Quality improvement is a process aimed at learning from adverse events and is an important part of a "just culture of safety," a culture in which healthcare providers are committed to providing the safest possible care to patients. Quality improvement demonstrates a shared commitment to learn and to make improvements, while protecting the interests of both patients and healthcare providers.
In the policy paper "Learning from adverse events: Fostering a just culture of safety in Canadian hospitals and health care institutions" and the article "Just culture of safety: How to report and participate in reviews of adverse events" the CMPA provides guidance on reporting adverse events and conducting quality improvement reviews and accountability reviews in hospitals and institutions.
The article "Just culture of safety: Why protecting quality improvement reviews is important for everyone" explores why patient safety experts consider the quality improvement review to be an effective approach for improving patient safety.
The article "Why a change in culture will improve patient safety" explores the characteristics of a "just culture of safety" which includes the commitment to learn from adverse events and close calls and a process to determine appropriate accountability for system failures and issues with provider performance.