Promoting Learning, Safety, and Improvement in Clinical Teams

Team Based Quality Reviews (TBQR) provide a structured, evidence-based approach to team learning in clinical practice. Building on existing processes such as morbidity and mortality (M&M) meetings and significant event analyses, TBQR supports whole-team reflection from the point of an event through to shared learning, meaningful actions, addressing unintended consequences and follow-up for improvement.

This one-day course, developed in partnership with NHS Education Scotland, RCSEd and the GMC, equips healthcare professionals with the tools, frameworks, and strategies needed to embed TBQR into clinical practice. Participants will gain practical skills in implementation strategies, analysing events, identifying meaningful actions, and overcoming barriers—such as time, resources, and system alignment.

Designed for colleagues leading or interested in safety reviews, or seeking to improve daily work practices, this course provides an opportunity to enhance the understanding, and application of Human Factors and Systems Thinking into practice. It explores how TBQR can be used not only to learn from harm, but also from success, innovation, and complexity in care delivery. This course provides delegates with an opportunity to join a wider network of professionals and learn from areas of good practice across the globe.

By supporting collective learning and psychological safety, TBQR strengthens team performance, staff wellbeing, and organisational resilience, ultimately advancing safe, effective, and sustainable healthcare.

Target Audience

Surgeons and health care professionals leading safety reviews or team based review meetings, including mortality and morbidity meetings. Currently aimed at ST3 onwards but applications are encouraged from interested individuals.

Learning Style

There are two components to this course, as follows:

• Online / e-Learning training module. This pre-workshop module supports the learner in their understanding of the TBQR process, its underlying principles and provides an overview of designing quality and safety review pathways.

• Face-to-face workshops which will involve interactive lectures on core topics relevant to safety reviews and practical work.

Aims & Objectives

To equip surgeons and the healthcare workforce with the knowledge, skills, and implementation strategies to design, lead, and participate in Team Based Quality Reviews (TBQR), grounded in contemporary safety science and Human Factors principles. The course complements existing national safety review policies and frameworks, fostering a culture of learning, improvement, and understanding of resilience in systems.

Learning Outcomes

By the end of the course, participants will be able to:

Explain the purpose, principles, and practical relevance of Team Based Quality Reviews (TBQR) within health and care settings.
Describe and map a TBQR process tailored to their own team or organisation, applying Human Factors principles to enhance learning and safety.
Apply Systems Thinking and appropriate analytical frameworks to review cases in TBQR, M&M meetings, or similar review and reflective practices.
Demonstrate the use of the TBQR process in a simulated scenario to identify system strengths, vulnerabilities, and strategies to build resilience within the system.
Evaluate, plan, and apply implementation strategies to embed TBQR in their workplace in order to:

Enhance learning and innovation
Advance training
Focus resources where required
Improve staff wellbeing
Promote psychological safety
Engage patients and families

Core Faculty

Manoj Kumar (Course Director)

Additional Information

This is a one-day course, with a requirement to complete an online, 50-minute pre-course course training module.

If you do not have an existing online account, you need to register and create an account for free at the time of booking.

Frequently Asked Questions

What is RCSEd’s course cancellation policy?

What happens if RCSEd cancels a course I am booked on?
Occasionally, RCSEd may need to cancel a course due to unforeseen circumstances or if it is not financially viable to run. If this happens, we will notify you as soon as possible and issue a full refund of any course fees paid.

Please note that RCSEd will not be liable for any additional costs such as travel or accommodation. We recommend arranging appropriate travel insurance to cover any non-refundable expenses.
What happens if I need to cancel my place on a course I am booked?

If you cancel within 48 hours of booking, you will receive a full (100%) refund.

Cancellations made more than four weeks before the course date will be refunded, minus a 20% administration fee.

If you cancel less than four weeks before the course date, after the course has started, or fail to notify us, the full course fee will be charged, and no refund will be given. However, if you have a valid reason and can provide supporting evidence, you may be eligible for an 80% refund, subject to approval.

Please note that course places are non-transferable. Many of our courses have waiting lists, and we are committed to offering any available places to those on the list.

Should you have any further questions, the Education Team can be contacted on 0131 527 1600 or by email to education@rcsed.ac.uk.

Can I cancel a course booking online?

NO, cancellations must be made directly with the education team via phone or email. (Email: education@rcsed.c.uk or phone 0131 527 1600)

Can I transfer to another date for the same course?

No – we do not offer the option to defer or transfer your place to a later date or an alternative course.

How do I book a place on an RCSEd course?

You can book a place for all our courses by visiting the RCSEd Website, https://www.rcsed.ac.uk/events-courses and selecting the course you wish to book. Please note that you will need to register and create an account with the College of Surgeons in order to book.

Please be aware that creating an account is free and open to non-members.

For some regional and international courses, you will need to book directly with the centre. Please check individual courses for details.

What payment methods do RCSEd accept?

Visa and MasterCard are accepted on the RCSEd website.

All course bookings will receive a booking confirmation email: this email acts as your receipt.

Request an Invoice: If your course fees will be paid by a third party (eg trust, hospital, charitable fund) and they wish to be invoiced then they must provide us with an official purchase order. We are unable to process applications without this.

The purchase order should be submitted with the application form and can be emailed to education@rcsed.ac.uk. Please note that we can only invoice organisations and not individuals. Please check with your hospital or trust, as some may require you to pay yourself and then claim the money back.

Teams Based Quality Review for Clinical Practice (TBQR)

Key Facts