imagine healthcare
free from harm

It's possible with a safety learning system™

Our Safety Learning System™

Our Safety Learning System™ (SLS) is a systems improvement methodology designed to identify faults in the systems and processes of healthcare delivery that allow providers to cause harm to patients. The purpose is to identify actionable insights through chart review that will guide leadership in implementing lasting improvements t0 help patients & providers.

The SLS method of chart review facilitates the pinpointing of common causes of patient harm in hospital systems and processes, provides the technology solution to monitor the actions and inactions that lead to harm, and aids in the development of reliable processes to address these failures in care delivery. The method is rooted in high reliability & human factor science.


Where your organization can improve in care delivery by discovering & classifying Opportunities for Improvement within patient charts.


From identified Opportunities for Improvement to develop meaningful, right-size, & cost-effective quality improvement projects.


Lessons learned from case review & MultiLens Discussions as broadly as possible to help providers and hospitals improve care for thousands of patients.

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Why Change Healthcare?

Patient harm is the fourteenth leading cause of morbidity & mortality in the world. We believe the majority of patient harm is due to system & process failures in care delivery. The problems existent in healthcare delivery urgently require a systems approach - not an individual one.

Working for You

What's Your Goal?
We'll Help You Get There

  • Lower Mortality Rate
  • Lower Length of Stay
  • Relieve Suffering at End of Life
  • Extend Reach of Palliative Care Resources
  • Implement Meaningful QI Initiatives
  • Culture Change
  • Actually Fix Something
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Proven Results

We Tend to Use the Word 'Meaningful' a lot...

Do you feel overwhelmed with all the data but no change? We felt the same until we changed our focus: to discover a meaningful way to learn about process & system failures within our organization. We defined meaningful as understandable, measurable, and improvable. From meaningful work came actionable data that inspired real change. We've only done meaningful things since.

The Improvement Process


About system & process issues present across healthcare systems.


A team of system-thinkers to identify issues present at your institution.


Issues identified across your institution to find clusters & common threads.


Lessons learned throughout your institution to increase organizational awareness.


Leadership to implement real changes & hospital staff to change practice.

Safety Learning System™ Services

Continuous Education

We will take the fearful plunge with your organization into uncharted waters to explore the hidden causes of patient harm within healthcare delivery.

Coaching & Training

We will guide your organization in building a foundation of committed staff members trained in systems-thinking.

Healthcare Safeware®

Our Healthcare Safeware® technology aids in the discovery, classification, and monitoring of constellations within a chaotic sky of patient safety information.

SLS Collaborative

Join our growing family tree of healthcare revolutionaries devoted to ending patient harm on a worldwide scale.

Outcomes of a
Safety Learning System™

Enforced Reliability

System review leads to insights that allow for systems to be redesigned in a way that enforces reliable care: right person, right place, right time, right provider.

Right-Size QI Initiatives

Local implementation gives hospitals the power to determine what changes will be made & how they will be instituted depending on their individual needs, local culture & available resources.

Situational Awareness

Practicing providers that participate in case review will ultimately improve their situational awareness. They are given the opportunity to learn about how everyone in the hospital performs.

Culture Change

Providers will become more collaborative in their effort to care for a patient because of our respect for the principles of deference to expertise & MultiLens discussion.

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Finding the Missing Link to
Healthcare Improvement

Our process does not replace current quality improvement projects at your hospital but supplements or enhances the work already being done. Many of our Collaborative members have found this process to be the missing link to their long struggle in implementing change primarily because of the standardization of review & refocusing of quality improvement efforts to target what matters most.


Providing a Great Experience for Everyone

This work goes beyond better systems to providing greater work & care experiences for providers & patients. Our Collaborative members do not have to experience a mistake on their own but find support from all disciplines & specialties across their institution. The result is providers improving their care by proactively avoiding the mistakes of others to provide a better course of care for patients collectively rather than independently.

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Making Everyday Issues
Visible to Leadership

Our case review process targets everyday issues that go unreported until they become inherent characteristics of care even when they cause harm to our patients. Many of these issues or barriers are completely invisible to leadership but are a reality to the providers who participate in case review. Our Collaborative members have found empowerment through an enhanced voice & ability to influence organizational change to help both patients & providers.

Contact Us!

Contact us today & we will get back to you shortly on how to get started! If you're still hesitant, send us your questions. Remember, anyone can get this process started regardless of your hospital position. This process is not built by leaders but creates them.

Interested? Keep exploring, follow us on social media, or contact us on how to get started!

HB Healthcare Safety® is a Social Benefit Corporation offering systems-improvement & technology resources to reduce the harm caused by care delivery. We believe that no one should ever suffer or die as as the result of system or process failures in care delivery.

Copyright of HB Healthcare Safety®, SBC 2019.

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