Collective Learning, Change and Improvement in Healthcare Teams

NHS Education for Scotland

Diane Kelly

Overview

• The Past – How I got here – the Learning Practice Inventory

• The Present – understanding differences between Primary and Secondary Care

• The Future - Learning from revalidation – MSF and working with colleagues

Learning Practice Inventory in General Practice

Collective Learning, change and Improvement in Primary Care

• Purpose• General practice, pharmacy, dental teams• Key messages

collective learning happens informally

is a powerful team coping mechanism that develops

through

experiential, evolving, and implicit learning processes.

• Learning is relational• Natural tendency towards QI• Teams which have had opportunities to develop their

relational awareness are better equipped to use that knowledge to optimise patient care

Collective learning, change and improvement in secondary care

• Purpose• Main messages

• What is a team? a contested concept in secondary care• Potential for QI in secondary care inhibited • Reliance on questions

Learning from revalidation- Working with colleagues

• Experience gained through developing Multi-source feedback for doctors in primary and secondary care

Conclusions

• Collective learning is a relational, informal process necessary for patient care

• Providing opportunities to meet and share, work together• Work to reduced systematic barriers