*Knowledge Award QI to Lead Organisational Change 2025 Champion* Improving patient safety through reporting incidents, learning and implementing change
17 October 2025
In this award-winning case example, the Linnaeus Medical Quality Team demonstrates how they supported their practices in embedding a culture of psychological safety through the reporting of safety incidents and near misses by practice teams. They used error and near-miss data to understand risks to patients at a group level and implement guidance and actions to improve patient safety. Individual teams were empowered to make improvements in their local practice settings, and reporting rates increased from 86% to 100%, with an increased rate of full significant event audits and reviews from 55% to 80%.
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