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Canadian Patient Safety Institute

Safe care....accepting no less​

The Canadian Patient Safety Institute (CPSI) has over 10-years of experience in safety leadership and implementing programs to enhance safety in every part of the healthcare continuum.​

SHIFT to Safety

 

Improving patient care safety and quality in Canada requires everyone’s involvement—SHIFT to Safety gives you the tools and resources you need to keep patients safe, whether you are a member of the public, a provider, or a leader.


 

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Our Programs​

 CPSI Latest News

 

 

Patient Safety Power Play: Meeting with the Council of Federation9564Patient Safety Power Plays Today in Canada, every 17 minutes someone dies in a hospital from an adverse event. That's about 31,000 people a year. We also know 1 out of 18 hospital visits results in preventable harm or even death. It's no better in the community, where up to 13 per cent of people receiving home care experience a harmful adverse event like a fall or medication error. According to a June 2017 report from the Organization for Economic Co-operation and Development, the economic burden of adverse events in Canadian hospitals in 2009-2010, where the burden attributable to preventable adverse events was estimated at $ 397 million. This level of harm is simply unacceptable. The Canadian Patient Safety Institute (CPSI) hopes that the Council of the Federation, composed of Canada's premiers, will make patient safety promotion a priority. As policy makers and elected officials gathered in Edmonton during the Council of the Federation last month to make difficult decisions about where to invest money, I was fortunate to have the opportunity to stress the point to them that the work of the Canadian Patient Safety Institute is critically important for preventing harm from happening, responding to harm when it does happen and learning from harm so that it doesn't happen again. In the months ahead, as we near a decision from Health Canada regarding our future funding, we look forward to close collaboration with all levels of governments and the stakeholder community, so all Canadians can access safe healthcare. Since 2003, CPSI has been on the front lines, working with providers and healthcare organizations to improve patient safety through education, research, and evidenced-based clinical interventions. We've received excellent support from Health Canada and both federal and provincial governments over the years, but the reality is we need more to ensure Canada has the safest healthcare system in the world. CPSI is the only national organization solely dedicated to reducing preventable harm and improving the safety of healthcare. Established as the result of a rallying cry led by dedicated individuals working within the healthcare system that couldn't experience one more incident of a patient getting harmed CPSI has a mandate to provide national leadership by working with federal, provincial and territorial leaders on developing evidence based tools and resources to educate and inspire safer care. In order to continue our mandate, we're looking for support from throughout the healthcare system, if you'd like to lend a voice to our cause, please reach out to me via email at cpower@cpsi-icsp.ca to learn more about how you can help. Thank you. Yours in patient safety, Chris Power8/3/2017 6:00:00 AMToday in Canada, every 17 minutes someone dies in a hospital from an adverse event.  That's about 31,000 people a year. We also know 1 out of 188/3/2017 10:04:28 PMhttp://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Home Care Safety Update – Collaborative hitting their stride9493Patient Safety News ​Wave Two of the Home Care Safety Improvement Collaborative is well under way. Teams have begun refining Aims and identifying measures to guide their work. Individual coaching sessions with each team are being facilitated by CPSI staff in collaboration with CHCA. These sessions help teams identify plan and test change ideas designed to make care safer. Collaboration between teams is starting to develop and teams that are working on similar concepts have recently been paired up to evaluate and provide feedback on each other's work. Future sessions will be more interactive and leverage the connections already made. 6/28/2017 6:00:00 AMWave Two of the Home Care Safety Improvement Collaborative is well under way.  Teams have begun refining Aims and identifying measures to guide7/10/2017 2:43:38 PMhttp://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
IPAC Update – STOP! Clean Your Hands Day raises IPAC to new heights9518Patient Safety News As part of the IPAC IAP, CPSI is actively addressing the goal of improving infection prevention and control using strategies known to improve behaviour and culture. This has been accomplished through a national campaign aimed at public, patients and providers, focusing on raising awareness and promoting behaviour change. As part of this work, CPSI has hosted with our partners, the annual Stop! Clean Your Hands Day campaign for Canada. The theme for STOP! Clean Your Hands Day, May 2017, was Ask Yourself… Making a change to your behaviour can be as simple as asking yourself a question and understanding that change doesn't need to be a burden. Small, incremental changes can lead to big things. Not only can you improve your own practices, you're setting a great, easy to follow example for everyone around you! Whether you're a patient, provider, or work in a healthcare setting – if you're involved in the healthcare system, take the time to have a conversation with yourself and ask what you can change today to improve for tomorrow. The campaign boasted a multifaceted engagement platform including a national webinar "Making it stick when asking, telling and begging just isn't enough", sold out with 383 attendees, a social media tending quiz entitled "How Clean are Your Hands", aimed at raising hand hygiene awareness for providers and the public, and a video competition focused on the theme of Ask Yourself. Of the 18 videos submitted from across Canada, we are pleased to report submissions from patients and families.6/28/2017 6:00:00 AMAs part of the IPAC IAP, CPSI is actively addressing the goal of improving infection prevention and control using strategies known to improve6/28/2017 2:47:46 PM147http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Medication Safety Update – Patient engagement key to medication safety success9558Patient Safety News Patient engagement has been and will continue to be crucially important to the progression and success of the Medication Safety Action Plan. Over the past quarter, two notable examples of progress stand out Through the Joint Statement of Action to Address the Opioid Crisis, the Institute for Safe Medication Practices Canada, Canadian Patient Safety Institute and Patients for Patient Safety Canada are working to empower patients to improve their knowledge about the use of opioids and options for non-medication treatment of pain. Recently, an information handout was developed and released that should be provided for patients with every opioid prescription. Click here to access this tool! The handout has already been endorsed for use by the Neighbourhood Pharmacy Association of Canada and Pharmasave. The Canadian Centre for Substance Abuse is coordinating progress reporting for all of the commitments made at the Opioid Summit. Click here to read the first progress report. Promotion, endorsement, dissemination and support for the 5 Questions to Ask About your Medications tool continues to expand across Canada and internationally. Over 70 organizations and regional health authorities have formally endorsed for use within their organizations (primary, community, acute and long-term care facilities) and the tool has been translated into over 15 languages. It continues to get international interest and the action team is committed to making the tool available at all points of in the health system where medications are prescribed and administered. Heading into 2017/18, the plan is well positioned for success by continuing to focus on our goals and sustaining impact and momentum of completed actions.6/28/2017 6:00:00 AMPatient engagement has been and will continue to be crucially important to the progression and success of the Medication Safety Action Plan. Over the6/28/2017 2:42:35 PMhttp://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Holland Bloorview’s Quality, Safety and Performance team recognized for advancing effective partnerships between clients and families, and clinicians9487Patient Safety News (Left to right) Sonia Pagura – Sr. Director Quality, Safety and Performance; Adrienne Zarem – Family Leader; Nicholas Joachimides – Manager of Patient Safety; Elena Garisto – Quality Coordinator; Laura Oxenham-Murphy – Manager of Quality; Julia Hanigsberg – President & CEO; Diane Savage – VP, Programs & Services; and Alifa Khan – Family Leader Holland Bloorview Kids Rehabilitation Hospital received honourable mention for the 2017 Patient Safety Champion Award for organizations. Presented annually by the Canadian Patient Safety Institute, HealthCareCAN, and Patients for Patient Safety Canada, the Patient Safety Champion Award recognizes volunteers and organizations that are taking a leadership role in ensuring that clients and families are at the centre of patient safety initiatives. At Holland Bloorview Kids Rehabilitation Hospital, it goes without saying that clients and families are partners in care and decision-making. The hospital's Quality, Safety and Performance (QSP) team is no exception, partnering deeply with clients and families to advance quality and safety. Their resolve was twofold. Firstly, to exceed compliance with Accreditation Canada's client and family centred care (CFCC) standards, an integral component of the Qmentum accreditation program. CFCC is an approach that fosters respectful, compassionate, culturally appropriate, and competent care that responds to the needs, values, beliefs, and preferences of clients and their family members. Secondly, to partner with the Canadian Patient Safety Institute to update and contribute to existing learning modules in the Patient Safety Education Program (PSEP – Canada). This partnership was anchored in the belief that providing knowledge and skills would ensure that clients and families felt better prepared to contribute to patient safety initiatives. Holland Bloorview has developed an innovative and original framework that fully integrates 17 family and youth leaders into its Accreditation Steering Committees and working groups across the hospital to drive improvement. The Family Leader Accreditation Group (FLAG) is a formalized committee where staff and family leaders are partnered as equal members on six accreditation teams who meet, update and share quality and safety initiatives. The FLAG model provides the opportunity for patients and families to share their insights, expertise and lived experiences in patient safety. This perspective allows for healthcare providers to recognize and identify safety improvement standards and services that can be made in alignment with clients and families. To ensure FLAG members and staff were prepared and successful in the accreditation partnership, the QSP team provided both groups with tools and training. Toolkits were developed outlining the purpose of the partnership and highlighting everyone's roles and responsibilities to ensure staff and families worked together cohesively. In addition, Holland Bloorview provided multiple orientation and training sessions to staff and family leaders on how to effectively engage and partner within their accreditation teams. This included supporting the staff leads in providing the right type of background information about quality and safety processes, tips on hosting meetings with families, and opportunities for ideas to be generated. Both the toolkit and orientation prepared families so that they could meaningfully participate and engage when it came time for accreditation team discussions and decision-making. The QSP team also worked with its family leaders and the Canadian Patient Safety Institute to update and contribute to existing PSEP – Canada learning modules to integrate client and family centred care into its framework. A new module was collaboratively developed to reflect the client and family perspective and teach clients and families how to partner effectively with clinicians. Holland Bloorview then trained its 17 family and youth leaders in a modified PSEP – Canada certification program, who in turn have trained some 15 staff members who lead the accreditation teams. Over the next two years, plans are in place for FLAG to train more than 200 parents, youth and children who volunteer to advance quality and safety in pediatric rehabilitation at Holland Bloorview. Holland Bloorview is now working with the Canadian Patient Safety Institute and Patients for Patients Safety Canada to together deliver the first-ever family, patient and youth leadership training across Canada. The PSEP – Canada Become a Patient and Family Leader Patient Safety Trainer Course will be held November 17 and 18, in Toronto. Sonia Pagura, Senior Director of Quality, Safety and Performance, was the visionary leader behind both initiatives. "Having a dyad approach of both parties in it together in ways of mutual and equal understanding in this language of quality and safety is the richness and what allows for those meaningful outputs and outcomes," says Sonia Pagura. "Our family leaders have experienced a change in their own conversations and the ways that they emerge, and recognize that this is an incredible model that should continue on. It is so amazing for us as an organization, knowing that this initiative was meaningful and certainly impactful." Holland Bloorview's leadership and partnerships, in combination with its dedication to client and family centred care is building capacity amongst clients and families and provides a foundation that other organizations, sectors and health systems can model in their approach to improve, transform and provide quality and safe care. Their work has informed the hospital's strategic plan that includes a commitment to evolving and growing client-centred quality and safety, which supports and augments the organization's vision of patient safety going forward. "We have made a great impact on the system in terms of conversations of what this partnership looks like from a client and family leader perspective and how you can harness that energy and desire of people wanting to contribute, to building a system that provides for high outcomes," says Sonia Pagura. "Our President and CEO, Julia Hanigsberg, has a blog that talks about accreditation not being an event, but a journey; it speaks to the strength of leadership. None of this could have occurred without the senior leadership of the organization being innovative and courageous, believing in it, supporting it financially, providing resources and education, walking the talk and speaking the language of why this was so important." The Patient Safety Champion Awards is pleased to recognize the Quality, Safety and Performance team at Holland Bloorview for its unwavering commitment to client and family centred care.6/13/2017 6:00:00 AM (Left to right): Sonia Pagura – Sr. Director Quality, Safety and Performance; Adrienne Zarem – Family Leader; Nicholas Joachimides –6/12/2017 8:22:40 PMhttp://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx

 Upcoming Events

 

 

Registration Deadline: Become a Patient Safety Trainer Conference 5598Toronto, Ontariohttp://www.patientsafetyinstitute.ca/en/education/PatientSafetyEducationProgram/Pages/Session-September-28-29-2017-Toronto-ON-2016-12.aspx8/31/2017 12:00:00 AM8/31/2017 11:59:00 PMThe Canadian Patient Safety Institute (CPSI) in collaboration with the Ontario Hospital Association (OHA) are pleased to announce that the Become a Patient Safety Trainer course, a high impact, 2-day comprehensive train-the-trainer patient safety education program will be offered in Toronto, Ontario.1/24/2017 10:41:08 PM101http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference
Hospital Harm Measure: Can It Really Be Used For Improvement? 5638WebExhttp://www.patientsafetyinstitute.ca/en/Events/Pages/Hospital-Harm-Measure-Can-It-Really-Be-Used-For-Improvement-2017-09.aspx9/12/2017 4:00:00 PM9/12/2017 5:00:00 PMHear firsthand from a member of Patients for Patient Safety Canada, why this project is important to patients and their families. Learn from Fraser Health how they are using the Hospital Harm Measure to help inform their Quality & Patient Safety Priorities & Initiatives.8/14/2017 3:43:26 PM4http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast
Canadian Academy of Health Sciences Forum5634Fairmont Château Laurier, Ottawahttp://www.cahs-acss.ca/forum-2017/?9/14/2017 2:00:00 PM9/15/2017 10:00:00 PM The Canadian Patient Safety Institute is a proud sponsor of this event.7/19/2017 4:11:59 PM21http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference
New! A French 2.5 day ASPIRE program5636Quebec Cityhttp://www.patientsafetyinstitute.ca/en/education/advancing-safety-for-patients-in-residency-education/Pages/default.aspx9/25/2017 2:00:00 PM9/27/2017 6:00:00 PMNew! A French 2.5 day ASPIRE program will be held in Quebec City at Université Laval on September 25-27, 2017. For more information dpc@fmed.ulaval.ca. 7/21/2017 7:42:26 PM22http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWorkshop
Become a Patient Safety Trainer Course: September 28-29, 2017 [Toronto, ON]5597Toronto, Ontariohttp://www.patientsafetyinstitute.ca/en/education/PatientSafetyEducationProgram/Pages/Session-September-28-29-2017-Toronto-ON-2016-12.aspx9/28/2017 12:00:00 AM9/29/2017 11:59:00 PMThe Canadian Patient Safety Institute (CPSI) in collaboration with the Ontario Hospital Association (OHA) are pleased to announce that the Become a Patient Safety Trainer course, a high impact, 2-day comprehensive train-the-trainer patient safety education program will be offered in Toronto, Ontario.8/14/2017 3:35:45 PM43http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference;Workshop