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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.

A federally funded not-for-profit ​organization, CPSI offers products and programs focused on four priority areas: medication safety, surgical care safety, infection prevention and control, and home care safety. Its broad range of capabilities includes training safety officers, developing resources for frontline providers, and engaging with patients and their families.​

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Our Programs​

 CPSI Latest News

 

 

10 years of partnering for patients – a message from the Patients for Patient Safety Canada Co-Chairs12183Patient Safety News​​​Sharon Nettleton​Denice Klavano Partnerships, at least the good ones, take time and energy to build. They are forged over time as trust and respect are earned. Many fail when the work is too difficult, when there isn't a shared vision or when success isn't realized quickly enough. Misunderstandings can create barriers large enough to derail efforts and change the course of action. Negativity can prevail. Systems remain unchanged. Unsafe care continues. This is unacceptable. Building strong partnerships is the hallmark of Patients for Patient Safety Canada. It is ingrained in our DNA. As members, we partner with each other to accomplish something greater than what we could alone. As patients and family members, many of whom have suffered grief and loss from healthcare errors, we partner with healthcare systems, in an effort to make improvements. We are volunteers. We choose this work and to be part of this incredible team; a team focused on doing some amazing things to make care safer for all. Not only are we committed to our cause, but we are also committed to each other. When it may have been easier to choose other pursuits, and where gratification may have been more instantaneous elsewhere, many of our initial members continued. Along the way, many others have joined our journey. Our supporters remind us that "changing a culture takes a decade". They encourage us to "stay the course." Volunteering to build a culture of safety in healthcare is an extraordinary thing. It is one of the most unique volunteer experiences that most of us have ever had. We've seen remarkable changes to the culture of patient safety over the last 10 years. Providers and leaders now invite us to be collaborators in communication, education, resource development, and safety design. These invitations extend beyond simply hearing our stories; the collaborators want us to be directly involved with shaping improvements. We took the time to build trust and earn respect, and now we have a partnership that is allowing us to make a real difference. For many of us, the phrase "Nothing about us without us," is starting to be realized. We are confident that the next 10 years will be very different – a faster pace of progression. With a shared vision, understanding of purpose, and strong partnerships, we believe something remarkable is on the horizon. In fact, we're already seeing a glimpse of this now shorter timelines, measurement of outcomes and experiences, transparency of results – good or bad – all so that swift actions can occur to keep things on track. We need to see what is working and what isn't. We need to know that resources aren't being wasted and that lives are not being needlessly harmed; that the healthcare system really 'cares' about its patients. Patient safety, patient experience, health outcomes and patient engagement are all connected. We may be patients, but 'patience' isn't our strong suit. As volunteers, we no longer hope to be involved in transforming healthcare, we expect it. Our destination is safe care. Our vision is 'Every Patient Safe'. Best regards, Denice Klavano and Sharon NettletonCo-Chairs, Patients for Patient Safety Canada 07/04/2016 6:00:00 AM Sharon Nettleton Denice Klavano Partnerships, at least the good ones, take time and energy to build. They are forged over time08/04/2016 2:26:24 PM174http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Patients for Patient Safety Canada celebrates 10 years of harm to healing12433Patient Safety News Donna Davis has been an outspoken advocate for the patient's voice for the past nine years, drawing on a deep well of heartache with an equally deep conviction that she's helping improve quality of care across this country. As a member of Patients for Patient Safety Canada since 2007, and a co-chair of that group for eight of those years, Davis has seen positive changes in the way health care providers collaborate with patients and their families. "When we first started we pretty much had to invite ourselves," Davis says of that initial founding group of patient safety champions. "We had to look for opportunities to say, hey, would you like us to come and talk to your group about patient safety? It has come a long way since then. Now we have so many requests coming our way that we can't fulfill them all." Davis remembers reaching out to the medical school at the University of Saskatchewan in those early days and asking if they'd ever had a guest speaker address the topic of patient safety. They had not. "And I said, well, I think I have a story your students need to hear." Fourteen years ago, Davis's 19-year-old son Vance died in a Saskatchewan hospital three days after he lost control of his truck on a rural road. Doctors had decided Vance's head injury was minor, only a concussion. Davis, a nurse by trade, felt otherwise but her growing concerns about his deteriorating health were dismissed and the family's ordeal was made even more tortuous by a series of miscommunications with health care workers. Five years of anger and frustration passed before Donna was contacted by the staff member who had conducted the hospital's review of Vance's case. "She phoned me and she said Donna, we failed Vance in our care of him, and we failed you as a family," Davis recalls. "So I finally had validation that what I knew in my heart to be true was in fact true. Then I had to do something to try and make it right so no other family would go through what we had gone through." Davis has been telling Vance's story ever since and believes it is that deeply personal perspective, just like those visceral experiences being shared by every one of the other patient safety volunteers now active with Patients for Patient Safety Canada, that is the prime motivator for improvements in the health care system. Davis says she's proud of PFPSC's role in recent years in contributing to a standardized method for investigating, disclosing and sharing information about accidental harm with medical professionals and the public. She's pleased that patient safety and interacting with patients and their families is now a common part of the curriculum for many health care providers. She's also proud of her group's standing as among the most active and credible patient safety advocates in the world. "I think every time we present to students, that's a huge milestone too. To have them hear our stories and hopefully influence and shape the kind of practitioners and providers they're going to be, and how they're going to listen to the patients and the families, before they get into the system and get jaded. "I know a number of times that I have presented to students, the way it's received and the emails and the cards I get back afterwards, is amazing. They just about all say I will take this with me throughout my career, and remember, so that's a huge thing." When she started advocating for patients, Davis had no idea of how healing that work would be. "But that's how I would describe it," she says. "It has healed a piece of my heart that was broken and I guess it's healed it because I know I'm honouring Vance's life and I'm making sense of his death." Davis thinks the old paternalistic attitudes in the health system, where the patient and family views were often dismissed as largely inconsequential, are slowly changing but there is still far to go. People's egos still get in the way. "Talk is cheap. It's easy to say 'yes, we're patient family centred, and yes, the patient family voice is important to us,' but when it comes right down to it, where they have to put it into practice, it's really easy to fall back into the old way, and that's what I still see quite a bit," says Davis, who works as a nurse manager of a long-term-care integrated facility in southern Saskatchewan. "We just need to just stay our course. We have to realize that culture can't be changed overnight. We have to celebrate the successes that we do have and we have to bring people on board, even if it is one at a time. We have to keep doing what we're doing and that's reaching out to partner positively with the health care community."04/04/2016 6:00:00 AM04/04/2016 4:03:55 PM316http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Quarterly Update Home Care Safety12448Patient Safety News April 2016 - Wave one of the Home Care Falls Prevention improvement collaborative wrapped up on March 24. A qualitative researcher has been recruited to facilitate the evaluation of the Falls Collaborative's effectiveness, and a summary report will be developed by the end of July 2016. The Canadian Patient Safety Institute, Canadian Home Care Association and Canadian Foundation for Healthcare Improvement are planning wave two of the Collaborative. Wave two will continue to draw on expertise from the Registered Nurses' Association of Ontario and the Institute for Safe Medication Practices Canada. The home care safety expert faculty will be engaged to support wave two of the collaborative by identifying and incorporating new and emerging evidence in the areas of medication safety and falls prevention in home care. 04/04/2016 6:00:00 AM04/04/2016 7:50:51 PM181http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Quarterly Update National Patient Safety Consortium12451Patient Safety News April 2016 - The 2014 – 2016 actions from the National Patient Safety Consortium are well underway. Overall completion is 53% as of October – December (Q3). The Steering Committee of the Consortium meets quarterly via teleconference and is chaired by Chris Power. The Conference of Provincial and Territorial Deputy Ministers of Health requested a seat at the Steering Committee and Nancy Roberts of the New Brunswick Department of Health will now serve as the official designate. Representatives from each of the areas of focus Leads Groups attended the February 2016 Steering Committee meeting to provide a verbal update and open discussion on the status of actions, successes and any barriers being encountered. The membership of the National Patient Safety Consortium Steering Committee includesChris Power (chair)– Canadian Patient Safety InstituteLeslee Thompson – Accreditation CanadaDavid O'Toole – Canadian Institute for Health InformationDenice Klavano – Patients for Patient Safety CanadaDr. Francois Belanger (interim) – Alberta Health ServicesShelagh Maloney – Canada Health InfowayLee Fairclough – Health Quality OntarioNancy Roberts – Department of Health, New BrunswickSharon Nettleton – Patients for Patient Safety Canada A communications network to aid in the communication of the patient safety message across the country has been established. Specifically, a number of provincial quality and safety organizations across the country have begun to highlight their involvement and showcase the work of the Integrated Patient Safety Action Plan on their websites. The evaluation plan for the Consortium and Integrated Patient Safety Action Plan continues to be refined. The Evaluation Action Team includes 16 organizations including Health Quality Ontario, the British Columbia Patient Safety and Quality Council, Alberta Health, Health Canada, the Canadian Agency for Drugs and Technologies in Health, the Canadian Association of Paediatric Health Centres, Patients for Patient Safety Canada and others. This team is chaired by the Canadian Patient Safety Institute and Dr. Lianne Jeffs, a notable health services researcher and member from the Academy of Canadian Executive Nurses. The evaluation plan will be implemented in spring 2016. 04/04/2016 6:00:00 AM11/04/2016 8:33:53 PM108http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Quarterly Update Patient Safety Education12452Patient Safety News April 2016 - The Patient Safety Education (PSE) Leads group has been meeting since Oct 2015 to discuss and advance the priorities of the education action plan. In this short time the group has begun to focus on how best to approach the actions that will provide the most impact and ultimately achieve our goals by 2018. Action Teams have completed one action and have begun to work on two additional actions from the 12 actions identified in the PSE action plan. The first to get started are actions under the theme of "quality and patient safety education for leaders". The Canadian College of Health Leaders and HealthCareCAN are the co-leads for this action item, and it is inclusive of a three part approach. First, it will aim to confirm partnership interests and establish a working group (completed), second, it will serve to identify resources in the system that should be profiled as key resources for building leadership capability in patient safety, and last, an action will focus on the knowledge translation element. Another action which is currently underway is aligned to the "patient safety and quality improvement curricula, content, design, and delivery" theme area. Three actions are tied to this theme with 5 co-lead organizations –including the Health Quality Council of Alberta, University of Calgary, Queen's University, SIM-one and the Canadian Medical Protective Association. These co-leads convened a first working group meeting to introduce a guiding framework that could be used to anchor Patient Safety and Quality Improvement curricula for educators. 04/04/2016 6:00:00 AM11/04/2016 8:18:02 PM53http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx

 Upcoming Events

 

 

Patient-Oriented Research Summer Institute4726Calgary, ABhttps://sites.google.com/a/ualberta.ca/spor/home02/05/2016 12:00:00 AM04/05/2016 11:59:00 PMThe Canadian Patient Safety Institute is proud to support this event.This event is hosted by 10/02/2016 4:04:19 PM4http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference
Safer Healthcare Now! Measurement Now & Into the Future4743WebExhttp://www.patientsafetyinstitute.ca/en/Events/Pages/Safer-Healthcare-Now-Measurement-Now-Into-the-Future.aspx04/05/2016 4:00:00 PM04/05/2016 5:00:00 PMProvide up to date details on changes coming to Patient Safety Metrics and Safer Healthcare Now! measurement07/04/2016 12:05:55 PMhttp://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast
STOP! Clean Your Hands Day4732Canadahttp://www.patientsafetyinstitute.ca/en/Events/StopCleanYourHandsDay/Pages/default.aspx05/05/2016 12:00:00 AM05/05/2016 11:59:00 PMIt's time for patients and providers to come together for clean hands – STOP​​! Clean Your Hands' Day returns Thursday, May 5, 2016.08/03/2016 10:49:17 PM4http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseCampaign
Hand Hygiene – not just for healthcare providers anymore!4748WebExhttp://www.patientsafetyinstitute.ca/en/Events/StopCleanYourHandsDay/Pages/Hand-Hygiene-not-just-for-healthcare-providers-anymore.aspx05/05/2016 4:00:00 PM05/05/2016 5:00:00 PMMany organizations have historically focused hand hygiene improvement efforts on the health care provider's and visitors they interact with daily. 14/04/2016 6:55:22 PM4http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast
Quality Improvement and Patient Safety Conference 20164741Toronto, ONhttp://www.conference2016.utihiopenschool.ca/06/05/2016 12:00:00 AM07/05/2016 11:59:00 PMThe Canadian Patient Safety Institute is proud to support this event. This event is hosted by Universty of Toronto IHI Open School04/04/2016 3:40:49 PMhttp://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference