Oupa S. Motshweneng’s Post

For the past few years we have been experimenting with different ways of thinking and doing in the implementation of South Africa's Ideal Clinic QI initiative. In this recent paper, co-authored with Lucy Gilson, Beth Engelbrecht and Alfonso Patientia, we share lessons learnt from using a three-pronged approach to strengthen and leverage the implementation of the initiative to support learning and continuous improvement. The approach focused on 1) trusting relationships, 2) reflexive assessment and 3) collective sense-making & collaboration. The key messages from this experience are: *In an environment of trusting relationships, psychological safety, reflexive processes and collaboration, healthcare standards-based QI initiatives can provide powerful avenues for learning and meaningful change.   *However, leveraging these sorts of QI initiatives, such as the Ideal Clinic, requires recognising and grappling with the underlying complex realities of healthcare delivery, as well as the social and micropolitical dimensions of QI.   *A rigid focus on centrally pre-determined targets without recognising and addressing underlying system and process challenges can result in negative unintended consequences and actually undermine learning and improvement efforts.   *Rushed and undue pressure on healthcare facilities to comply with standards, coupled with unrealistic expectations and lack of sufficient support, can lead to artificial compliance with limited value for the quality of care.   #districthealthsystem #learninghealthsystems #systemsthinking #healthcarestandards #qualityimprovement https://lnkd.in/dFM42Sa5

Dr Sabelile T.

Research Coach, Mentor, Public Health Specialist, Health Systems & Policy Researcher, Quality & Patient Safety Advocate, FISQua

11mo

Wow Oupa, to God be the Glory, you are working very hard , I have patiently waited for this paper. You presented it so well last year at the Africa Health , and with so much passion. I am so proud of you. Thank you for referencing my 2 papers on Ideal Clinic Initiative.

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