2021 Curriculum learning syllabus: stage 3

Published: 23/02/2021

Safety and Quality Improvement

Stage learning outcomes

  • Supervises a local quality improvement project and participates in regional or national quality improvement projects
  • Uses a systems approach to creating, maintaining and improving safety

 Key capabilities

A

Identifies and supervises a quality improvement project, prioritising and evaluating measures and outcomes important to patients in a special interest area of anaesthetic practice

B

Explains how complexity theory applies to healthcare

C

Identifies levers and drivers and the principles of psychology underpinning change management that can be used to develop a shared purpose

D

Identifies and engages with stakeholders affected by potential change

E

Interprets the interplay between psychology, system, process and technical knowledge needed to implement change

F

Promotes a collaborative approach to delivering quality improvement utilising the principles of patient co-design when possible

G

Describes how to sustain improvement

H

Effectively evaluates the impact of a quality improvement intervention

I

Applies safety science principles and practice at individual, team, organisational and system levels

J

Uses measures of process reliability to monitor and improve safety

K

Predicts how system failures will create risks to patients

L

Uses a systems-based approach to proactively assess risk and in the investigation of safety incidents

M

Acts on national regulation and findings of national case studies in patient safety

N

Explains how organisational culture can influence failure or improvement in clinical practice

O

Analyses the strengths and weaknesses of safety interventions

P

Quantifies the effect of contextual factors on safety

Q

Addresses the limitations of the concept of ‘human error’ in incident investigations and responses

R

Mitigates against fixation error, unconscious and cognitive biases

Examples of evidence

Experience & logbook:
  • leadership of QI activities within the  Anaesthetic Department and experience of regional or national QI and risk assessment.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • leadership of local QI project and participation in regional or national QI projects (A-QIPAT)
  • presentation of QI project results
  • implementation of QI project outcomes
  • promotion of safety in theatre lists.
Personal Activities and Personal Reflections may include:
  • courses and e-Learning: quality improvement methodology, understanding risk, understanding professional interactions, change management, national patient safety legislation, human factors training, complexity theory, safety science
  • involvement with patient safety investigation such as root cause analysis
  • undertake mortality reviews
  • attendance and presentation at clinical governance meetings.

Cross links with other domains and capabilities

  • Professional Behaviours and Communication
  • Management and Professional and Regulatory Requirements
  • Team Working
  • all specialty specific domains.