What role for learning health systems in quality improvement within healthcare providers?

Foley, Tom; Vale, Luke

doi:10.1002/lrh2.10025

Cited by 71 publications

(79 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recent discussions on learning healthcare systems36 have brought this out clearly, noting that clinical practice is increasingly intertwined with research 37. In such a system, gathering beneficial knowledge for society is seen as an intrinsic feature that both patients and healthcare professionals participate in 18…”

Section: Proposed Solutionsmentioning

confidence: 99%

Low risk pragmatic trials do not always require participants’ informed consent

Dal‐Ré

Avendaño-Solá

Bloechl-Daum

et al. 2019

BMJ

View full text Add to dashboard Cite

show abstract

Section: Proposed Solutionsmentioning

confidence: 99%

Low risk pragmatic trials do not always require participants’ informed consent

Dal‐Ré

Avendaño-Solá

Bloechl-Daum

et al. 2019

BMJ

View full text Add to dashboard Cite

show abstract

“…The literature search used identical plain language search terms as Foley and Vale36: ‘LHS’ and ‘learning healthcare system’ drawing articles from Scopia, Science Direct, PubMed, EBSCOhost, DOAJ and Elsevier ( n = 1083). These works were all authored in the decade since the IoM’s initial LHS report 7 Figure 2.…”

Section: Methodsmentioning

confidence: 99%

“…The IoM promoted EBM as the primary driver for LHS,7 yet their definition fails to describe LHS attributes which contribute to quality, safety, efficiency and effectiveness of patient care 36. The four fundamental attributes37 listed in Figure 1 provide tangible metrics to compare and contrast LHS efforts.…”

Section: Introductionmentioning

confidence: 99%

“…The absence of a unifying framework means the domain is yet to generate a necessary critical mass, limiting efforts to resolve barriers and challenges to the adoption of LHS and constraining funding availability. We were only able to identify one primary article that attempted to consolidate and analyse the current state of knowledge in LHS 36. We extend that effort drawing on a larger collection of works to establish a unifying framework for LHS.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Heimdall framework for supporting characterisation of learning health systems

McLachlan¹,

Potts

Dube

et al. 2018

BMJ Health Care Inform

View full text Add to dashboard Cite

BackgroundThere are many proposed benefits of using learning health systems (LHSs), including improved patient outcomes. There has been little adoption of LHS in practice due to challenges and barriers that limit adoption of new data-driven technologies in healthcare. We have identified a more fundamental explanation: the majority of developments in LHS are not identified as LHS. The absence of a unifying namespace and framework brings a lack of consistency in how LHS is identified and classified. As a result, the LHS ‘community’ is fragmented, with groups working on similar systems being unaware of each other’s work. This leads to duplication and the lack of a critical mass of researchers necessary to address barriers to adoption.ObjectiveTo find a way to support easy identification and classification of research works within the domain of LHS.MethodA qualitative meta-narrative study focusing on works that self-identified as LHS was used for two purposes. First, to find existing standard definitions and frameworks using these to create a new unifying framework. Second, seeking whether it was possible to classify those LHS solutions within the new framework.ResultsThe study found that with apparently limited awareness, all current LHS works fall within nine primary archetypes. These findings were used to develop a unifying framework for LHS to classify works as LHS, and reduce diversity and fragmentation within the domain.ConclusionsOur finding brings clarification where there has been limited awareness for LHS among researchers. We believe our framework is simple and may help researchers to classify works in the LHS domain. This framework may enable realisation of the critical mass necessary to bring more substantial collaboration and funding to LHS. Ongoing research will seek to establish the framework’s effect on the LHS domain.

show abstract

“…Praktikarkitekturer kan tillföra djupare förståelse om specifika kliniska mikrosystem och däri utveckla möjligheterna att integrera lärande, förändring och praktik. Ramverket praktikarkitekturer är i samklang med utvecklingen inom förbättringsvetenskapen där betydelsen av lärande hälso-och sjukvårdssystem i ökande grad uppmärksammats (Foley & Vale, 2017).…”

Section: Underläkares Lärandepraktik I Hälso-och Sjukvårdspraktikerunclassified

Läkare, lärande och interaktion i hälso-och sjukvårdspraktiker

Thörne¹

View full text Add to dashboard Cite

What role for learning health systems in quality improvement within healthcare providers?

Abstract: Introduction: Recent decades have seen a focus on quality in healthcare. Quality has been

Cited by 71 publications

References 12 publications

Low risk pragmatic trials do not always require participants’ informed consent

Low risk pragmatic trials do not always require participants’ informed consent

The Heimdall framework for supporting characterisation of learning health systems

Läkare, lärande och interaktion i hälso-och sjukvårdspraktiker

Contact Info

Product

Resources

About