AimsAchieving Clinical Excellence (ACE) meetings replaced the traditional morbidity and mortality meetings in a local paediatric department in 2018. This allowed learning to be drawn from positive aspects of care and to develop a Safety-II1 approach to patient safety. This project utilised an e-newsletter to disseminate the learning from ACE meetings with supplementary educational content. A secondary goal was to boost staff morale through celebrating excellence in the workplace.MethodsA trainee-led editorial team was established at induction to create content for a celebratory and educational monthly e-newsletter. A free online design and publishing platform was utilised to allow for input from multiple editors and contributors. It was co-ordinated by a senior registrar with supervision from a consultant. The broad sections included:Learning from cases – the case–mix ranged from common paediatric presentations to tertiary–level retrieval cases. Content included examples of excellent clinical practice, current guidelines, theoretical knowledge, practical skills refreshers and MRCPCH exam tips.Public Health information – featuring a ‘Health Promotion Post–it’.Self–care and resilience – useful tips to thrive and enjoy work.Positivity and team celebrations – compliments were published directly from the ‘Gold Star’ board, a positivity board where any staff member’s everyday achievements can be highlighted. Departmental events and socials were advertised.ResultsOver a twelve month period, eleven ACE e-newsletters were created and disseminated across the Trust’s two sites. In the latest edition, medical students were supported by the editorial team to have features in the newsletter. Other departments are expressing an interest in producing their own e-newsletter. After encouraging informal feedback following each edition, the team are currently collecting more formalised feedback via survey.ConclusionEmpowering trainees to lead on projects like the ACE e-newsletter enables them to educate and inspire others through shared learning. The newsletters have attracted significant praise from other departments within and across the Trust. Trainees are leading their Paediatric department through a cultural change by utilising Appreciate Inquiry techniques (learning by recognising ‘the things that go well’ rather than solely identifying errors) thereby learning more holistically from patient safety issues or events.ReferenceHollnagel E., Wears R.L. and Braithwaite J. From Safety-I to Safety-II: A White Paper. [Online]Available at: https://www.england.nhs.uk/signuptosafety/wp-content/uploads/sites/16/2015/10/safety-1-safety-2-whte-papr.pdf...

G379 Achieving clinical excellence educational newsletter

10.1136/archdischild-2020-rcpch.324