'Team Based Quality Reviews are creating meaningful change'

Have you ever wondered what you and your team can do to create and sustain meaningful change? Or how collectively we can build resilient systems in our practice? If these topics interest you, this course may be relevant to you and your team.

WHAT IS TBQR?

Team Based Quality Reviews (TBQR) is a term for multi-professional team learning activities such as Mortality and Morbidity meetings (M&M), significant event analysis or safety huddles, which typically take place across health and care sectors. TBQR was coined to emphasise the point that there are significant learnings to be gained through a structured process of social enquiry and from a range of ‘events’ that go beyond mortality or complications.

The TBQR process uses safety sciences including Human Factors principles to understand daily work, identify strengths and weaknesses of the system and improve learning and outcomes through team assessments, iterative improvements and robust feedback mechanisms. The role of TBQR is to facilitate a structured, collaborative approach to evaluating and improving the quality of work processes within an organisation.

WHY DO WE NEED IT?

Outcomes in health and care delivery are intrinsically dependent on multiple complex interactions between individuals, teams and rapidly advancing technology and treatment modalities. This complexity is compounded by issues of finite or dwindling resources with increasing demand. Teams need to be flexible in adapting to the rapidly evolving environments they work in, with increasing expectations. These challenges demonstrate the need for fast and targeted transfer of vital information of how work is designed and performed. This includes understanding how learning can be achieved efficiently and translated to sustainable, targeted and meaningful improvements for those receiving and delivering care.

TBQR provides the platform to address these complexities and offers a safe space to speak up. The collective insights gained through TBQR can lead to more innovative solutions, increased efficiency and, ultimately, better outcomes for both staff and the communities they serve. It functions as a key resource for learning and professional development and provides a clearer narrative on how accountability is addressed.

TBQR FOR SURGICAL PRACTICE

The TBQR for Surgical Practice Course was developed with NHS Education for Scotland and stakeholders. This includes input from colleagues around the globe such as Ariadne Labs (Boston) and University of Malaya (Malaysia). There are two components to this course:

● An online training module that provides the learner with the basic theory on the TBQR process, its underlying principles and design of quality review pathways.

● A one-day workshop that involves discussions, simulation, small group problem solving and interactive lectures using relevant analysis frameworks. These include the understanding and application of Human Factors, Systems Thinking principles, Just Culture and Psychological Safety in clinical practice.

WHO IS THIS COURSE FOR?

It is is open to anyone working in healthcare, particularly those holding or wishing to progress into leadership roles, including those chairing or involved in safety reviews. It provides access to a wider learning resource, incorporating access to a virtual learning environment, e-learning module and faculty with expertise on Systems Thinking, Human Factors and Safety Science. It offers the opportunity to join a network of surgeons and healthcare professionals around the globe with similar interests. We are working to develop a shared learning platform to facilitate learning and the sharing of ideas on quality reviews and surgical outcomes. For more information and for upcoming dates, visit rcsed.ac.uk/ events-courses.