Mathews Simon, Golden Sherita, Demski Renee, Pronovost Peter, Ishii Lisa
Department of Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland, USA.
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine , Baltimore, Maryland, USA.
Leadersh Health Serv (Bradf Engl). 2017 May 2;30(2):148-158. doi: 10.1108/LHS-10-2016-0051.
Purpose The purpose of this study is to demonstrate how action learning can be practically applied to quality and safety challenges at a large academic medical health system and become fundamentally integrated with an institution's broader approach to quality and safety. Design/methodology/approach The authors describe how the fundamental principles of action learning have been applied to advancing quality and safety in health care at a large academic medical institution. The authors provide an academic contextualization of action learning in health care and then transition to how this concept can be practically applied to quality and safety by providing detailing examples at the unit, cross-functional and executive levels. Findings The authors describe three unique approaches to applying action learning in the comprehensive unit-based safety program, clinical communities and the quality management infrastructure. These examples, individually, provide discrete ways to integrate action learning in the advancement of quality and safety. However, more importantly when combined, they represent how action learning can form the basis of a learning health system around quality and safety. Originality/value This study represents the broadest description of action learning applied to the quality and safety literature in health care and provides detailed examples of its use in a real-world context.
目的 本研究的目的是展示行动学习如何能够实际应用于大型学术医疗健康系统的质量与安全挑战,并从根本上与机构更广泛的质量与安全方法相结合。 设计/方法/途径 作者描述了行动学习的基本原理如何应用于推动大型学术医疗机构的医疗保健质量与安全。作者提供了医疗保健中行动学习的学术背景,然后通过在单位、跨职能和行政层面提供详细示例,过渡到该概念如何实际应用于质量与安全。 发现 作者描述了在基于单位的综合安全计划、临床社区和质量管理基础设施中应用行动学习的三种独特方法。这些示例分别提供了将行动学习融入质量与安全推进的离散方式。然而,更重要的是,当它们结合在一起时,它们展示了行动学习如何能够围绕质量与安全形成学习型健康系统的基础。 原创性/价值 本研究是对应用于医疗保健质量与安全文献的行动学习最广泛的描述,并提供了其在实际环境中使用的详细示例。