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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



RESEARCH VOLUNTEERS NEEDED!23548Patient Safety News Are you a clinician who has been part of an adverse clinical event? Did it lead to a career transition into a new role or position? If so, we need your insights! Researchers at the University of Missouri Health Care and University of Massachusetts-Boston are seeking clinicians to participate in a short online survey about the impact of adverse events on career transitions. The survey has been designed to help us better understand the experiences of these clinicians and takes approximately 10-15 minutes to complete. There will be no uniquely identifying information collected or linked to the participant's responses and all data will be collected confidentially according to institutional review board (IRB) requirements. Participation is voluntary and may be terminated at any point. To take part in the survey, please click here. The survey will remain open until early to mid-October 2016. For more information, please contact Dr. Susan Scott at (573) 884‐2373 or Dr. Jason Rodriquez 8:00:00 PMAre you a clinician who has been part of an adverse clinical event?   Did it lead to a career transition into a new role or position?  23/08/2016 2:26:07 PM155
Measurement: a look back and a new approach374Patient Safety News ​​This is the second article in a two-part feature on measurement and the Central Measurement Team. Click here to view the first article, Measuring for safety The evolving role of the Central Measurement Team A look back on Patient Safety Metrics The initial measurement tool used for Safer Healthcare Now! data submission was developed over a decade ago, using Excel spreadsheets. By 2009, it became obvious that an online tool was needed. A web-based tool was developed as a data submission and reporting system that provided teams with the ability to aggregate and disaggregate results to report by region, facility or individual patient samples by team. The Excel spreadsheets were phased out with the launch of Patient Safety Metrics in January 2011. Patient Safety Metrics allowed organizations to track and report on over 100 key process measures aligned with the Safer Healthcare Now! interventions. Numerous National Calls were conducted to provide users with training on how to measure, what to measure and how to use the Patient Safety Metrics tools. Stephanie Howse, a Clinical Coordinator with Alberta Health was new to her position when one of her colleagues suggested that she use Patient Safety Metrics to monitor medication reconciliation compliance across the Northern Lights Health Region. Stephanie was surprised to find how intuitive and user-friendly the tool was. "Patient Safety Metrics provides a bird's eye view of how we are doing," says Stephanie. "You can drill down and identify trends with the data. There are self-study modules available on how to interpret the data and the Central Measurement Team is always available to troubleshoot and help you to better understand the findings.""The Patient Safety Metrics tool is easy to use and provides the right reports that allows you to do the comparisons that you need to do," says Dr. Elizabeth MacKay, Medical Leader, Provincial VTE Prophylaxis Accreditation Working Group, Alberta Health Services. "The ability to compare your results to national groups provides information that is invaluable." Virginia Flintoft says that aside from all of its benefits, there was one small flaw of the Patient Safety Metrics system. It was designed for teams to directly access their reports; however, most often the teams would call the Central Measurement Team to run the reports for them. "The ownership wasn't there; most often they were just too busy," says Virginia Flintoft, Project Manager, Central Measurement Team (CMT). "What we found with Patient Safety Metrics is that the people entering the data were not the ones looking at the results and accessing the reports," says Alex Titeu, Project Coordinator, CMT. "The goal behind Patient Safety Metrics was for the individual entering the data to see their results right away." Patient safety and quality improvement has evolved immensely over the years and so too has the CMT. "It is definitely time that organizations manage and monitor their own data," says Virginia Flintoft. "Most hospitals now have the talent inhouse and the resources." The data collection segment of Patient Safety Metrics was phased out this spring. The CMT has permission to hold the data and all records will continue to be held in a secure location for up to seven years. Data has been sent back to participating healthcare organizations, who the owners of the data. Over half of the data has since been repopulated. The CMT has been communicating with the remaining participating organization's CEO to ensure they have downloaded their data, or to indicate where it is to be sent to. A new approach to solutions that stick With the unveiling of Shift to Safety, the role of the CMT will also transition to more of an expert coach and mentor approach that leverages the most up-to-date thinking related to the measurement and monitoring of patient safety. "The CMT will no longer support a measurement database," says Virginia Flintoft. "The approach now will be to get the teams to identify the opportunities for improvement and the CMT will coach and mentor them through their improvement journey, focusing on measuring and monitoring for safety." Under the guidance of Dr. G. Ross Baker and Dr. Charles Vincent (Oxford University, UK), a comprehensive measurement program is being developed based on Vincent's framework for Measurement and Monitoring Safety. The framework specifies five elements required for safety measurement and monitoring past harm, reliability, sensitivity to operations, anticipating and preparedness, and integration and learning. The measurement platform will focus on guiding leaders, practitioners, patients, families and informal caregivers to find local and system level answers to how they can prevent harm, respond to harm and learn from harm through the application of the framework. "The beauty of the new framework is that it doesn't matter what your problem is," says Virginia Flintoft. "The framework teaches you how to find the solution to the problem; solutions that stick. It is very exciting as it will save teams time and help them to think bigger. It is learning about meaningful change that is clinically significant. Teams may see statistically significant change, but clinically significant change is really the crux of measurement." Improvement in the future will always include measurement and the CMT will continue to work with frontline staff on the wards, right up to Boards to help them monitor their performance. 04/08/2016 4:00:00 PM This is the second article in a two-part feature on measurement and the Central Measurement Team. Click here to view the first article,03/08/2016 3:56:42 PM227
Quarterly Update National Patient Safety Consortium29422Patient Safety News The 2014 – 2016 actions from the National Patient Safety Consortium are well underway, and overall 60% of all Consortium actions are complete, as of March 31, 2016 (see figure below). The Evaluation Action Team continues to meet to develop the evaluation plan for the National Patient Safety Consortium and Integrated Patient Safety Action Plan. The meetings are held monthly and co-chaired by Dr. Lianne Jeffs and the Canadian Patient Safety Institute. The Steering Committee also meets regularly with the next meeting scheduled for August. The National Patient Safety Consortium will meet face to face for the fourth time in September in Ottawa. ​ The National Patient Safety Consortium is thrilled with this progress and highlights two events below during the National Healthcare Leadership Conference in Ottawa from June 6-7 The Canadian Patient Safety Institute hosted a 90-minute panel presentation sharing the work of the National Patient Safety Consortium and the Integrated Patient Safety Action Plan. The session showcased key contributions from partners such as Health Quality Ontario and Patients for Patient Safety Canada (a patient led program of the Canadian Patient Safety Institute). This was a chance for an in-depth dialogue with health care leaders about this large-scale, collective impact initiative. We were thrilled to have participants learn about this large scale change initiative. Helen Bevan also attended the session leading to fruitful discussions. The Canadian Patient Safety Institute, with support from Health Quality Ontario, sponsored motion "Public Reporting of the 15 Never Events" was selected as one of the top five motions of approximately 40 submissions for the Great Canadian Healthcare Debate by health leaders across Canada and was subsequently voted as one of the top three by the conference delegation. Never events are patient safety incidents that result in serious patient harm or death, and that can be prevented by using organizational checks and balances. The Never Events for Hospital Care in Canada report was prepared by the Canadian Patient Safety Institute and Health Quality Ontario along with the Atlantic Health Quality and Patient Safety Collaborative, British Columbia Patient Safety and Quality Council, Health Quality Council of Alberta, Manitoba Institute for Patient Safety, New Brunswick Health Council, Newfoundland and Labrador Provincial Safety and Quality Committee, and Patients for Patient Safety Canada (a patient led program of the Canadian Patient Safety Institute) for the National Patient Safety Consortium. 03/08/2016 4:00:00 PMThe 2014 – 2016 actions from the National Patient Safety Consortium are well underway, and overall 60% of all Consortium actions are complete, as of04/08/2016 7:08:28 PM324
Quarterly Update Home Care Safety29435Patient Safety News Coaching of Wave One teams from the Home Care Falls Prevention Improvement Collaborative is ongoing. Insights from this work will inform Wave Two of the Collaborative. Evaluation of the Wave One Collaborative has started and is on track for a final report to be delivered in December 2016. The partner organizations (CHCA, CFHI and CPSI) met in April to debrief Wave One. Planning for Wave Two will include leveraging Team STEPPS® content where applicable to empower patients and families, as well as utilizing best practices in fall prevention as identified by ISMP Canada and RNAO. Members of the Home Care Safety Expert Faculty have expressed interest in supporting Wave Two and have identified areas of focus to build on. CPSI is working with the Canadian Home Care Association to find tools and resources to guide safety conversations between health care providers and patients when receiving home care services. The result of phase one of the work is the Am I Safe? report. Am I Safe? seeks to help healthcare providers, patients, and caregivers work together to evaluate and manage risk when receiving care at home. If you are aware of tools or resources that can help facilitate conversations about managing safety in the home please contact us at 03/08/2016 4:00:00 PMCoaching of Wave One teams from the Home Care Falls Prevention Improvement Collaborative is ongoing.  Insights from this work will inform Wave03/08/2016 9:42:50 PM271
Quarterly Update Infection Prevention and Control29436Patient Safety News ​Over the past year the Infection Prevention and Control (IPAC) Action Teams have made progress on three actions from the IPAC Action Plan conducting an environmental scan, the creation of a pan-Canadian set of case definitions for surveillance of healthcare associated infections, as well as improving infection prevention and control through the use of strategies known to improve behaviour and culture. Since the last update, CPSI has engaged an expert Intervention Lead to provide strategic direction and guidance to CPSI regarding the integration of behaviour change to existing and potentially new campaigns. Over the next year, the Intervention Lead will be working with CPSI on the recruitment and selection of the behaviour change and implementation science volunteer faculty. This newly minted faculty will lead the behaviour change work associated with the IPAC Integrated Action Plan. 03/08/2016 4:00:00 PMOver the past year the Infection Prevention and Control (IPAC) Action Teams have made progress on three actions from the IPAC Action Plan:03/08/2016 9:44:19 PM255

 Upcoming Events



Nominations deadline: 2016 Champion Awards4693 12:00:00 AM01/09/2016 11:59:00 PMHealthCareCAN and the Canadian Patient Safety Institute (CPSI) have partnered to present the Patient Safety Champion Awards to recognize champions of patient safety - volunteer patient or family members and teams or organizations who demonstrated exemplary leadership and collaboration to champion change and achieved safer care through patient/family engagement. 22/06/2016 5:47:26 PM38 Event
World Sepsis Day29465 6:00:00 AM14/09/2016 5:00:00 AMWorld Sepsis Day is a concept developed by The Global Sepsis Alliance ; a collaborative effort of organizations and individuals wanting to increase awareness regarding Sepsis and its treatment.10/08/2016 9:02:20 PM9
Become a Patient Safety Trainer Conference [Winnipeg, MB] 4673Winnipeg, MB 12:00:00 AM15/09/2016 11:59:00 PMThe Manitoba Institute for Patient Safety (MIPS) with support of the Canadian Patient Safety Institute (CPSI) is excited to offer the "Become a Patient Safety Trainer" education conference for both healthcare faculty and clinical teams from healthcare organizations. 13/04/2016 5:53:37 PM42;Workshop
Early Bird Deadline: Become a Patient Safety Trainer Conference [Sioux Lookout, ON] 4691 12:00:00 AM14/09/2016 11:59:00 PMThe Canadian Patient Safety Institute (CPSI) in collaboration with the Sioux Lookout Meno Ya Win Health Centre, the Northern Ontario School of Medicine (NOSM), and the Ontario Hospital Association (OHA) are pleased to announce that the Become a Patient Safety Trainer conference, a high impact, 2-day comprehensive patient safety education program will be offered in Sioux Lookout, Ontario.13/06/2016 3:43:00 PM26;Conference
4th Annual National Forum on Patient Experience4687Toronto, ON 12:00:00 AM21/09/2016 11:59:00 PMThe Canadian Patient Safety Institute is proud to support this event. This Canadian event brings together passionate, devoted patients & professionals from across the country to address crucial issues impacting the patient experience and all those involved, from doctors and nurses to family caregivers and homecare providers. Over 100 leaders in healthcare are joining together to discuss massive changes to physician-assisted dying (PAD) legislation, improving the safety of senior/home care and how to successfully measure the patient experience, plus much more. Don't miss the conversation! CPSI Contacts receive 20% OFF Registration using VIP Code CPSI20.02/06/2016 2:41:00 PM23