Team Based Quality Reviews (TBQR) for Surgical Practice
RCSEd Communications Team
The Teams Based Quality Review for Surgical Practice (TBQR) course aims to develop a surgical workforce that is equipped in concepts of safety and quality reviews, using updated safety science. Course Director Mr Manoj Kumar looks at the course in more detail, outlining who it is aimed at, why it is relevant and more.
Team Based Quality Reviews (TBQR) is a generic term for traditional multi-professional team learning activities such as mortality and morbidity meetings (M&M), significant event analysis reviews or safety huddles, which typically take place routinely across health and care sectors. The terminology TBQR was coined to emphasise the point that there are significant learning to be gained through a structured process of social enquiry and from a wide range of “events” which goes beyond mortality or complications. The TBQR process uses updated safety sciences and Human Factors principles to understand daily work, identify strengths and weaknesses of the system we work in and improve learning and outcomes. The importance of seeking multiple perspectives and specifically actively engaging with patients or families and the teams involved in care, to build resilient systems is prioritised in TBQR.
Why do we need it?
Irrespective of our roles or where we work, outcomes in healthcare are dependent on multiple complex interactions between individuals, teams, and rapidly advancing technology and treatment modalities. This complexity is compounded by finite, limited or dwindling resources. Teams require to be ever more flexible in adapting to the rapidly evolving environments they work in, with increasing pressures and expectations. These elements demonstrate the need for rapid transfer of vital information of how we work and how we can ensure efficient and effective learning as well as target improvement initiatives.
TBQR provides a platform to not only address these challenges but also demonstrates the value of gaining different perspectives though a rapid, structured and robust review process. This is achieved using updated safety science to facilitate developing and sustaining resilient systems. TBQR is designed to create a safe space to speak up, to improve patient safety and wellbeing of those delivering care. It functions as a key resource to learning and learning modalities, and professional development.
TBQR for Surgical Practice Course
There are two components to this course, as follows:
- An online training module which supports the learner in their understanding of the TBQR process, its underlying principles and provides an overview of designing quality and safety review pathways.
- A one-day face-to-face workshop which involves interactive lectures on core topics relevant to safety reviews and practical work. Speakers and faculty include renowned experts in Human Factors, Systems Thinking and Just Culture. The General Medical Council will also be providing an overview from a regulators perspective.
Who is this course for?
This course is open to everyone working in surgical specialities and is especially focused on those who are chairing, leading or involved in any form of safety reviews including Mortality and Morbidity meetings.
How can this course influence or impact your practice?
This course is for you:
- If you are keen to better understand how you can improve outcomes and your working environment.
- If you are interested in improving your understanding of Human Factors, Systems Thinking and application of its principles in your clinical practice.
- If you would like to learn more about analysis frameworks underpinned by an understanding of Systems Thinking, Just Culture and Psychological Safety.
- If you share our curiosity on how we can improve learning opportunities in our teams or organisation, incorporating good governance and a positive team working environment.
- If you have ever sat in an M&M meeting and wondered why similar themes or “events” keep cropping up and what it is that you and your team can do to have meaningful impact on positive change and build resilient systems.
- If you wish to join a network of like-minded surgeons and health care professionals to exchange learning and ideas around improving outcomes in practice.
This TBQR Course also provides you with access to a wider learning resource, incorporating access to a Virtual Learning Environment, an e-learning module, a renowned faculty with expertise on Systems Thinking, Human Factors and safety science, as well as opportunity to interact with surgical colleagues from around the globe with a similar interest.
Keep an eye on the course's Hub Page for upcoming dates.
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