Safety openness and learning

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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.