Evidence map›Paper›PMID 40176056›Full record

Observational studyBMC health services research2025

Implementing Learning from Excellence in a postanaesthesia care unit: a qualitative study of healthcare professionals' experiences after six months.

Gørill Birkeli, Ellen Catharina Tveter Deilkås, Randi Ballangrud, Anne Karin Lindahl

Registry-linked trialAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05794490 (Continuous Learning to Increase Patient Safety - A Multi-method Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05794490 completednot on this map

Continuous Learning to Increase Patient Safety - A Multi-method Study

TypeobservationalSponsorUniversity Hospital, AkershusRan2022 to 2024Enrolled24ConditionsHealth Personnel, Resilience, Patient Safety, LearningArmsLearning from excellence
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Gørill BirkeliDivision of Surgery, Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. gobi@ahus.no.ORCID http://orcid.org/0000-0003-4212-3802
Ellen Catharina Tveter DeilkåsHealth Services Research Unit, Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway.ORCID http://orcid.org/0000-0001-6527-5636
Randi BallangrudFaculty of Medicine and Health Sciences, Department of Health Sciences, Norwegian University of Science and Technology, Teknologivegen 22, Gjøvik, Norway.ORCID http://orcid.org/0000-0003-0403-0509
Anne Karin LindahlDivision of Surgery, Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway.ORCID http://orcid.org/0000-0001-5148-0639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevailing efforts to ensure patient safety have primarily focused on learning from errors and adverse events (Safety-I). However, it is advocated that complex systems also learn from success (Safety-II) and focus on healthcare professionals' well-being at work to increase resilience. Learning from Excellence is a British initiative designed to learn from successful practices and provide positive feedback to the staff. It has gained enthusiastic followers in several countries, including Norway. However, how it influences learning, well-being and quality improvement, has not been studied in-depth. This study intends to address these gaps. Thus, this study aimed to describe healthcare professionals' experiences with Learning from Excellence six months after its implementation in a postanaesthesia care unit.

methodsA qualitative descriptive design was applied. Learning from Excellence was implemented in a postanaesthesia care unit of a Norwegian university hospital between November 2022 and May 2023. Six semi-structured focus group interviews were conducted, from May to June 2023, with a convenience sample of nurses (n = 17) and physicians (n = 7). The data were analysed through inductive reflexive thematic analysis. The study adhered to the COREQ guidelines.

resultsThis study reports four prominent themes encapsulating healthcare professionals' experiences with Learning from Excellence. These themes were termed as follows: 1) 'Facilitates a more positive working climate', including sub-themes 'Helps spread positive feedback' and 'Feeling seen and motivated'; 2) 'Why don't I get any 'likes'?'; 3) 'Organisational learning is challenging', including sub-themes 'Hesitating to report' and 'Provides mostly superficial learning'; and 4) 'Success inspires quality improvement project'.

conclusionsImplementing LfE mostly contributed to a positive working climate in a postanaesthesia care unit. For LfE to be worth implementing, it is essential to improve organisational learning, while minimising the negative effects of LfE, such as exclusivity issues.

trial registrationClinicalTrials.gov NCT05794490; first registered on March 4, 2023.

Indexed as

Attitude of Health PersonnelHealth PersonnelLearningQuality ImprovementAdultFemaleFocus GroupsHumansMaleMiddle AgedNorwayPatient SafetyQualitative ResearchAdverse eventsFocus groupsLearning health systemPatient safety climatePatient safety culturePostoperative careQuality improvementResilienceSafety management

Identifiers

PMID40176056
PMCPMC11966875

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.