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This study used patient and staff experience to co-design a reflective learning framework and toolkit of interventions, to help health-care staff obtain meaningful feedback and stimulate effective reflective learning.

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Julian Bion 1,*, Olivia Brookes 2, Celia Brown 3, Carolyn Tarrant 4, Julian Archer 5, Duncan Buckley 6, Lisa-Marie Buckley 6, Ian Clement 7, Felicity Evison 8, Fang Gao Smith 9, Chris Gibbins 10, Emma-Jo Hayton 11, Jennifer Jones 4, Richard Lilford 12, Randeep Mullhi 13, Greg Packer 13, Gavin D Perkins 14, Jonathan Shelton 7, Catherine Snelson 11,13, Paul Sullivan 15, Ivo Vlaev 16, Daniel Wolstenholme 17, Stephen Wright 7,

1 Department of Anaesthesia & Intensive Care Medicine, University of Birmingham, Birmingham, UK
2 University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
3 Population Evidence and Technologies, University of Warwick, Coventry, UK
4 Social Science Applied to Healthcare Improvement Research (SAPPHIRE) Group, Department of Health Sciences, University of Leicester, Leicester, UK
5 Royal Australasian College of Surgeons, Melbourne, VIC, Australia
6 Patient and Public Involvement Representative, Birmingham, UK
7 Critical Care, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
8 Informatics Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
9 Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK
10 Acute Medicine, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
11 Acute Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
12 Warwick Centre for Applied Health Research and Delivery, University of Warwick, Coventry, UK
13 Critical Care, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
14 Critical Care Medicine, Warwick Medical School, Warwick Clinical Trials Unit, University of Warwick, Coventry, UK
15 Acute Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
16 Behavioural Science Group, University of Warwick, Coventry, UK
17 National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Yorkshire and Humber, Sheffield, UK
* Corresponding author Email: j.f.bion@bham.ac.uk

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