Improving health care quality and safety: the role of collective learning
Sara J Singer,1–4 Justin K Benzer,4–6 Sami U Hamdan4,6 1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; 2Department of Medicine, Harvard Medical School, Boston, MA, USA; 3Mongan Institute for Health Policy, Massachusetts General Hospital, Bosto...
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ftdovepress:oai:dovepress.com/24542 2023-05-15T18:13:07+02:00 Improving health care quality and safety: the role of collective learning Singer,Sara J Benzer,Justin K Hamdan,Sami U 2015-11-06 text/html https://www.dovepress.com/improving-health-care-quality-and-safety-the-role-of-collective-learni-peer-reviewed-fulltext-article-JHL en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/JHL.S70115 https://www.dovepress.com/improving-health-care-quality-and-safety-the-role-of-collective-learni-peer-reviewed-fulltext-article-JHL info:eu-repo/semantics/openAccess Journal of Healthcare Leadership Review info:eu-repo/semantics/article 2015 ftdovepress https://doi.org/10.2147/JHL.S70115 2022-12-27T21:57:14Z Sara J Singer,1–4 Justin K Benzer,4–6 Sami U Hamdan4,6 1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; 2Department of Medicine, Harvard Medical School, Boston, MA, USA; 3Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA; 4Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA; 5VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA; 6Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA Abstract: Despite decades of effort to improve quality and safety in health care, this goal feels increasingly elusive. Successful examples of improvement are infrequently replicated. This scoping review synthesizes 76 empirical or conceptual studies (out of 1208 originally screened) addressing learning in quality or safety improvement, that were published in selected health care and management journals between January 2000 and December 2014 to deepen understanding of the role that collective learning plays in quality and safety improvement. We categorize learning activities using a theoretical model that shows how leadership and environmental factors support collective learning processes and practices, and in turn team and organizational improvement outcomes. By focusing on quality and safety improvement, our review elaborates the premise of learning theory that leadership, environment, and processes combine to create conditions that promote learning. Specifically, we found that learning for quality and safety improvement includes experimentation (including deliberate experimentation, improvisation, learning from failures, exploration, and exploitation), internal and external knowledge acquisition, performance monitoring and comparison, and training. Supportive learning environments are characterized by team characteristics like psychological safety, appreciation of differences, openness to new ideas social ... Article in Journal/Newspaper sami Dove Medical Press Journal of Healthcare Leadership 91 |
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Journal of Healthcare Leadership |
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Journal of Healthcare Leadership Singer,Sara J Benzer,Justin K Hamdan,Sami U Improving health care quality and safety: the role of collective learning |
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Journal of Healthcare Leadership |
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Sara J Singer,1–4 Justin K Benzer,4–6 Sami U Hamdan4,6 1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA; 2Department of Medicine, Harvard Medical School, Boston, MA, USA; 3Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA; 4Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA; 5VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, TX, USA; 6Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA Abstract: Despite decades of effort to improve quality and safety in health care, this goal feels increasingly elusive. Successful examples of improvement are infrequently replicated. This scoping review synthesizes 76 empirical or conceptual studies (out of 1208 originally screened) addressing learning in quality or safety improvement, that were published in selected health care and management journals between January 2000 and December 2014 to deepen understanding of the role that collective learning plays in quality and safety improvement. We categorize learning activities using a theoretical model that shows how leadership and environmental factors support collective learning processes and practices, and in turn team and organizational improvement outcomes. By focusing on quality and safety improvement, our review elaborates the premise of learning theory that leadership, environment, and processes combine to create conditions that promote learning. Specifically, we found that learning for quality and safety improvement includes experimentation (including deliberate experimentation, improvisation, learning from failures, exploration, and exploitation), internal and external knowledge acquisition, performance monitoring and comparison, and training. Supportive learning environments are characterized by team characteristics like psychological safety, appreciation of differences, openness to new ideas social ... |
format |
Article in Journal/Newspaper |
author |
Singer,Sara J Benzer,Justin K Hamdan,Sami U |
author_facet |
Singer,Sara J Benzer,Justin K Hamdan,Sami U |
author_sort |
Singer,Sara J |
title |
Improving health care quality and safety: the role of collective learning |
title_short |
Improving health care quality and safety: the role of collective learning |
title_full |
Improving health care quality and safety: the role of collective learning |
title_fullStr |
Improving health care quality and safety: the role of collective learning |
title_full_unstemmed |
Improving health care quality and safety: the role of collective learning |
title_sort |
improving health care quality and safety: the role of collective learning |
publisher |
Dove Press |
publishDate |
2015 |
url |
https://www.dovepress.com/improving-health-care-quality-and-safety-the-role-of-collective-learni-peer-reviewed-fulltext-article-JHL |
genre |
sami |
genre_facet |
sami |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/JHL.S70115 https://www.dovepress.com/improving-health-care-quality-and-safety-the-role-of-collective-learni-peer-reviewed-fulltext-article-JHL |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/JHL.S70115 |
container_title |
Journal of Healthcare Leadership |
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91 |
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1766185596429008896 |