Learning from Experience Policy
This policy outlines how the Trust ensures that there is a systematic approach to learning from all types of events and that this is disseminated through a number of different mechanisms.
- Publication date:
- 01 May 2019
- Date range:
- May 2019 - May 2022
5. Organisational approach to sharing of information, learning and improvement
5.1
Table 1 highlights the reporting processes in place that promote the sharing of information, learning and areas for improvement across the organisation.
| Report name (frequency) | Content | Receiving group |
|---|---|---|
|
Quality Digest |
|
Quality Committee Trust Board |
| Serious Incidents/Patient Safety Report (Bi-monthly) | Quantitative breakdown of themes and trends | Trust Wide Patient Safety and Mortality Review Group |
| Complaints Report (Bi-monthly) | Quantitative breakdown of themes and trends |
Trust Wide Patient Experience and Carer Group |
| Claims/Inquests (when received) | Breakdown of individual cases and the key learning identified | Learning from experience group |
|
Integrated Quality Performance Review Reports (Monthly) |
Breakdown of quality and performance indicators per care group | IQPR care group meetings |
|
Clinical Audit & Service Evaluation (Quality Improvement) Project Outcomes form (Bi-annually) |
Key Improvements, learning and action taken from reported CA&SE (Quality improvement) projects | Clinical Audit and service evaluation group/clinical effectiveness & outcomes group |
|
Annual CA&SE (Quality Improvement) Report (Annually) |
Key Improvements, learning and action taken from reported CA&SE (Quality improvement) projects |
Clinical Audit and service evaluation group/clinical effectiveness &outcomes group |
|
CA&SE Snapshot Newsletter (Bi-monthly) |
Key Improvements, learning and action taken from reported CA&SE (Quality improvement) projects |
Clinical audit and service evaluation group |
|
Learning/good practice report (Quarterly) |
Key learning identified by corporate services | Learning from experience group |
| Trust wide learning bulletin/learning notes (Quarterly) |
Key learning for dissemination across the organisation In the form of a bulletin for themed information and as a note for individual points to be shared |
Care group governance groups/Learning from experience page on I-connect |
| Learning bulletins/flyers (care group specific) (Monthly) |
Formal and local learning topics are inputted for every serious incident and complaint Top themes are extracted and shared at the Trust wide Patient Safety and Mortality Review Group and the Learning from experience Group. |
Datix learning page and themes |
| Datix learning page | Offering free home delivery for food to the homes of people who are self-isolating and are unable to get out. |
01843 835447 |