Lecture critique – Apporter des améliorations au système à travers l’expérience du terrain : le rôle du « Bedside Learning Coordinator »

Ana Luisa Van Innis

Ana Luisa Van Innis

Quality and safety officer – Plateforme pour l’amélioration continue de la qualité des soins et de la sécurité des patients (Paqs) – Clos Chapelle-aux-Champs 30 – Bte 1.30.30 – 1200 Bruxelles – Belgique Autres articles de l'auteur dans Risques et qualité Articles dans PubMeb
Ana Luisa Van Innis

Lecture critique – Apporter des améliorations au système à travers l’expérience du terrain : le rôle du « Bedside Learning Coordinator »

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Résumé

Titre de l'article sujet de la Lecture critique : Shand J1,2, Allwood D3,4, Lee N5, Elahi N6, McHenry I7,8, Chui K9, Tang S10, Dawson-Couper Z11,12, Mountford J13, Bohmer R14. Systematically capturing and acting on insights from front-line staff: the ‘Bedside Learning Coordinator’. BMJ Qual Saf. 2021 Feb 5:bmjqs-2020-011966. Doi : 10.1136/bmjqs-2020-011966. 1- UCLPartners – London – United Kingdom (UK) 2- Department of Applied Health Research – University College London – London – UK 3- Medical Directors Office – Imperial College Healthcare NHS Trust – London – UK 4- Improvement Directorate – The Health Foundation – London – UK 5- Burns Unit – Queen Victoria Hospital NHS Foundation Trust – East Grinstead – UK 6- Department of Anaesthesia – The Royal National Orthopaedic Hospital NHS Trust – Stanmore – UK 7- Department of Adult Nursing – King’s College London – London – UK 8- Transplant – Renal and Urology – Guy’s and St Thomas’ Hospitals NHS Trust – London – UK 9- Trauma and Orthopaedic Surgery – Barking Havering and Redbridge Hospitals NHS Trust – Romford – UK 10- Department of Anaesthesia – Royal Free London NHS Foundation Trust – London – UK 11- Queen Alexandra Royal Army Nursing Corps – British Army – Camberley – UK 12- Defence Primary Healthcare – Colchester Group Practice – Colchester – UK 13- Medical Directorate – Royal Free London NHS Foundation Trust – London – UK 14- Nuffield Trust – London – UK


Insights from front-line staff are generally agreed to be vital for informing quality improvement. However, health services often struggle to gather internal experience-based insights from staff systematically. When such data are collected, standard, systematic mechanisms are often lacking to act on the insights the data convey. To better exploit this potentially rich source of insights we propose that health services invest in a systematic mechanism to gather data from front-line experience. We trialled one such mechanism, the « Bedside Learning Coordinator » (BLC) at the National Health Service (NHS) Nightingale Hospital London (Nightingale), a field hospital established in an exhibition centre to provide additional ventilated bed capacity for London’s patients with Covid-19.

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