In an international healthcare organization, the development and implementation of the Affidea Incident Management System (AIMS)plays a significant role in preventing failures and supporting collective learning, however, adverse incidents account for the minority ofhealthcare interactions1. Learning from what goes well is equally important to improve quality, increase personnel engagement andoptimize patient experience2. A digital Affidea Learning from Excellence System (ALES) was developed to run alongside AIMS across 273 centers in 16countries.
Methods and materials
A policy defining best minimum standard for learning and communicating excellence based on the principles of Dr. Adrian Plunkett3was introduced in the network in October 2018. A Standard Operating Procedure (SOP) outlining processes and responsibilities and a guideline establishing the method of communication of excellence in 16 languages were launched in the network in paper format. To migrate this system to a digital platform, a clinical, operational and digital teams working group was formed. The pathways outlined in the SOP were converted into a process...
ALES is a web-based application and database in 16 languages to promote excellence. The excellence reports are completedby personnel for peers and named individuals receive an anonymous copy of the report following approval of the quality manager. The Excellence Report is shared by the country quality manager with the excellence nominee, his/her manager, the group human resources manager, group quality manager and group clinical governance lead.
To collate and analyse the data registered in ALES, aPowerBI based analytics tool was used to create a dashboard...
AIMS and ALES have been developed to jointly support learning, improve patient care and safety and personnel morale.
Personal information and conflict of interest
K. Katsari; Amsterdam/NL - nothing to disclose R. Illing; Budapest/HU - nothing to disclose
Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517–19.
Lawton R, Taylor N, Clay-Williams R, et al. Positive deviance: a different approach to achieving patient safety. BMJ Qual Saf 2014;23:880–3.
Kelly N, et al. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child September 2016 Vol 101 No 9.
Hixson R, et al. Excellence Reporting – Learning from ’the good stuff’. HSJ December 2017.