):  
Van Dam ◽  
Griffin ◽  
Reeves ◽  
Prior ◽  
Paton ◽  
...  
Keyword(s):  
Health System ◽  
Online Survey ◽  
Evaluation Model ◽  
Health Service Delivery ◽  
Graduate Course ◽  
Course Content ◽  
High Satisfaction ◽  
Health System Redesign ◽  
Work Integrated Learning ◽  
Improve Health

Evidence suggests that it is challenging for universities to develop workplace-relevant content and curricula by themselves, and this can lead to suboptimal educational outcomes. This paper examines the development, implementation, and evaluation of Australia’s first tertiary graduate course in healthcare redesign, a partnership initiative between industry and university. The course not only provides students with an understanding of person-centered sustainable healthcare but also the skills and confidence to design, implement, and evaluate interventions to improve health service delivery. Increasing students’ application of new knowledge has been through work-integrated learning, a pedagogy that essentially integrates theory with the practice of workplace application within a purposely designed curriculum. The specific aim of this study was to examine the outcomes of the course after two years, utilizing an anonymous online survey of graduates. Sixty-two graduates (48%) completed the survey. Kirkpatrick’s four-level evaluation model was used to analyze the data. The analysis revealed high satisfaction levels in relation to the course content and delivery. Through successful completion of the innovative course, students had increased their knowledge of health system redesign methods and, importantly, the ability to translate that knowledge into everyday practice. Graduates of the clinical redesign course reported that they had been able to transfer their skills and knowledge to others in the workplace and lead further improvement projects.

scholarly journals Evaluating the Clinical Learning Environment: Resident and Fellow Perceptions of Patient Safety Culture

2015 ◽  
Vol 7 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Gregory M. Bump ◽  
Jaclyn Calabria ◽  
Gabriella Gosman ◽  
Catherine Eckart ◽  
David G. Metro ◽  
...  
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Learning Environment ◽  
Health System ◽  
Graduate Medical Education ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Clinical Learning ◽  
Clinical Learning Environment ◽  
National Norms

Abstract Background The Accreditation Council for Graduate Medical Education has begun to evaluate teaching institutions' learning environments with Clinical Learning Environment Review visits, including trainee involvement in institutions' patient safety and quality improvement efforts. Objective We sought to address the dearth of metrics that assess trainee patient safety perceptions of the clinical environment. Methods Using the Hospital Survey on Patient Safety Culture (HSOPSC), we measured resident and fellow perceptions of patient safety culture in 50 graduate medical education programs at 10 hospitals within an integrated health system. As institution-specific physician scores were not available, resident and fellow scores on the HSOPSC were compared with national data from 29 162 practicing providers at 543 hospitals. Results Of the 1337 residents and fellows surveyed, 955 (71.4%) responded. Compared with national practicing providers, trainees had lower perceptions of patient safety culture in 6 of 12 domains, including teamwork within units, organizational learning, management support for patient safety, overall perceptions of patient safety, feedback and communication about error, and communication openness. Higher perceptions were observed for manager/supervisor actions promoting patient safety and for staffing. Perceptions equaled national norms in 4 domains. Perceptions of patient safety culture did not improve with advancing postgraduate year. Conclusions Trainees in a large integrated health system have variable perceptions of patient safety culture, as compared with national norms for some practicing providers. Administration of the HSOPSC was feasible and acceptable to trainees, and may be used to track perceptions over time.

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