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Introducing the Canadian Quality and Patient Safety Advisory Committee3138511/12/2018 10:41:55 PMPatient Safety News The Canadian Quality and Patient Safety Advisory Committee is an initiative of the Canadian Patient Safety Institute (CPSI) and Health Standards Organization (HSO), together with patients, providers, care organizations, quality and patient safety councils/organizations, researchers and policy makers. The goal of the committee is to establish consensus on quality and patient safety goals for health and social services, which will focus action and resources that improve patient experience, outcomes and reduce care variation. The advisory committee will work toward designing a national quality and patient safety framework, advising on required quality and patient safety practices as well as resources that support implementation and uptake at the system, organization and practice level. As a result, the committee intends to drive measurable improvements on patient experience, outcomes and unwarranted care variation across Canada. Despite efforts to date, Canada lags in quality and patient safety compared to developed countries. If no action is taken, roughly 400,000 patients every year will experience preventable harm – and this harm will result in an additional $2.75 billion (2017$) in annual health care treatment costs. According to the OECD, 70% of harm is preventable. Advancement in quality and patient safety requires a coordinated systems approach to safety. Based on a review of international and jurisdictional quality and patient safety priorities, the Canadian Quality and Patient Safety Advisory Committee agreed on six goal areas with identified objectives and outcomes People-Centred Care Appropriate Care Accessible Care Safe Care Efficient Care Integrated Care In the near term, the committee will focus on public engagement. Public consultation will include patients, the public (including Indigenous peoples), providers, healthcare delivery and social service organizations, federal, provincial and territorial governments, and other interested stakeholders. This outreach is intended to develop consensus on a Canadian Quality and Patient Safety Framework across key stakeholders that can influence and action improvements. For more information, please contact 11/12/2018 7:00:00 AMThe Canadian Quality and Patient Safety Advisory Committee is an initiative of the Canadian Patient Safety Institute (CPSI) and Health Standards11/12/2018 10:45:29 PM58
Patients At Parliament440911/5/2018 8:27:19 PMPatient Safety News ​On October 30th, 13 Patients from across Canada travelled to Ottawa to participate in Patients At Parliament, a unique campaign to raise awareness with Parliamentarians. We are grateful to the many staff and volunteers who made this fantastic event possible. Patients At Parliament highlight include Five teams of volunteers and staff met with 30 Members of Parliament and Senators in 10 buildings across the parliamentary precinct over the course of 8 hours. Participants spoke about their personal experience with harm and delivered key messages from the CPSW campaign. Guest speaker, Whitby Member of Parliament Celina Caesar-Chavannes provided unique advice to delegates over dinner. She offered strategies to promote our message and challenged the group to reach as many Members of Parliament as possible. Breakfast in the Parliamentary Restaurant in Center Block hosted by Mel Arnold MP for North Okanagan - Shuswap. All delegates attended Question Period and witnessed Canada's democratic system at its finest. Many MP's & Senators have committed to promoting our key messages at upcoming committee meetings and locally within their ridings. MP's and Senators also demonstrated support for CPSW by Tweeting key messages during the campaign. 11/5/2018 8:00:00 PMOn October 30th, 13 Patients from across Canada travelled to Ottawa to participate in Patients At Parliament, a unique campaign to raise awareness11/5/2018 8:41:13 PM138
Are you in danger? 5 Tips to Reduce Medication Risks2498010/29/2018 5:58:08 PMPatient Safety News Are you at risk of harm from your medications? Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. If you – or people you love – are over the age of 65, there is an increased risk of drug complications. Prescription, over-the-counter, naturopathic or recreational read on for 5 tips to reduce your medication risks! Approximately 6-7% of hospital admissions appear to be medication related, with over two-thirds of these considered avoidable. More than one in three Canadian seniors use at least one potentially inappropriate medication, which can lead to health risks, including falls, fractures, hospitalizations and death. In 2016, 1 out of 143 Canadian seniors were hospitalized due to harmful medication interactions. Two out of three Canadian seniors take at least five different prescribed medications; one out of four takes at least ten! Review medications with a doctor, nurse, or pharmacist if you or someone you love is over the age of 65, taking 5 or more medications, recently discharged from hospital, or concerned about side effects. "Each year, 50 per cent of medications are taken incorrectly, and an estimated 37 per cent of seniors in nine provinces receive a prescription for a drug that should not be taken by this population," says CEO Chris Power of the Canadian Patient Safety Institute (CPSI). "This year's Not All Meds Get Along campaign during Canadian Patient Safety Week encourages patients and healthcare providers to have an open conversation about medication risks." CPSI is promoting a list of top questions to help this conversation. Bring out the 5 Questions to Ask About Your Medications with your doctor, nurse, or pharmacist; when going home from hospital; or when visited by home care services. To reduce the risk of medication harm to you or your loved ones, consider these 5 tips KNOW Keep a list of all medications – prescription, over-the-counter, naturopathic, and recreational – and bring it in on your medical appointments to reduce the risk of harmful drug interactions. CHECK with your pharmacist, doctor, or nurse to confirm all medications are being taken properly. ASK to review ALL of your meds when your doctor or nurse starts, stops, or changes any of your medications. Ask your pharmacist to REVIEW YOUR MEDICATIONS when you are filling or refilling a prescription, or if you are adding, removing, or changing any non-prescription medications or supplements. DO NOT STOP OR CHANGE medications without first consulting a doctor or healthcare professional. We all have a role to play in reducing the risk of medication harm. Find resources and tools at 10/29/2018 6:00:00 AMAre you at risk of harm from your medications? Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in10/29/2018 6:07:58 PM208
#superSHIFTERS An evidence-based and multidisciplinary approach to improving surgical outcomes2576510/16/2018 7:14:42 PMSuper SHIFTERS<img alt="" src="/en/NewsAlerts/News/PublishingImages/2018/Lafamme%202018-10-16.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> SuperSHIFTER Dr. Claude Laflamme is the Medical Director of Quality and Patient Safety in the Department of Anesthesia at Sunnybrook Health Sciences Centre. He recently co-led a Canadian initiative aimed to improve safer surgical care across the country. Dr. Laflamme is currently involved in various aspects of quality and patient safety research. One of his interests is to spread best practices aimed at improving surgical outcomes from a multidisciplinary approach. What is Enhanced Recovery After Surgery? Enhanced Recovery After Surgery, or the acronym ERAS, is a program highlighting surgical best practices. It consists of evidence-based principles that support better outcomes for surgical patients. Implementing ERAS protocols result in an improved patient experience, reduced length of stay, decreased complication rates, and fewer hospital readmissions. ERAS is a comprehensive, multidisciplinary approach to the care of the surgical patient. The multi-modal approach to recovery was pioneered in 1995 by Danish surgeon Dr. Henrik Kehlet for colonic resections. The International ERAS® Society, based in Stockholm, Sweden, was officially registered in 2010 and since then, the ERAS principles have expanded around the world. They are now applied to nine different specialties. Is ERAS new to Canada? In 2013, I joined the Canadian Patient Safety Institute’s Safe Surgical Care Working Group to help develop the Integrated Patient Safety Action Plan and improve the quality of care in Canada. In looking at best practices in surgical care, it quickly became clear that ERAS was the path that we should take to improve surgical outcomes here in Canada. When the Safe Surgical Care Working Group met, we talked about how we could scale and spread ERAS in Canada. We invited representatives from McGill University, the University of Toronto, Alberta Health Services, and the British Columbia Patient Safety and Quality Council to join a group of CPSI partners we now call Enhanced Recovery Canada (ERC). Among ERC partners, we now have Health Quality Councils, the Royal College, healthcare providers such as nurses and doctors, and many other professional organizations. Today, Enhanced Recovery Canada is a group of clinical experts and leaders working together to improve surgical outcomes for all Canadians. In Canada, there are currently a few ERAS Clinical Centres of Excellence McGill University Health Centre, University of Toronto, Alberta Health Services, and the province of British Columbia. These healthcare organizations have gained significant knowledge and experience to support the implementation of ERAS program in other organizations. What is the role of Enhanced Recovery Canada? Enhanced Recovery Canada is a volunteer group of passionate physicians, nurses, and allied healthcare providers. The group first met in January 2017 and agreed to work together to spread ERAS across the country. Together, what they accomplished to date is very impressive. Everyone is very engaged. The first clinical pathway ERC has addressed is colorectal surgeries. Looking at the international ERAS principles, there are about 20 elements in colorectal. If we multiply this by the number of surgical specialties, it could be overwhelming. However, Enhanced Recovery Canada chose six pillars for colorectal surgeries patient and family engagement, nutrition, early mobilization, perioperative fluid management, multimodal pain management, and evidence-based surgical best practices. These core principles encompass the most important ERAS actions and are relevant for most surgeries. We started with colorectal, but want to touch areas such as urology, digestive, pancreatic procedures, as well as gynecology and obstetrics, which are in every operating room in the country. The next phase of the ERC initiative will address other evidence-based practices. Enhanced Recovery Canada has secured support from industry partners and over $500,000 has been committed over five years to fund this work. How is ERAS innovative? ERAS is evidence-based, it improves patient outcomes, and reduces both the length of hospitalization and cost. In addition, the fact that it is truly multidisciplinary shatters conventional siloed practice. It is a comprehensive approach, from the top down, that is multidisciplinary and includes both patients and healthcare providers. What major learning have you had that you can share about ERC? Most quality improvement projects are viewed as medical projects and not geared toward changing the culture of safety. They are not comprehensive and the work often vanishes after the project is completed. What we need to do is change care delivery that will create a ripple effect across services and throughout the country. I truly believe ERC can do that. What future possibilities do you see for ERAS? Because ERAS is truly multi-disciplinary, there are tremendous possibilities for the future. ERAS was originally developed for surgical procedures, but really it is a foundation that can be replicated for other things. If you want to speed up the process for quality improvement in Canada, ERC is the solution to make a patient safety culture happen. Collaboration between jurisdictions is also an ERC benefit. A few weeks ago, we had a discussion with the American College of Surgery (ACS), about their national quality surgical improvement program and they are very happy to work with us. In fact, two Canadian physicians are currently working with ACS to develop new material. The United States has protocols in place for colorectal surgeries and for hip and knee replacements; they will work on gynecology procedures next. ERC is convinced that once the multidisciplinary quality improvement structure is in place, it will be easier to spread new practices. Where can we go to learn more? For an international perspective, visit There is valuable information on that website. The Canadian Patient Safety Institute provides the national perspective for Enhanced Recovery Canada. There is a lot of information out there and we have links on the website to McGill University Health Centre, who have excellent documentation on patient engagement, and Enhanced Recovery BC, who have good information to support the implementation of enhanced recovery programs. You can also learn from others and connect with an experienced ERAS coordinator. Questions about Enhanced Recovery Canada can be directed to 10/16/2018 6:00:00 AMSuperSHIFTER Dr. Claude Laflamme is the Medical Director of Quality and Patient Safety in the Department of Anesthesia at Sunnybrook Health Sciences10/16/2018 7:55:46 PM311
#superSHIFTERS TeamSTEPPS Canada™: a powerful tool to improve patient safety and transform culture2568610/3/2018 7:50:40 PMSuper SHIFTERS<img alt="" src="/en/NewsAlerts/News/PublishingImages/2018/TeamSTEPPS%20Canada%20EN%202018-03-13.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> ​SuperSHIFTERS Tricia Swartz, Jessica Kettles, Nada Strathearn and Gina De Souza are the Canadian Patient Safety Institute's team behind TeamSTEPPS Canada™. In this article they share their insights on this innovative SHIFT to Safety tool to improve teamwork and communications, and advance a patient safety culture. What is TeamSTEPPS? TeamSTEPPS® is an acronym for Team Strategies and Tools to Enhance Performance and Patient Safety. The program improves safety and transforms culture in healthcare through better teamwork, communication, leadership, situational awareness, and mutual support. TeamSTEPPS Canada™ is an evidence-based teamwork system that optimizes patient care by improving communication and teamwork skills among healthcare professionals at the point of care. It includes a comprehensive set of ready-to-use materials and a training curriculum to integrate teamwork principles into a variety of settings. TeamSTEPPS Canada training session held in Halifax, Nova Scotia. Left to right (left side) Nada Strathearn, Project Coordinator, CPSI; Monique Thibodeau, Project Coordinator, CPSI; Rhonda Pouliot, Lead Collaborative Learning and Education, Health Quality Council of Alberta; Maryanne D'Arpino, Senior Director Safety Improvement and Capability Building, CPSI; (right side) Gina Peck, Project Coordinator, CPSI; Denise Durfy Sheppard, Department of Health and Community Services Newfoundland Labrador; Gina De Souza, Patient Safety Improvement Lead, CPSI; and Tricia Swartz, Patient Safety Improvement Lead, CPSI. How did you land on TeamSTEPPS as a tool to address teamwork, communication and patient safety culture? When the SHIFT to Safety platform was launched by the Canadian Patient Safety Institute about two years ago, we wanted to move away from simply providing the healthcare field with evidence-based products on what to do, and take an approach that would help them to address problems around how to do it. When we looked at why teams were struggling with implementing evidence based practices, or accelerating their quality improvement efforts, we learned through the literature that the main issues were a breakdown in communications and teamwork, and a lack of a patient safety culture. From there, we looked at various curriculum and programs that existed nationally and internationally that specifically addressed these issues. We reviewed about 10 different pre-existing programs and what would work best for the Canadian landscape. We landed on TeamSTEPPS®, a program designed by the Agency for Research and Healthcare Quality (ARHQ), in conjunction with the United States Department of Defense. The ARHQ is the Federal agency charged with improving the safety of America's health care system and they have trained more than 1,500 individual organizations in the United States through this program. There were a number of the key features that stood out about TeamSTEPPS. It had over 30 years of research and evidence behind it that backed up the program. Teams across the United States and our partners in Europe had amazing improvements in patient safety using the curriculum. TeamSTEPPS encourages customization and we would be able to contextualize it to the Canadian healthcare context to make it really resonate with providers, leaders, and patients and families here in Canada – a lot of curricula are very stringent and subject to copyright and intellectual property laws that do not allow others to customize content. Finally, because TeamSTEPPS is adaptable to a variety of settings, we knew it was the right program to bring to Canada. Another benefit of TeamSTEPPS that we valued was that it came with a very strong measurement platform. Not a lot of other curriculums came with the need to measure what you were doing to see where you had been and to evaluate your gains. We were able to customize the measurement platform using Canadian data sources and measurement methodology. What makes TeamSTEPPS so successful? TeamSTEPPS is more of a shared mental model. Healthcare providers tell us that work keeps piling on that they have to do and they are getting bogged down. TeamSTEPPS is not an additional thing that they need to do on top of the thousands of things they are already doing. It is not an additional checklist or task. It is more of getting on the same page and adopting the same model or way of thinking that should streamline all of those other things that you are doing. We like to say it is not something else to do; rather it is foundational to what you do. Is TeamSTEPPS new to Canadian healthcare organizations? One of the first things we did was an environmental scan to determine who was using TeamSTEPPS in Canada, to identify partners and areas of excellence. We identified some pocket areas, where TeamSTEPPS was being implemented in a small unit of a department. We followed-up with these individuals and teams to get a better idea of what they were doing, how TeamSTEPPS was being applied, and what challenges they had experienced. We wanted to learn from their experiences and identify gaps that we could address in building the Canadian program. How have you customized the TeamSTEPPS Canada program? There are a number of differences in the Canadian program that are innovative. First, we are using videos of real harm that are incredibly well done. We've swapped videos with American content and replaced them with videos that were scripted to show a real life Canadian example of harm that happened in the Canadian system and use that as a specific teaching opportunity to educate around the TeamSTEPPS tools and resources. We have an agreement with the Price family and the Health Quality Council of Alberta to use the Greg's Wings video – Falling Through the Cracks. Second, the curriculum is open to providers from all areas of healthcare, not just acute care, which is so often the case. It is applicable to long term care, primary care, and all sorts of settings. Also, it is not strictly for clinical providers. It is also applicable to non-clinical providers and in fact, the program is far more successful when your team includes non-clinical providers. Third, we asked representatives from Patients for Patient Safety Canada (PFPSC) to vet all of the patient engagement content and they rewrote that content for us. We are now partnering with PFPSC to create some patient-facing content that will give us a unique perspective and a customized curriculum. Finally, the tools and information in the TeamSTEPPS program always talk about sustaining improvement. A lot of other programs deliver content where you create a one-page action plan and at the end of the day you should be able to do these things, however this isn't realistic. Throughout the TeamSTEPPS Canada program, there are tools that help you to sustain and keep the momentum going. What major learnings can you share about the TeamSTEPPS program thus far? The curriculum appeals to and can be used by various healthcare settings and we are seeing that diversity. Traditionally, acute care people dominate in programs like this because acute care has more staff and access to more resources. In the sessions we have done to date, we have had equal representation from private healthcare settings, quality improvement, Corrections Canada staff, regulatory colleges, and primary care providers. The group has been diverse and that is what we were hoping for. The flexibility and variety in which you can deliver the content is extensive and variable. We have seen it delivered in a five per cent didactic approach and the rest done in group work, and vice versa. The content is so flexible and malleable that you can deliver it in any way and the content still resonates. What challenges have healthcare teams experienced in implementing the TeamSTEPPS Canada program? Initially, the teams thought they had to adopt everything. TeamSTEPPS addresses specific problems and provides solutions to those problems. We encourage teams to scale back and only introduce the tools they need to address a specific issue. We recommend that if you start there and understand your issue and then map that to the tools and resources within the curriculum, you can specifically and tactfully choose the solutions to implement. You don't have to implement the entire program. Can others replicate the TeamSTEPPS program? TeamSTEPPS Canada is trademarked and licenced to the Canadian Patient Safety Institute, as the pan-Canadian overseer of the program. Master training sessions are delivered in partnership with the Health Quality Council of Alberta, in a one-year trial program. Once the trial program has been evaluated, other regional training centers across Canada will be added. The one thing we have heard loud and clear is that it confuses staff when you add another program and use the moniker for that program – you've heard the cries, "Oh no, it's another program we have to learn." With TeamSTEPPS, you are not required to use the terminology, or implement the whole program and call it TeamSTEPPS Canada. And, you don't have to call it a TeamSTEPPS solution, or label it a TeamSTEPPS tool. If your issue is communication and want to use a TeamSTEPPS Canada communication tool, you can brand it with your organizational branding, adopt it, adapt it and roll it out as your own. What can we expect from TeamSTEPPS Canada program in the future? Currently, the program is a mix of didactic, and experiential and simulation learning. We would like to scale back the didactic side and embed more simulation and play into the curriculum itself and offer the program in a more updated and innovative format to appeal to a wide range of audiences. As well, the curriculum is more about patient involvement than patient engagement. We are working with a Masters student at the Canadian Patient Safety Institute who had done environmental scans with patients with a healthcare history, patients who do not have a healthcare history, and other partners to find out how to better create patient-facing content. Out of that report we will be developing a module on Patients in TeamSTEPPS that will actually involve patients in using the TeamSTEPPS tools as part of a team. With a broader view, we would like to see the community and more patients involved with TeamSTEPPS Canada program delivery. Whether they are patient advisors, or people who work in less formal roles within healthcare, it would be great to have them at the table learning about these tools alongside the teams that are now attending. Ultimately, our vision is to have a large, pan-Canadian community of practice where all TeamSTEPPS clinicians can connect to learn from one another. How can you find out more about TeamSTEPPS Canada? We would encourage you to take a Master Trainer session. To learn more about TeamSTEPPS Canada, visit Contact if you are interested in bringing the program to your organization. 10/3/2018 6:00:00 AM SuperSHIFTERS Tricia Swartz, Jessica Kettles, Nada Strathearn and Gina De Souza are the Canadian Patient Safety Institute's team behind TeamSTEPPS10/4/2018 2:16:12 PM477
#SHIFTtalks Local and Global Healthcare Experiences Help to Shape Student's Future Career Aspirations  2568810/3/2018 8:11:03 PMSHIFT Talks<img alt="" src="/en/NewsAlerts/News/PublishingImages/2018/Madeline%20Kubiseski%202018-10-03.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> By Madeline Kubiseski Madeline is a Master of Health Administration student at Dalhousie University. She completed a Bachelor of Science in Biology and a Master of Science in Global Health at McMaster University. She recently spent the summer at CPSI doing her summer residency, working on various projects with individuals across the organization. After completing the MHA degree in the spring, she has plans to return to Nepal and apply for internship opportunities with the World Health Organization. “What about the Canadian Patient Safety Institute?” My professor said as I sat in his office and pondered where to complete my summer residency placement. It was the beginning of October, and I was only one month into the Master of Health Administration (MHA) program at Dalhousie University, already having to decide where I would do my residency 8 months down the road. It was a tough decision as I was still adjusting to living in a new city and beginning the MHA program after spending the summer abroad. I was having a difficult time identifying what it was that I wanted out of this degree and specifically the residency experience. Admittedly, I told my professor I had never heard of CPSI, but I was certainly intrigued. Up to this point, I had plenty of experience working and volunteering in the healthcare system. I spent the summer months during my undergraduate career working as an administrative assistant in a family clinic, working as a pharmacy assistant at Rexall, volunteering at the local hospice and hospital, and I was fortunate to grow up in a household with a family doctor. My combined passion for travel and healthcare took me to Kenya when I was 17 with suitcases of medical supplies for a clinic in Nairobi and I recently spent 3 months in Nepal working to implement a mobile health post in rural communities. However, through all these experiences I had never been introduced to the field of patient safety and the implications it has on our healthcare system. Looking back, patient safety inadvertently crossed my mind while lying in a hospital bed in Nepal, after being admitted for gastro symptoms. I was in a ward with many local Nepali women, all surrounded by loved ones in their beautiful coloured clothing. With a higher than usual prevalence of tuberculosis in Nepal, it was then that I noticed the hospital did not have any isolation rooms that I was used to seeing in Canada. There were no barriers or protective equipment, no infection control, and I could not read the information on the medication I was taking. I suddenly began to worry that I may leave the hospital more unwell than when I entered. As I lay there for 48 hours with no TV or cellphone, and only one book that I had already finished, I began to think about the harm, both preventable and non-preventable, that could come from a visit to any healthcare institution. I began to wonder what would happen if I became sick with an infectious disease or if I received medication I wasn’t meant to have. I began to wonder about these situations in Canada and more developed countries around the world. As I did my research on patient safety and CPSI in early October, I couldn’t help but reflect on these 48 hours in the hospital. I quickly realized that the fear I experienced in the hospital in remote Nepal was happening within our own country. I scrolled through the long list of topics on the CPSI website within the four categories of medication safety, infection control, teamwork and communication, and surgical safety. I read through the alarming statistics of patient safety incidents in Canada, the cost to the healthcare system, and the strikingly high mortality rate. While I had certainly come to understand through my years of work, educational and volunteer experiences that the Canadian system needs improvement in various areas, I was not aware of the severity and prevalence of patient safety incidents in Canada. I was shocked but immediately motivated and inspired to inform myself about the issue and pursue a placement with CPSI. From the beginning of my undergraduate degree and possibly earlier I always knew I wanted a career in the healthcare system. I admired my mother for her hard work, commitment to her career, and passion for helping to improve the health and lives of others. For many years I struggled to understand what I could do in the healthcare system without entering a clinical field such as nursing or medicine. However, my journey in the MHA program along with the opportunities I’ve had with CPSI have provided me with a clearer understanding of the important work that needs to be done at local, provincial, national and international levels to improve the quality, safety, and accessibility of healthcare. As I prepare to begin my second year of the MHA program, I am continuously thinking about what is on the horizon for me and the impact I hope to have on the system. I look forward to career opportunities where I can work collaboratively with healthcare providers, leaders, patients and families across the country to reduce inefficiencies in the system, improve the quality of care, reduce patient safety incidents, and improve the accessibility and affordability of care, especially for marginalized populations in Canada. Additionally, I am interested in pursing patient safety on a global scale to enhance the understanding and research available about the issue in underdeveloped and transitional countries. I am excited to pursue post-graduate internship opportunities with the World Health Organization to gain experience within their departments of patient safety, health system governance and financing, and health system service delivery and safety. As we continue to move the dial on patient safety in Canada, I hope we can take what we know and the basic principles to improve healthcare systems in various developing and transitional countries. I am hopeful that this will contribute to a future where healthcare is affordable, accessible, equitable, effective and safe for all. 10/3/2018 6:00:00 AMB y Madeline Kubiseski: Madeline is a Master of Health Administration student at Dalhousie University. She completed a Bachelor of10/3/2018 8:33:07 PM269
Patient Safety Power Play: New faces and CPSI’s biggest event of the year2569110/3/2018 8:36:17 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/News%20Feed%20Icons/Chris%20Power%202016.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> I came out of last month's Canadian Patient Safety Institute's Annual General Meeting energized, enthused, and ready to take on the world! I'm glad I was ready, because I left the AGM for Kuala Lumpur and the International Society for Quality in Health Care annual conference, where I presented on CPSI's Leadership Bundle to an appreciative audience of members from around the globe. Our Annual General Meeting was special for two reasons beside the chance to connect with colleagues and supporters of patient safety. The first was a talk from Dr. Pierre-Gerlier Forest, Director and Palmer Chair of the School of Public Policy at the University of Calgary. Mr. Forest spoke about his experience as advisor on the External Review of Pan-Canadian Health Organizations launched by Health Minister Ginette Petitpas Taylor which produced the Fit for Purpose report, and opportunities for reconfiguration and reform in the Canadian healthcare sector. The second significant part of our AGM was in welcoming five new Board members to the Canadian Patient Safety Institute, and in saying farewell to three longtime allies from the Board whose time has been served. You can read more about the changes to our leadership here (link to story). I am glad for the energy and enthusiasm that I received from the AGM for another reason as well October marks CPSI's largest annual event, Canadian Patient Safety Week. From October 29 to November 2, healthcare teams across the country will connect with patients, practitioners and leaders to share the idea that Not All Meds Get Along. This year's medication safety message is in support of the World Health Organization's goal to reduce medication errors by 50 per cent in the next five years – a goal we have included in our own bold strategy, Patient Safety Right Now! We know well that medication errors can result in severe harm, disability and even death. We also believe that everyone has a role to play in medication safety. This year, we encourage patients and healthcare professionals to start a conversation about their medications – prescribed, over-the-counter, and natural supplements included – to determine if they all get along. I invite you to find out more about Canadian Patient Safety Week here. Whether you are a patient, healthcare practitioner, or healthcare leader, you have a role to play in medication safety. From sharing pledges to ask the 5 Questions About Your Medications or taking our medication safety quizzes, to trying a "Caption This" contest or joining one of our two online presentations, you can help spread the word that Not All Meds Get Along. At the end, we hope you sign our petition to the Government of Canada in support of plain language labelling regulations for non-prescription drugs and natural health products. Together, we can make a difference. I hope to see you take part in Canadian Patient Safety Week this year. Questions? Comments? My inbox is open to you anytime at, and you can follow me on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power 10/3/2018 6:00:00 AMI came out of last month's Canadian Patient Safety Institute's Annual General Meeting energized, enthused, and ready to take on the world! I'm glad I10/4/2018 2:35:30 PM253
New Board Members infuse CPSI with new energy2569310/3/2018 8:45:14 PMPatient Safety NewsThis year's AGM went beyond all expectations. In response to our call for nominations that went out across the country, the Canadian Patient Safety Institute had dozens of qualified patient safety advocates committed to taking a place among our Board of Directors. As a result, at the CPSI Annual General Meeting on September 21, we were delighted to welcome five new Board Members to represent key stakeholders and professions in the area of healthcare. They are drawn from across Canada, each is dedicated to the cause of patient safety, and each brings with them significant expertise. Please join us in welcoming our new Directors. Allison Costello Allison Costello is the Acting Director of the Policy and Innovation Branch (PIB) within the Health System Quality and Funding Division of the Ontario Ministry of Health and Long-Term Care (MOHLTC). PIB fosters patient engagement and facilitates improved patient safety throughout Ontario's health care system. Allison has been involved with policies and programs across the MOHLTC, including supporting quality improvement programs, embedding evidence into practice and supporting the establishment of the Local Health Integration Networks. Jeanette Edwards Jeanette Edwards is the Strategic Lead for Community Health, Quality and Learning with the new Shared Health organization in Manitoba. She will lead a provincial quality, patient safety and accreditation project which will evaluate and recommend an overall provincial quality strategy across all service delivery organizations. Prior to this, Jeanette was Regional Director of Primary Health Care and Chronic Disease with the Winnipeg Regional Health Authority. She has led the Specialized Services for Children and Youth (SSCY) initiative and served as Special Advisor to the Deputy Minister on Primary Care providing support for primary care renewal policy development and strategic action planning. Jeanette continues to instruct at the University of Manitoba, serves as a surveyor with Accreditation Canada, and co-chairs the Primary Health Care Technical Committee for the Health Service Organization. Dr. Chris Hayes Chris Hayes is the Chief Medical Information Officer with St. Joseph's Healthcare Hamilton, where he led the implementation of the hospital's advanced health information system. He is a staff critical care physician and an associate professor in the department of medicine at McMaster University. Chris is a 2013-14 Canadian Harkness/IHI Fellow in Health Care Policy and Practice, where he spent a year at the Institute for Healthcare Improvement researching strategies to improve the success and sustainability of quality improvement and patient safety initiatives. From 2008 to 2015, Chris was also the medical officer for the Canadian Patient Safety Institute, where he chaired the Canadian Safe Surgery Saves Lives program. Jo-Anne Hubert Jo-Anne Hubert brings 29 years of experience in a variety of leadership roles throughout the Northwest Territories (NWT) Health and Social Services system. In addition to her current position of Assistant Deputy Minister, Health Programs, she has served as the Director Territorial Health Services, Director of Primary Health Care, and Executive Director of the Registered Nurses Association of NWT and Nunavut. Her broad-ranging work experience includes many years in small NWT communities, regional Health and Social Services authorities and the Department of Health and Social Services. Jo-Anne has a master of nursing degree and has an ongoing clinical practice as a Primary Health Care Nurse Practitioner. Susan M. Owen Sue Owen is a Senior Healthcare Leader with comprehensive expertise across many health care sectors, including acute care, academics and research, mental health and addictions, pediatrics, faith-based organizations, and community and home care. Sue has led complex assignments across Canada, including Mount Sinai Hospital, Sick Kids, University Health Network, Waypoint Centre for Mental Health Care, Fraser Health Authority, North Bay Regional Health Centre, Niagara Health, Hamilton Health Sciences, The Central West LHIN, the Central West CCAC, and the Canadian Red Cross Society. Sue also possesses deep expertise in strategic planning, clinical services planning, operational reviews, value for money audits, and patient experience mapping. The Canadian Patient Safety Institute welcomes these healthcare system leaders to our Board. We celebrate the skills and expertise they bring to the table, and look forward to the successes we will achieve under their leadership. As much as we embrace the new additions of experience and vision to our Board, however, we also must bid farewell to three strong Board members whose terms ended in September. Suzanne Bisaillon A CPSI Board member for six years, Suzanne Bisaillon holds a PhD in industrial pharmacy and has practiced law since 1989. She served as a pharmacist until 2002 and was a professor at the Faculty of Pharmacy, Université de Montréal, between 1974 and 2009. She is fellow at CIRANO and a member of the scientific committee of the association Medical Exchange. Susan Mumme Former CPSI Board Chairperson and a member for eight years, Susan Mumme holds a master's degree in health studies (leadership) and a bachelor of science in food science (dietetics). She has extensive experience in healthcare as a frontline caregiver, as a leader of clinical programs and support services, and as a senior executive. Susan has led a number of system improvement initiatives including Emergency Services and System Capacity, Ambulatory Care Gold Standard Patient Experience and Medication Management Systems. Prior to retiring, she led the development of a Quality and Safety Strategic Outline and Framework, provincial Accreditation model and the AHS (Alberta Health Services) Improvement Way (AIW) - a consistent, standardized approach for improvement. Louise Simard Prior to serving on the CPSI Board for six years, Louise Simard was elected to the Legislative Assembly of Saskatchewan in 1986 and again in 1991, at which time she became the Minister of Health and Minister Responsible for the Status of Women. She has held numerous other ministerial portfolios, including Treasury Board, Saskatchewan Cancer Foundation, the Health Services Utilization and Research Commission, and the Saskatchewan Women's Advisory Council. She is a former CEO of the Saskatchewan Association of Health Organizations and of the Health Employers Association of British Columbia, and was the first non-physician appointed president of the Medical Council of Canada. Louise presently is a Professional Affiliate of the School of Public Health, University of Saskatchewan, and she sits as a member of the Council of the Royal College of Physicians and Surgeons of Canada. She does work for the Medical Council of Canada, continues with speaking engagements and manages her farm near Regina. We offer our most sincere thanks to the members departing our Board, and look forward to supporting their ongoing efforts to promote patient safety throughout the healthcare system. 10/3/2018 6:00:00 AMThis year's AGM went beyond all expectations. In response to our call for nominations that went out across the country, the Canadian Patient Safety10/3/2018 9:01:15 PM395
Get involved in Canadian Patient Safety Week!256619/27/2018 7:51:16 PMPatient Safety News Canadian Patient Safety Week (CPSW) is a national, annual campaign to inspire extraordinary improvement in patient safety and quality. Working together, thousands of healthcare professionals, patients and families spread the message to Ask. Listen. Talk. to create a safer healthcare system. Canadian Patient Safety Week runs October 29 to November 2, 2018. This year, CPSW will focus on medication safety with the goal of reducing medication errors across Canada. Not All Meds Get Along encourages an open dialogue between patients and healthcare professionals by promoting each to seek medication reviews for at-risk populations and promoting the use of the 5 Questions to Ask About Your Medications. Medication errors should be taken seriously. Consider these facts An estimated 37 per cent of seniors in nine provinces received a prescription for a drug that should not be taken by this population. Two out of three Canadians over the age of 65 take at least five different prescription medications. One out of four Canadians over the age of 65 take at least 10 different prescription medications. In 2016, one in 143 Canadian seniors was hospitalized due to harmful effects of their medication. Preventable medication hospitalizations cost over $140 million CDN in direct and indirect healthcare expenditures, with lost productivity, including time off work, adding $12 million CDN in costs. Globally, the cost associated with medication errors has been estimated at over $55 billion. To reduce the risk of medication errors, medication reviews are specifically recommended for anyone on five or more medications; those over 65 years of age; individuals with multiple caregivers, or using multiple pharmacies; people at risk of falls; individuals with chronic medical issues; and during transitions of care. Ask your healthcare professional or pharmacist for a medication review when you are having a new or existing prescription filled or if you are considering adding, removing or changing any non-prescription medications or supplements. The goal of Canadian Patient Safety Week is to reduce medication errors by 50 per cent over the next five years. The Canadian Patient Safety Institute is coordinating the World Health Organization's Medication Without Harm campaign in Canada; Canadian Patient Safety Week supports this initiative. Much of the promotion of Canadian Patient Safety Week takes place digitally and on social media. Some activities planned for the week include online quizzes to test medication safety knowledge for both patients and providers; a medication safety webinar; a "caption this" comic challenge; a virtual screening and Twitter Talk event of "Falling Through the Cracks Greg's Story"; and new episodes of the award-winning PATIENT podcast. Join the CPSW Medication Safety webinar on Monday, October 29th at 1200 Noon EST. Details on the presentations and speakers are available on and will be emailed to CPSW registered participants. The "Caption This" Comic Challenge is a fun way to get involved. Use the Not All Meds Get Along image and write a caption for the illustration. Post your entry on social media and tag the message with #AskListenTalk for the chance to win great prizes! On Friday, November 2, at 1200 Noon EST, a Twitter Talk event will take place learn about Greg Price's journey through the healthcare system that ended in his unexpected and tragic death, followed by a discussion moderated by the Price family. The film and discussion are intended to inspire positive change and improvement in the healthcare system, sure to resonate with healthcare providers and leaders, and will help create a platform for future dialogue. Follow @Patient_Safety and @GregsWings to learn more. The second season of the PATIENT podcast series explores patient safety through a non-fiction medical drama from the perspective of the patient. Three new episodes will be added to this series, focusing on medication safety. Listen to the first season of PATIENT podcasts at Free digital downloads and promotional packages are available to help you promote Canadian Patient Safety Week at your organization. Printable posters, social media images and slides for point of sale and TV screens are available at You can also order promotional tools such as pens, stickers, buttons, large-scale posters and medications lists and much more from the CPSW online store. How will your organization celebrate Canadian Patient Safety Week? For ideas, take a look at the Communications Toolkit and don't forget to share your messages and pictures on social media using the hashtag #AskListenTalk. To register for Canadian Patient Safety Week, visit 9/27/2018 6:00:00 AMCanadian Patient Safety Week (CPSW) is a national, annual campaign to inspire extraordinary improvement in patient safety and quality. Working9/27/2018 7:59:36 PM707
Patient Safety Power Play: Our healthcare system needs each of us256249/21/2018 6:54:11 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/News%20Feed%20Icons/Chris%20Power%202016.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> I’m sure I’m not the only one who finds myself suddenly so much busier, come September. Children and grandchildren return to school; work colleagues are back from vacation. After the warm summer months, the cooler fall air finds me bristling with energy and excitement. I’m ready to start making changes. In response to the Pan-Canadian Health Organization review, and with guidance from our Board of Directors, we have met with the other organizations to discuss how we could best enhance our impact within the health care system, better responding to current and emerging priorities. Throughout this process, Health Canada has encouraged us to continue with business as usual, but we have done some thinking about future possibilities. As the review continues this fall, I will keep my team and our partners updated. I am confident that this next stage in the evolution of our healthcare system – whatever it will look like in the end – will mean a greater emphasis on patient safety. By the end of the month, I will be in Kuala Lumpur for the International Society for Quality in Health Care’s annual meeting. With over 180 invited speakers, 1,500 expected delegates and 400 posters, this year's conference will be ISQua's biggest to date. As we meet to discuss “Weaving the fabric of quality and safety”, I plan to present our patient safety culture “Bundle” for healthcare leaders. Through a literature review of more than 60 resources, the Bundle is based on a set of evidence-based practices that must all be applied in order to deliver good care. I believe that it will receive a warm welcome from representatives in health care around the world. However, the time I anticipated most this month was our own Canadian Patient Safety Institute Annual General Meeting. I spent time with Board Members, my CPSI colleagues, Health Canada representatives, and members of the public to celebrate another spectacular year of achievements in patient safety. You will see many of the highlights in our Annual Report, or by reaching out to one of the many individuals and organizations involved in our efforts this year. In fact, you would be best served by reaching out to one of my CPSI colleagues after you have read the Annual Report. For while I serve a role in forwarding patient safety in our healthcare system, I am proud to say that I am part of an amazing team. Each one of us pulls together to deliver the programs and campaigns that advance our cause. In this issue of the Digital Magazine alone, you will read about a partnership with the Canadian Association of Schools of Nursing to develop learning outcomes for patient safety in undergraduate nursing curricula. We are part of the World Health Organization’s Medication Without Harm campaign and have joined with McGill University Health Centre to deliver a November forum on Enhanced Recovery After Surgery. While I will spend several days this month focused on what we have achieved, our team is already moving forward with new patient safety campaigns sign up to stay informed. I serve as Chief Executive Officer of CPSI because I believe that no patient should suffer avoidable harm when seeking medical care. I am so proud of the team around me, and our partner organizations, for helping to advance this cause. Our healthcare system needs efforts from all of us, across the country and around the world, to make it the safest it can be. What are you doing to make health care safer? I would love to hear from you, and to thank you again for being a passionate advocate for patient safety in Canada. Questions? Comments? My inbox is open to you anytime at Follow me on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power 9/21/2018 6:00:00 AMI’m sure I’m not the only one who finds myself suddenly so much busier, come September. Children and grandchildren return to school; work colleagues9/21/2018 7:04:52 PM266