Learning from Excellence: the ‘Yaytix’ programme

Abstract

Background and aims Learning from error can have a negative impact on the staff involved in the error ('second victim phenomenon'). We created a project, based on the principles of the Learning from Excellence project, to learn from excellence and correct the imbalance of negative to positive feedback in the context of hospital practice. Methods and results Using a questionnaire, we surveyed staff on existing feedback mechanisms and morale. We then introduced a system where staff recorded and commented on examples of excellence in practice. Recipients and their supervisors received copies of these reports and the feedback was analysed and discussed with senior staff (consultant, senior charge nurse, managers). We re-audited the staff two months after starting this project and noted improvements in staff morale and in positive reporting. Conclusions This project has improved the process of giving and learning from positive feedback and had a significant impact on staff morale. We can also demonstrate an example of improved clinical practice (from feedback received) and will now attempt to measure clinical outcomes with a new prospective study. Finally, we hope to set up a regional programme of reporting excellence in South-East Scotland.

Learning from Excellence to Improve Healthcare Services: The Experience of the Maternal and Child Care Pathway

“…The adopted methodology supports the introduction of the LfE model in healthcare as a tool to improve the performance of maternity services by motivating health professionals [2,8,9,26]. The innovation of our work consists of three aspects: the identification of the best practices based on a quantitative data analysis process, the qualitative analysis of the organizational determinants beyond excellent performances and the celebration of health professionals directly involved in the maternity pathway [19][20][21].…”

“…The present study investigates how the LfE model can be introduced in healthcare in a systematic and integrated way as an innovative tool to manage performance and boost the motivation of health professionals in order to improve health services [2,8,9]. More particularly, this paper aims at answering the following research question: can the LfE model be a management tool to improve healthcare system performance, when based on a benchmarking assessment process and reinforced by a reputation leverage?…”