Department of Clinical Research & Leadership, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Department of Rehabilitationand IQ healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Med Educ Online. 2021 Dec;26(1):1917038. doi: 10.1080/10872981.2021.1917038.
Learning Health Systems (LHSs) seek continuous improvement through the translation and integration of internally and externally generated knowledge across stakeholders within and external to the organization, yet current approaches are primarily described from the healthcare delivery perspective, leaving teaching and research responsibilities underexposed. Academic medical centers offer a unique perspective on LHSs because their mission includes teaching, research, and healthcare. This introduces an opportunity to enact, educate, and study processes and outcomes of LHSs within a single system. Little information is available to describe these processes and outcomes, resulting in a knowledge gap regarding the role of education and research in the quality improvement cycles and learning of LHSs. To close this knowledge gap, The George Washington University School of Medicine and Health Sciences initiated the Health Research and Education Collaboratory (GW Collaboratory) in 2017. The GW Collaboratory was established to study mechanisms supporting continuous quality improvement and learning in health systems within an academic medical center. We envision the GW Collaboratory as interconnected knowledge nodes facilitating collaboration among clinicians, patients, researchers, and educators to study the knowledge generation, dissemination, application, and evaluation required for continuous quality improvement and learning. We employ a project-based approach to foster communities of learning focused on exploring specific health problems of interest. We propose the GW Collaboratory as one model by which academic medical centers can contribute to the science of LHS.
学习型卫生系统（LHS）通过在组织内部和外部的利益相关者之间翻译和整合内部和外部产生的知识来寻求持续改进，但目前的方法主要是从医疗保健提供的角度来描述的，使得教学和研究责任没有得到充分体现。学术医疗中心为 LHS 提供了一个独特的视角，因为它们的使命包括教学、研究和医疗保健。这为在单个系统内实施、教育和研究 LHS 的流程和结果提供了机会。关于这些流程和结果的信息很少，导致关于教育和研究在 LHS 的质量改进周期和学习中的作用的知识差距。为了弥补这一知识差距，乔治华盛顿大学医学院和健康科学学院于 2017 年启动了健康研究和教育协作中心（GW 协作中心）。GW 协作中心的成立是为了研究支持学术医疗中心内卫生系统持续质量改进和学习的机制。我们设想 GW 协作中心作为相互关联的知识节点，促进临床医生、患者、研究人员和教育工作者之间的合作，研究持续质量改进和学习所需的知识生成、传播、应用和评估。我们采用基于项目的方法来培养专注于探索特定感兴趣的健康问题的学习社区。我们提出 GW 协作中心是学术医疗中心为 LHS 科学做出贡献的一种模式。
