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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 Plays – Looking back on 201630837Patient Safety Power Plays ​Time flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I personally would like to thank everyone who touches the work we do and the broader patient safety and quality agenda for your ongoing commitment and contributions to our cause. Before we turn the page and welcome 2017, I'd like to reflect on a few milestones that made 2016 so memorable for me and many others. First and foremost is the tenth anniversary of Patients for Patient Safety Canada, whose members, driven by their own stories of loss and not wanting others to experience that grief, are giving a voice to patients and families. This amazing group continues to grow and inspire us every time we lean on them. We all benefit from the wisdom and experience they bring. Next up was the 2016 Great Canadian Healthcare Debate, held at the National Health Leadership Conference in Ottawa. CPSI's motion, "A Public Reporting of the 15 Never Events," was one of three selected for inclusion at the conference, and was expertly debated by our own Hina Laeeque. What a great opportunity to put patient safety forward for discussion on the national stage. This was followed by the hotly-anticipated launch of SHIFT to Safety – your source for everything patient safety. Whether you're a provider, leader, or a member of the public, SHIFTtoSafety.com provides you with access to tools and resources to make patient care safe, whatever your role. I'm truly excited to see where SHIFT to Safety goes next! Next was an event more than two years in the making, the launch of the Hospital Harm Measure, in partnership with the Canadian Institute for Health Information. Through this initiative, we now have a national picture of patient harm in acute care, coupled with evidenced-based improvement resources specific to the 31 types of harm captured in the measure. Finally, I'd be remiss if I didn't mention our most successful Canadian Patient Safety Week to date. From the Twitter Talk to the Questions Save Lives social media campaign, I loved seeing what felt like the entire country get involved and put patient safety in the spotlight. What was your highlight of the year? As always, my ear is yours to bend at cpower@cpsi-icsp.ca. On that note, I'd like to wish you and yours a bright and merry holiday season and all the best for a prosperous new year! Your in patient safety, Chris Power12/9/2016 5:00:00 PMTime flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I12/9/2016 6:46:42 PM24http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Quarterly Update Infection Prevention and Control30821Patient Safety News ​Infection Prevention and Control (IPAC) Action Teams continue to make 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. To advance the IPAC action plan goal of "Improving infection prevention and control through a national campaign for public, patients and providers, focusing on raising awareness and promoting behaviour change", CPSI conducted an environmental scan. The purpose of the environmental scan was to examine the complexities of changing healthcare workers' behaviour and to better understand how the use theories, models and strategies can be used to bring about behavioural change. The learnings and recommendations arising from this scan will be used to help inform future STOP! Clean Your Hands Day Campaigns. The executive summary of the Environmental Scan of Behaviour Change Campaigns Recommendations for the Canadian Patient Safety Institute is available for download from the CPSI website. IPAC Canada has completed on a review of the current CNISP case definitions and determining the challenges and barriers to use of these case definitions in smaller hospitals and community hospitals. The review has been sent to CNISP for consideration. At the same time, a sub-committee of the Surveillance and Applied Epidemiology Interest Group of IPAC Canada is reviewing the long term care definitions from McGeer et all (2008) and SHEA (2012). A report will be prepared for the action team early in 2017. Next steps are engage provincial health authorities to adopt the acute care and long term care definitions, and to prepare a business case to influence the establishment of a national repository. Work is moving forward to Improve infection prevention and control (IPAC) through the use of strategies known to improve behaviour and culture. In July 2016, Canadian Patient Safety Institute (CPSI) launched a new initiative called SHIFT to Safety. SHIFT to Safety promotes a positive, safe healthcare experience and an approach to safety that encompasses the importance of public, providers and leader's roles in patient safety. One of the new areas of focus for SHIFT to Safety is strengthening teamwork, communication, leadership and patient safety culture with the goal to reduce harm and strengthen patient safety. October 6th, was the first National Webinar for the new SHIFT to Safety Platform. The session objective was to introduce participants to new SHIFT to Safety content in behaviour change, knowledge translation, and implementation science. Dr. Jeremy Grimshaw and Dr. Kathy Suh presented to a 'sold-out' crowd of 237. Feedback has been positive, with respondents asking for more calls, webinars and resources in knowledge translation and implementation science. Based on the positive response a second call with SHN interventional leads and Dr. Grimshaw has been planned for Nov. 22nd, 2016. 12/7/2016 5:00:00 PMInfection Prevention and Control (IPAC) Action Teams continue to make progress on three actions from the IPAC Action Plan: conducting an12/8/2016 6:24:22 PM34http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Medication Safety Quarterly Update30811Patient Safety News ​​​​Second quarter progress continues to be steady for actions addressing the key themes of evidence-informed practices aimed to make opioid use safer for Canadians and in reporting, learning and sharing with the completion and release of the white paper, Medication Incident Reporting in Canada. Led by partners ISMP Canada and CIHI, the paper sought to identify and define the current landscape of reporting and learning in Canada with the aim to utilize these findings to establish a strategy by which medication information from different data sources can be shared for learning purposes more effectively. The action team completed an extensive literature scan, survey and conducted multiple stakeholder interviews to inform the recommendations and conclusions in the report. Findings includeReporting systems in Canada are collectively broad in scope but are rarely interconnectedAlthough reporting systems are broadly available, there are gaps in what is reportedRecommendations are proposed to improve the quantity and quality of incident reporting, and to improve linkages across reporting systems. Key messages and the executive summary can be found here, with the full paper available upon request. ISMP Canada is already leading the follow up action by creating an advisory group to review the paper findings and develop a potential model that would optimize collecting and sharing of medication incident learnings from different sources more effectively. On September 27, 2016 A National call was held entitled Rebranding MedRec – How organizations are using '5 Questions to Ask about your Medications'. Attendees heard about the new MedRec rebranding strategy and how organizations are using '5 Questions to Ask About Your Medications' to engage patients and consumers. This call was very well received with over four hundred attendees. Other work supporting the uptake and dissemination of this tool includesCreating a YouTube video to increase public awareness and use of the tool Developing a version of the tool that patients can use to document the answers to the questions as they have the conversation with their healthcare providers ISMP Canada staff delivered a presentation on '5 Questions to Ask About Your Medications' and the concept of MedRec as a component of safe medication management on October 27, 2016 at the Canadian Homecare Association Summit in Vancouver. 12/7/2016 4:00:00 PMSecond quarter progress continues to be steady for actions addressing the key themes of evidence-informed practices aimed to make opioid use safer12/8/2016 6:19:18 PM26http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Quarterly Update Home Care Safety30815Patient Safety News ​​​​Wave One of the Home Care Falls Prevention Collaborative officially finished with a recognition event at the Canadian Home Care Association Summit in Vancouver in October 2016. All five teams presented on their progress and were recognized for their commitment to patient safety. Planning for the Home Care Safety Improvement Collaborative, Wave Two is underway with a final face to face partner meeting scheduled for December 14, 2016. The focus of Wave Two will be on measurement for quality improvement and teams will be coached to work on an area of focus based on their own data. This second wave will run for approximately fourteen months and will give teams more time to understand their own challenges and build capacity to implement change. Members of the home care faculty, along with representatives from CIHI and CPSI measurement experts will be engaged to support knowledge translation related to understanding and using data in homecare. St. Elizabeth has conducted an environmental scan of communication tools and resources to improve system level communication in home care and will be focusing on identifying and evaluating the best tools and resources to assist in reducing harm associated with communication breakdowns at transition in and out of home care. The Canadian Home Care Association is currently assessing a series of tools for information and style which could be used in the creation of a tools and resources for the "Am I Safe project". The Canadian Institute for Health Information and CPSI are developing a learning pathway to assist individuals in the home care sector with advancing knowledge about measuring for improvement. 12/7/2016 4:00:00 PMWave One of the Home Care Falls Prevention Collaborative officially finished with a recognition event at the Canadian Home Care Association Summit in12/8/2016 6:21:58 PM30http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Patient Safety Education Action Plan26379Patient Safety News ​​​​The Patient Safety Education Action Plan Co-leads (Canadian Medical Protective Association, Health Quality Council of Alberta, Queens University, University of Calgary, SIM-one, Patients for Patient Safety Canada, Canadian College of Health Leads, HealthcareCAN, and the Canadian Patient Safety Institute) believe that our work in providing the right evidence, resources, and tools will accelerate a forward movement in the field of health profession education. A movement that will equip all educators at every level of the system with the right tools and resources to ensure that ALL health professionals who enter into practice have the necessary knowledge, skills, and attitudes to impact a positive patient safety culture wherever they may be caring for patients. Patient Safety and Quality Improvement Education being the fundamental underpinnings for a new generation of healthcare leaders. Our focus this last quarter has been primarily on advancing the work around "Capability Building for Healthcare Senior Leaders". The co-leads and working group members contributing to this action are the Canadian College of Health Leaders, HealthcareCAN, Canadian Patient Safety Institute, and the Health Insurance Reciprocal of Canada. Underlying is the need to better understand what education/training/tools/resources senior health leaders in Canada require in order to influence and impact a positive patient safety culture. The approach the team is undergoing is in conducting an environmental scan to identify potential gaps and validate existing resources and programs that may prove to be of added value for this group. "Even though tools for developing a safety culture are available, a common set of best practices is needed. One can envision the development of a "culture bundle," analogous to the bundle of interventions that drastically reduced ventilator-associated pneumonia." (Free From Harm, 2015). "Patient safety culture is a complex phenomenon that is not clearly understood by hospital leaders, thus making it difficult to operationalize." (Sammer, 2010). The results we aim to achieve are to clarify what is meant by patient safety culture and the senior leader's role in shaping it. 12/6/2016 10:00:00 PMThe Patient Safety Education Action Plan Co-leads (Canadian Medical Protective Association, Health Quality Council of Alberta, Queens University,12/8/2016 6:26:20 PM56http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx

 Upcoming Events

 

 

How did they partner with patients for safety? A webinar with the Patient Safety Champion Awards Finalists 30598http://www.patientsafetyinstitute.ca/en/Events/Pages/How-did-they-partner-with-patients-for-safety-2016-11.aspx12/13/2016 5:00:00 PM12/13/2016 6:30:00 PMJoin the finalists for the 2016 Patient Champion Awards to learn how they achieved safer care by partnering with patients. Please enter your questions or learning objectives in the registration form so YOU can leave the session with at least one practical idea to advance patient safety. 11/3/2016 10:03:53 PM20http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast
Webinar on Safer Primary Care26374https://goo.gl/gsELp212/16/2016 12:30:00 PM12/16/2016 1:30:00 PMThe Canadian Patient Safety Institute is proud to support this event.This event is hosted by The World Health Organization12/6/2016 10:12:27 PM3http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast
Home Care Safety Improvement Collaborative30791http://www.patientsafetyinstitute.ca/en/toolsresources/home-care-safety-falls-collaborative/pages/default.aspx12/20/2016 12:00:00 AM12/20/2016 11:59:00 PMJoin home care teams from across Canada to learn and apply improvement methods and address patient safety priorities. Access individualized coaching and recognized experts in improvement science, data and measurement, teamwork and communication and patient safety. Learn more about the Safety Improvement Collaborative. Submissions close on December 20th, 2016.12/1/2016 9:29:17 PM3http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseCollaborative
Super Early Bird Deadline: Canadian Patient Safety Officer Course5358Ottawa, ONhttp://www.patientsafetyinstitute.ca/en/education/psoc/Pages/default.aspx12/31/2016 12:00:00 AM12/31/2016 11:59:00 PMThe CPSO Course is intended for healthcare professionals and leaders who have the formal responsibility of disseminating patient safety principles and programs throughout the organization including patient safety officers, clinical managers, nurses, physicians, educators, and allied health professionals. 10/11/2016 7:34:22 PM3http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWorkshop
ERASAlberta Symposium 201730612Location: Coast Plaza Hotel and Conference Centre 1316—33 Street NE, Calgary, Alberta T2A 6B6http://www.cvent.com/d/zvqw0d/5K1/27/2017 12:00:00 AM1/28/2017 11:59:00 PMUsing data, Inspiring teams, Transforming Care Presented by the Surgery Strategic Clinical Network 11/4/2016 9:57:13 PMhttp://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalse