Healthcare Collaborative
Transforming the Meaning of Patient Safety
Join our Mission to Create
Learning Health Systems
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 processes 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:
Identify
Where your organization can improve in care by discovering and classifying Opportunities for Improvement (OFIs).
Learn
From identified Opportunities for Improvement to develop meaningful, right-size, and cost-effective quality improvement projects.
Share
Lessons learned from case review and MultiLens Discussion as broadly as possible to help frontline staff improve care in daily practice.
What can I get as a Member?
the SLS Collaborative Provides
Case Review Training
Members will receive training on our proven 7-step case review method and system engineering approaches for implementing lasting change.
Access to Technology
Members will receive customized access to our web-based central registry (Healthcare Safeware®) to gain actionable insights on their case review findings.
Benchmarking & Webinars
Members have the opportunity to receive annual benchmarking reports on collaborative learning and participate in monthly webinars with other members.
Organizational Learning
Members will receive coaching to complete the Continuous Organizational Innovation, Improvement, and Learning (COI2L™️) lifecycle for change.
Research & Publications
Members have the opportunity to share data and improvement projects within scientific publications and collaborative presentations.
Hope & Healing Resources
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 Aggregate Learning
What We Have Found
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 caused 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 of 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:
- readmission
- COPD readmissions
- transfers to other facilities
- out of hospital deaths
- 30-day mortality
- sepsis
- acquired sepsis
- joint procedures
- RRT/Code calls
- transfers to ICU
- longer than expected length of stay
- COVID
- opioid deaths
- outpatient deaths
- suicides
- mental health
The Power of Shared Learning
Benefits of a Research
and Learning Collaborative
SLS Collaborative members have fostered a strong community of shared learning and support in the pursuit of freeing healthcare from harm.
Our Collaborative Members
Our Partners in Innovation
Tony Calabria
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.”
Patty Atkins
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.”
Shira Wolf
BSE
“Using SLS has allowed me to leverage the engineering principles that I want to teach in a way that is already packaged for clinicians.”
Ready to join our healthcare movement?
Let's create reliable systems and processes of care rooted in high-reliability principles to protect patients and providers from harm.
