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CPSI designated as WHO Collaborating Centre for Patient Safety and Patient Engagement329799/14/2017 8:47:00 PMPatient Safety News With the support of the Government of Canada, the World Health Organization (WHO) has officially designated the Canadian Patient Safety Institute as a WHO Collaborating Centre for Patient Safety and Patient Engagement to carry out activities in support of WHO programs internationally. Of the more than 800 WHO Collaborating Centres from 80 countries worldwide, 31 are from Canada. The Canadian Patient Safety Institute is the only WHO Collaborating Centre in Canada with a focus on both patient safety and patient engagement. The four-year agreement (2017-2021) will include activities targeted in four areasProvide coordination support and advice to the global Patients for Patient Safety (PFPS) advisory group Support global efforts and initiatives on patient safety reporting and learning systems Contribute to the planning and implementation of the 3rd Global Patient Safety Challenge on Medication Safety Support global patient safety initiatives in achieving safer care "The Canadian Patient Safety Institute has a long-standing collaborative relationship with the WHO Patient Safety Programme internationally, and has been a catalyst in developing collaborative partnerships across the country," says Chris Power, CEO, Canadian Patient Safety Institute. "We have benefited from the support of the WHO and their members in the development of Canadian products and services, and indirectly we have provided Canadian support to assist transitional and developing countries. We are excited about this opportunity to advance safer care through patient safety and patient engagement, both locally and globally." Building on the Canadian Patient Safety Institute's well established support to Patients for Patient Safety Canada over the past 10 years, the Canadian Patient Safety Institute will provide support to the global PFPS advisory group that will include coordination and secretariat support for the WHO PFPS Advisory Network and building capacity for patient/family champions and leaders of PFPS global networks. Each year of the agreement, the Canadian Patient Safety Institute will coordinate quarterly meetings of the PFPS advisory group and deliver three knowledge transfer webinars in English and French, to build capacity of the Network's patient safety champions and leaders. "The WHO's PFPS programme engages patients and families in improving the safety of health care, to enhance and build capacity, and to become informed and knowledgeable partners in their own care," says Helen Haskell, Co-chair, WHO Patients for Patient Safety Advisory Group. "PFPS workshops bring together PFPS advocates, health care professionals, local leaders, health care organizations and policy-makers to share knowledge about the national health system and to explore mechanisms to improve patient engagement for safety. Working with the Canadian Patient Safety Institute as a WHO Collaborating Centre provides the opportunity to share our experiences and knowledge on patient safety and patient engagement." To broaden reporting, learning and sharing from harm, the Canadian Patient Safety Institute hosts Global Patient Safety Alerts, a web-based resource featuring a comprehensive collection of patient safety alerts, advisories and recommendations from around the world. Work will continue to expand its use and contributions from international organizations. "Too much healthcare delivered around the world carries avoidable harm," says Sir Liam Donaldson, Patient Safety Envoy, WHO. "With tools like Global Patient Safety Alerts, we can effectively share information about patient safety risks and effective ways to manage those risks and prevent harm. Through initiatives like the WHO Collaborating Centers, the processes to collect, analyze, communicate and disseminate information and trends to users and potential contributors can be improved." As the Canadian coordinating body, the Canadian Patient Safety Institute is participating in the 3rd Global Patient Safety Challenge on Medication Safety. The Canadian Patient Safety Institute is a member of the WHO Patients and Public Working Group and provides expertise and support to the global medication safety challenge. Maryann Murray, a member of Patients for Patient Safety Canada, recently addressed the World Health Assembly's annual meeting to share her experiences leading to her daughter's death, and highlighted the Five Questions to Ask about Your Medications, a Canadian tool developed by patients and providers on how to have a conversation about safe medication use. The tool is available in 20 different languages. "The challenge of improving medication safety is now being embraced in Canada and around the world. By sharing knowledge and resources, we contribute to the development of universal products and tools that will assist in significantly reducing medication harm around the globe," says Maryann Murray. To support global patient safety initiatives, the Canadian Patient Safety Institute will provide policy, strategic and technical advice and consultation at various platforms including WHO global and regional consultations or events, working groups, and committees; and provide advice and support in the development, adaptation, spread, and/or evaluation of patient safety tools and resources at a global level. Patient engagement is a priority for many Canadian organizations. Led by the Canadian Patient Safety Institute, the National Patient Safety Consortium, a group of more than 50 organizations, established the Integrated Patient Safety Action Plan, a shared action plan for safer healthcare. One of the plan's guiding principles is patient engagement. "Patient engagement is a core strategy for advancing universal health coverage, safe and quality health care, service coordination and people-centredness," says Dr. Neelam Dhingra-Kumar, Coordinator, Patient Safety and Quality Improvement, WHO headquarters, Geneva. "Canada is recognized as a world leader in both patient safety and patient engagement so we believe that this collaboration will help improve lives around the world." For more information about the WHO Collaborating Centre designation, visit the WHO website. 9/17/2017 6:00:00 AMWith the support of the Government of Canada, the World Health Organization (WHO) has officially designated the Canadian Patient Safety Institute as9/17/2017 7:52:08 PM176http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Change Day Ontario 2017328959/11/2017 7:23:21 PMPatient Safety News ​Change Day Ontario Make a Difference in Patient Care Associate Medical Services and Health Quality Ontario – with support from The Canadian Patient Safety Institute - invite you to support healthcare organizations from across Ontario for two months in the Fall as Change Day Ontario 2017 takes place. What is Change Day Ontario? It is a growing global movement that supports people with first hand experience in the Canadian healthcare system to create positive change. But how is this done you ask? By making pledges – large or small- to drive the change they want to see forward. This event is about people connecting through their ideas and stories and sharing them through social media. Its about engaging with one another and overcoming barriers. Ultimately, Change Day Ontario is about is about helping to improve care for patients and providers. With that in mind, join Change Day Ontario and make a pledge to improve compassionate quality care and inspire positive change within the health system. Visit changedayontario.ca to learn more and to sign up as an Ambassador. As a reminder, pledging begins September 12, 2017, and will culminate in a day of celebration which will take place on November 17, 2017. Change Day Alberta​​​​ http//www.changedayab.ca/ Change Day BC https//changedaybc.ca/Steven Butterworth9/12/2017 2:30:00 PM Change Day Ontario: Make a Difference in Patient Care Associate Medical Services and Health Quality Ontario – with support from The Canadian9/15/2017 7:19:44 PM89http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Patient Safety Power Play: Partnering to prevent the Deteriorating Patient Condition328909/8/2017 5:32:03 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/2016/Chris%20Power%202016.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> Early warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical patient events are preceded by warning signs that occur several in advance. The Canadian Patient Safety Institute (CPSI) and the Healthcare Insurance Reciprocal of Canada (HIROC), continuously assert the importance of patient engagement in healthcare. We believe the patient and family have a voice at the bedside, and are vital to safe care outcomes. When it comes to the deteriorating patient condition, family members are a vital part of the healthcare team and are often best positioned to recognize the sometimes subtle, yet very important changes in their loved one's condition that may indicate deterioration. They may not know WHAT is wrong, but they're often the first to notice when something "just isn't right". Look no further than the story of Mataya Robin as an example of what we're talking about CPSI and HIROC, determined to be instrumental in ending preventable harm caused by the deteriorating patient condition, have partnered in an effort to curate the most comprehensive set of tools and resources related to the deteriorating patient condition in Canada, if not the world. You can access them all free of charge by searching "Deteriorating Patient Condition" or "DPC" at www.patientsafetyisntitute.ca. Deteriorating Patient Condition If you've got a family member currently in the healthcare system, learn to recognize the signs and symptoms of the deteriorating patient condition and how to effectively discuss your concerns with the healthcare provider. For providers and leaders, learn about the deteriorating patient condition in various care settings, and become a champion for patient engagement as you empower patients and family members to serve as your eyes and ears and monitor for early warning signs that something may be wrong. Together, we can reduce preventable harm. Yours in patient safety, Chris Power Catherine Gaulton CEO CEO Canadian Patient Safety Institute Healthcare Insurance Reciprocal of Canada 9/8/2017 6:00:00 AMEarly warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical9/8/2017 6:01:24 PM249http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
#SHIFTTalks Hear me out328919/8/2017 4:10:54 PMPatient Safety News<img alt="" src="/en/About/Programs/shift-to-safety/shift-faculty/PublishingImages/Joanna%20Noble.JPG?Width=140" width="140" style="BORDER&#58;0px solid;" /> The value of effective communication during patient handovers Just hours after being discharged from the emergency department, a five-week old infant sustained permanent brain damage due to a delayed diagnosis and treatment for meningitis. The cause – miscommunication and the absence of a reliable process to ensure pending tests following a patient discharge. Cases like these beg the question, are poor communication practices during shift changes and transfers between care providers so ubiquitous in healthcare that we have become numb to their chilling effects on patient safety? Sadly, we might think we’re communicating well but in the chaotic and stressful healthcare environment, the messages can easily start to look like a game of broken telephone. Communication handovers – be they between healthcare providers, facilities or sectors – can be complex. One article suggested that the average healthcare provider encounters 11 to 15 interruptions hourly. Other research tells us that only 42% of nurses can identify their patient’s primary care provider and 23% of physicians can identify their patient’s primary nurse. According to CRICO, healthcare miscommunication cost $1.7B and impacted nearly 2,000 lives in a study of claims filed between 2009 and 2013. A similar grim situation exists in Canada. The Canadian Adverse Events Study found miscommunication during care transitions were a key factor in medication adverse events. Based on claims data from HIROC (the Healthcare Insurance Reciprocal of Canada), communication failures contributed to an estimated $305 million in medical legal costs since 1987. Contrary to these findings, The 2015 Accreditation Canada Report on Required Organizational Practices (ROP) revealed an overall compliance score of 99% for the practice of ensuring effective information at transition points. However, this finding specified that tests for compliance did not assess the quality of information transferred. There are some promising signs that things are changing. We are seeing studies on standardized practices to bridge the gap between varying communication styles. There is also a focus on team-based safety practices such as routine huddles and debriefs to enhance communication. And finally, tools and resources like CPSI’s SHIFT to Safety platform help empower patients and families to start conversations during care transitions. For leadership, it comes down to prioritizing effective communication, making use of technology and building of a culture of safety. We must do it for our staff, our organizations and for our patients who leave their fate in our hands. ​ ​By Joanna Noble, Supervisor, Knowledge Transfer Healthcare Risk Management, HIROC 9/8/2017 6:00:00 AMThe value of effective communication during patient handovers Just hours after being discharged from the emergency department, a five-week old9/11/2017 4:40:02 PM531http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Patient Safety Power Play: Meeting with the Council of Federation98978/3/2017 9:56:35 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Council%20of%20Federations%20Event%20-%20Overhead%20Shot.JPG?Width=140" width="140" style="BORDER&#58;0px solid;" /> Today in Canada, every 17 minutes someone dies in a hospital from an adverse event. That's about 31,000 people a year. We also know 1 out of 18 hospital visits results in preventable harm or even death. It's no better in the community, where up to 13 per cent of people receiving home care experience a harmful adverse event like a fall or medication error. According to a June 2017 report from the Organization for Economic Co-operation and Development, the economic burden of adverse events in Canadian hospitals in 2009-2010, where the burden attributable to preventable adverse events was estimated at $ 397 million. This level of harm is simply unacceptable. The Canadian Patient Safety Institute (CPSI) hopes that the Council of the Federation, composed of Canada's premiers, will make patient safety promotion a priority. As policy makers and elected officials gathered in Edmonton during the Council of the Federation last month to make difficult decisions about where to invest money, I was fortunate to have the opportunity to stress the point to them that the work of the Canadian Patient Safety Institute is critically important for preventing harm from happening, responding to harm when it does happen and learning from harm so that it doesn't happen again. In the months ahead, as we near a decision from Health Canada regarding our future funding, we look forward to close collaboration with all levels of governments and the stakeholder community, so all Canadians can access safe healthcare. Since 2003, CPSI has been on the front lines, working with providers and healthcare organizations to improve patient safety through education, research, and evidenced-based clinical interventions. We've received excellent support from Health Canada and both federal and provincial governments over the years, but the reality is we need more to ensure Canada has the safest healthcare system in the world. CPSI is the only national organization solely dedicated to reducing preventable harm and improving the safety of healthcare. Established as the result of a rallying cry led by dedicated individuals working within the healthcare system that couldn't experience one more incident of a patient getting harmed CPSI has a mandate to provide national leadership by working with federal, provincial and territorial leaders on developing evidence based tools and resources to educate and inspire safer care. In order to continue our mandate, we're looking for support from throughout the healthcare system, if you'd like to lend a voice to our cause, please reach out to me via email at cpower@cpsi-icsp.ca to learn more about how you can help. Thank you. Yours in patient safety, Chris Power8/3/2017 6:00:00 AMToday in Canada, every 17 minutes someone dies in a hospital from an adverse event.  That's about 31,000 people a year. We also know 1 out of 188/3/2017 10:04:28 PM208http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Patient Safety Power Play: Powering up for Canadian Patient Safety Week!99497/10/2017 7:08:20 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/2016/Chris%20Power%202016.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> As someone whose entire professional life has revolved around the healthcare system in one way or another, one of my favourite times of year will be upon us before you know it. Of course, I'm referring to Canadian Patient Safety Week . . . the marquee event of the Canadian Patient Safety Institute! For more than 10 years, Canadian Patient Safety Week has been our annual opportunity to reach out to thousands of healthcare providers. In that time, we've raised awareness on patient safety issues such as medication safety, infection prevention and control and good communication. We've celebrated with webinars, Twitter talks, social media campaigns, competitions, and who could forget our famous Canadian Patient Safety Week packages filled with everything you need to make your week a success and spread the message of patient safety in your organization. This year we're aiming to outdo ourselves yet again. In case you hadn't heard, the theme for Canadian Patient Safety Week 2017 is Take With Questions as we focus on medication safety and the 5 Questions to Ask About Your Medications. This year, we are making it our mission to encourage patients and remind healthcare professionals what lifesaving questions we should all ask about our medications. Over the course of the next couple of months, we'll slowly unveil different aspects of the Take With Questions theme, as we build towards our biggest Canadian Patient Safety Week yet, from October 30 to November 3. If you aren't subscribed to our mailouts, or following us on social media, now would be a great time to start so you don't miss a thing! We've also got limited quantities of the famous Canadian P​atient Safety Week packages so don't wait too long to order yours! If you've got any questions about Canadian Patient Safety Week, you can email our planning team at cpsw@cpsi-icsp.ca. How does your organization celebrate Canadian Patient Safety Week? Have you started planning yet? Do you have any questions? Connect with me anytime via email at cpower@cpsi-icsp.ca or follow me on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power7/10/2017 6:00:00 AMAs someone whose entire professional life has revolved around the healthcare system in one way or another, one of my favourite times of year will be7/31/2017 3:16:00 PM535http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Consortium Update – The Home Stretch!97526/14/2017 4:22:45 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Consortium%20Thumbnail.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> Consortium actions are well underway. As of March 31, 2017, almost all actions are completed (88%) and two actions remain but are in progress (13%). The Consortium is proud to have championed the development of the Patient Engagement Guide. This is an action that came out of the National Consortium's action plan and the guide will be valuable to the ongoing work that organizations across the country are doing in the advancement of patient engagement. The Steering Committee of the National Patient Safety Consortium would also like to thank two patient representatives who have contributed immensely to their work. Denise Klavano and Sharon Nettleton were instrumental members of this group. As the co-chairs for Patients for Patient Safety Canada they brought a unique and crucial perspective to the committee. As Sharon and Denise move on from their roles as the co-chairs for Patients for Patient Safety Canada the Steering Committee will be pleased to welcome their successors as new participants in the group. A key element of the National Patient Safety Consortium Action plan is an evaluation of their work, and that the work contained in the Integrated Patient Safety Action Plan. This evaluation is well underway. Through the leadership of Dr. San Ng and Jean Trimnell, Vision & Results Inc is conducting a thorough evaluation. Thus far, CPSI staff, Steering Committee members, Leads Groups, patients, and Action Teams have been interviewed. An online survey is also currently seeking feedback from partners and participants. Preliminary results will be shared in October 2017.6/28/2017 6:00:00 AMConsortium actions are well underway.  As of March 31, 2017, almost all actions are completed (88%) and two actions remain but are in progress6/28/2017 2:33:35 PM204http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Home Care Safety Update – Collaborative hitting their stride98266/14/2017 4:52:30 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Medical%20Kit.jpg" style="BORDER&#58;0px solid;" /> ​Wave Two of the Home Care Safety Improvement Collaborative is well under way. Teams have begun refining Aims and identifying measures to guide their work. Individual coaching sessions with each team are being facilitated by CPSI staff in collaboration with CHCA. These sessions help teams identify plan and test change ideas designed to make care safer. Collaboration between teams is starting to develop and teams that are working on similar concepts have recently been paired up to evaluate and provide feedback on each other's work. Future sessions will be more interactive and leverage the connections already made. 6/28/2017 6:00:00 AMWave Two of the Home Care Safety Improvement Collaborative is well under way.  Teams have begun refining Aims and identifying measures to guide7/10/2017 2:43:38 PM222http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
IPAC Update – STOP! Clean Your Hands Day raises IPAC to new heights98516/14/2017 4:59:02 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Hospital%20Thumbnail.jpg" style="BORDER&#58;0px solid;" /> As part of the IPAC IAP, CPSI is actively addressing the goal of improving infection prevention and control using strategies known to improve behaviour and culture. This has been accomplished through a national campaign aimed at public, patients and providers, focusing on raising awareness and promoting behaviour change. As part of this work, CPSI has hosted with our partners, the annual Stop! Clean Your Hands Day campaign for Canada. The theme for STOP! Clean Your Hands Day, May 2017, was Ask Yourself… Making a change to your behaviour can be as simple as asking yourself a question and understanding that change doesn't need to be a burden. Small, incremental changes can lead to big things. Not only can you improve your own practices, you're setting a great, easy to follow example for everyone around you! Whether you're a patient, provider, or work in a healthcare setting – if you're involved in the healthcare system, take the time to have a conversation with yourself and ask what you can change today to improve for tomorrow. The campaign boasted a multifaceted engagement platform including a national webinar "Making it stick when asking, telling and begging just isn't enough", sold out with 383 attendees, a social media tending quiz entitled "How Clean are Your Hands", aimed at raising hand hygiene awareness for providers and the public, and a video competition focused on the theme of Ask Yourself. Of the 18 videos submitted from across Canada, we are pleased to report submissions from patients and families.6/28/2017 6:00:00 AMAs part of the IPAC IAP, CPSI is actively addressing the goal of improving infection prevention and control using strategies known to improve6/28/2017 2:47:46 PM244http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Medication Safety Update – Patient engagement key to medication safety success98916/14/2017 5:21:17 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Stethoscope%20Thumbnail.jpg" style="BORDER&#58;0px solid;" /> Patient engagement has been and will continue to be crucially important to the progression and success of the Medication Safety Action Plan. Over the past quarter, two notable examples of progress stand out Through the Joint Statement of Action to Address the Opioid Crisis, the Institute for Safe Medication Practices Canada, Canadian Patient Safety Institute and Patients for Patient Safety Canada are working to empower patients to improve their knowledge about the use of opioids and options for non-medication treatment of pain. Recently, an information handout was developed and released that should be provided for patients with every opioid prescription. Click here to access this tool! The handout has already been endorsed for use by the Neighbourhood Pharmacy Association of Canada and Pharmasave. The Canadian Centre for Substance Abuse is coordinating progress reporting for all of the commitments made at the Opioid Summit. Click here to read the first progress report. Promotion, endorsement, dissemination and support for the 5 Questions to Ask About your Medications tool continues to expand across Canada and internationally. Over 70 organizations and regional health authorities have formally endorsed for use within their organizations (primary, community, acute and long-term care facilities) and the tool has been translated into over 15 languages. It continues to get international interest and the action team is committed to making the tool available at all points of in the health system where medications are prescribed and administered. Heading into 2017/18, the plan is well positioned for success by continuing to focus on our goals and sustaining impact and momentum of completed actions.6/28/2017 6:00:00 AMPatient engagement has been and will continue to be crucially important to the progression and success of the Medication Safety Action Plan. Over the6/28/2017 2:42:35 PM222http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx