Project details

or


Creating a learning organization in Healthcare

Keywords:
learning organization quality improvement

Researchers:
prof dr JKG Wietasch
M.J. van der Laan
L.Hooft
D.A. Dongelmans
A. Visser

Type of project:
MD/PhD programme

Nature of the research:
This research line aims at a workfloor to board room strategy. The project starts with creating a solid evidence base for interventions and basic conditions to create a Learning Healthcare Organisation. Ultimately resulting in implementing and evaluating of organisational and team based interventions.

Fields of study:
surgery epidemiology intensive care

Background / introduction
A learning healthcare organisation (LHO) is an approach to healthcare that prioritises continuous learning and improvement. LHOs use data and feedback from patients, providers, and other stakeholders to continuously improve resilience and wellbeing, quality, safety, and efficiency of healthcare processes. This approach has proven to be more adaptable to changes and altering conditions for several reasons.
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1. an LHO recognizes that healthcare is constantly evolving, and new research and techniques are continuously emerging. By prioritising learning and staying up-to-date with the latest developments, an LHO can quickly adapt to changes and adopt best practices.
2. LHOs have a culture of innovation and experimentation. They value exploration and testing of new ideas, rather than sticking to traditional methods. This promotes a willingness to take risks and try new approaches, which is essential for adapting to changing conditions.
3. LHOs use data to guide decision-making. They collect data on numerous aspects of care and use it to inform improvements. This data-driven approach means that LHOs are continuously monitoring their performance and can identify areas that require improvement quickly.
4. LHOs are patient-centred. They prioritise the needs and preferences of patients in all aspects of care delivery. This focus on the needs of the patient means that LHOs are more adaptable to changes in patient needs and preferences.
5. LHOs have a collaborative approach. They involve patients, informal carers, providers, and other stakeholders in the improvement process, ensuring that everyone's voices are heard. This collaboration facilitates a sense of ownership and accountability, which is necessary for adapting to changing conditions.
Research question / problem definition
A learning healthcare organisation is more adaptable to changes and altering conditions because it prioritises continuous learning, values innovation, uses data to guide decision-making, is patient-centred, and has a collaborative approach. By adopting these principles, healthcare organisations can be more resilient and better equipped to address the evolving healthcare landscape
Workplan
1. creating an evidence based set of organisational and team based interventions
2. creating real world data set of quality indicators to monitor and evaluate
3. Implement and pilot interventions
4. create a dissimination and implementation plan for organisational change
References
1. Brand S, Thompson Coon Jo, Fleming L, Carroll L, Bethel A, Wyatt K. Whole-system approaches to improving the health and wellbeing of healthcare workers: A systematic review. PLoS One. 2017;12(12): e0188418. doi: 10.1371 /journal.pone.0188418.
2. Prudenzi A, D Graham Christopher, Flaxman PE, O'Connor Daryl B. Wellbeing, burnout, and safe practice among healthcare professionals: predictive influences of mindfulness, values, and self-compassion. Psychol Health Med. 2022 Jun;27(5):1130–1143. doi: 10.1080/ 13548506.2021.1898651.
3. Shanafelt T, Noseworthy J. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clin Proc. 2017 Jan;92(1):129–146. doi: 10.1016/j.mayocp.2016.10.004.S0025-6196(16)30625-5
4. Schaufeli WB. Applying the Job Demands-Resources model: A ‘how to’ guide to measuring and tackling work engagement and burnout. Organ Dyn. 2017 Apr;46(2):120–132. doi: 10.1016/j.orgdyn.2017.04.008. 5. Martela F, Ryan RM. In selecting measures for a comprehensive assessment of well-being, it is essential to include indicators of psychological need satisfaction. Prev Med Rep. 2021 Sep;23:101474. doi: 10.1016/j.pmedr.2021.101474.
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