Among the most important attributes of an effective learning systems is its ability to provide continuous quality personalized feedback to the learner.
Some of the main elements of their program include having a quality manager, a functioning quality assurance committee, an information management system, performance standards and outcome measures, measurement tools, regular audits, continuous quality monitoring, feedback from the clients, international accreditation audits, and specific financial resources for quality assurance.
The ClASS framework allowed for continuous quality improvement through feedback collected about reviewers and ClASS processes.
Whereas success in strictly medical models is traditionally defined through calculation of inputs, outputs, and outcomes obtained at the conclusion of a project, a public health model encourage continuous quality improvement via feedback loops throughout the iterative stages of design, planning, implementation, and evaluation.
In a similar manner, the patient safety surveys are not a means to quality improvement alone, but instead are part of a larger process of organisational learning and continuous quality improvement, which incorporates feedback loops and the constant analysis of data.
Real time reminders, provider audits, feedback and continuous quality improvement activities have been recommended [ 43].
However, for training and non-training settings alike, multiple quality assessments within continuous quality systems such as ongoing accreditation, provide detailed feedback on practice organization and care and highlights quality deficits that need to be addressed.
In particular, the audit and feedback component provides one model for continuous quality monitoring and improvement, an essential part of quality implementation of guidelines.
