The Safety Learning System® Collaborative is a growing community of Australian, Canadian, and USA medical systems moving beyond mortality review and simply counting and trending adverse events. We are defining, measuring, and improving those process of care and system failures that contribute to the suffering and harm of our patients, providers, and care teams.
This is more than just a research and learning collaborative. This is a community of practicing providers and quality staff who seek to create a safe space for healthcare workers to research and create practical, meaningful, and lasting change without reprimands or misaligned incentives. We are working to elevate the voices of practicing providers to create learning health systems that support multidisciplinary and multi-specialty collaboration and learning within hospitals.
Our Safety Learning System®, along with our Continuous Organizational Innovation, Improvement, and Learning (COI2L) framework, will allow your organization to:
Members will receive training on our proven 7-step case review method and system engineering approaches for implementing lasting change.
Members will receive customized access to our web-based central registry (Healthcare Safeware®) to gain actionable insights on their case review findings.
Members have the opportunity to receive annual benchmarking reports on collaborative learning and participate in monthly webinars with other members.
Members will receive coaching to complete the Continuous Organizational Innovation, Improvement, and Learning (COI2L) lifecycle for change.
Members have the opportunity to share data and improvement projects within scientific publications and collaborative presentations.
Members have the option to provide personal resiliency training through our partnership with Hope & Healing to find purpose and value in their work.
SLS Collaborative members have found that more than 80% of the failures they identify are omissions in care or latent errors – the things we don’t do to cause harm. Less than 20% of the harm cause can be attributed to HACs and HAIs – commission in care.
We have a membership of over 150 hospitals and outpatient clinics. Collaborative members have honored the lives of 19,759 patients through case reviews as oaf November 2021. 62% of those honored patients had one or more Opportunities for Improvement (OFIs). This work originally started with a focus on mortality review but, with the help of collaborative imaginations, we have studied various patient populations including:
SLS Collaborative members have fostered a strong community of shared learning and support in the pursuit of freeing healthcare from harm.
MA, CPHQ, CSSBB
“We are identifying opportunities that, because there was no negative impact on the patient, may not have ever been recorded or reported.”
MS, RN, FACHE, CPPS
“We are able to share those secrets to performance improvement that are not typical but the high, hard things to improve.”
“Using SLS has allowed me to leverage the engineering principles that I want to teach in a way that is already packaged for clinicians.”