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The Joint Commission for Safety Openness and Learning is a partnership between Health Improvement Scotland and NHS Education for Scotland. Its focus is on a national approach to the identification, review, reporting and learning from both patient safety events and what enables things to go right. Our approach is based on person centred stakeholder engagement, learning from best practice, utilising tools such as team-based quality reviews (TBQR), Care Experience Improvement Model (CEIM) and human factors systems thinking. The commission aims to simplify and reduce variation in existing practice to improve the quality and credibility of adverse event reviews and most importantly just culture and learning. It supports all staff involved in reviews ensuring they have the right skills to conduct high quality reviews.
Team Based Quality Review (TBQR) is a generic term created to describe the multitude of designations that are typically used in health and social care to describe routinely held multi-disciplinary team learning meetings across professional disciplines and care sectors (e.g. mortality and morbidity reviews and significant event analysis meetings).
To find out more and explore the resources available to help you facilitate a Team Based Quality Review in your team, visit the TBQR site: Team Based Quality Review (TBQR) | Turas | Learn