Sign In

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.


 

md-public.png  
md-provider.png  
md-leader.png ​​​​​​​
​​​​

Our Programs​

 CPSI Latest News

 

 

#superSHIFTERS Addressing client safety incidents in community mental health7973Super SHIFTERS ​As Executive Director of the Canadian Mental Health Association's Kenora, Ontario branch, Sara Dias has incorporated a framework where checks and balances are in place to report harmful incidents and to ensure the appropriate follow-up is completed. Patient safety incidents in a community health setting are very different from the acute care sector. #SuperSHIFTer Sara Dias and her team work hard to consider all potential client risks in the eyes of community mental health. Can you tell me about your work in patient safety and community mental health? Our journey around patient safety first began in conjunction with the accreditation process, where client safety was one of the domains and a strategic direction for the Canadian Mental Health Association's Kenora Branch. When I took over as the administrator for the Kenora branch in 2014, we continued that focus, but in a different capacity. Client safety needed to be embedded at all levels of the organization, starting with governance right through to the client. I wanted to ensure that everyone was talking the same language; that they felt comfortable around disclosure of client safety incidents in community mental health; and that the culture was embedded into the day-to-day activities that we do. We developed a Client Safety Committee to look at a cross-representation of programs that would help us have a meaningful conversation on client safety incidents. We did not want to just go through the motions of here is an incident; this is what we did to follow-up; and move on. Everyone comes with a different lens when examining client safety incidents. We have a variety of individuals who sit on the Client Safety Committee and bring a lot of interesting perspectives through their conversations. What we needed was a tool to guide us, so that we could learn where to take the conversation in order to have an informed dialogue. We wanted to change the culture to ensure that our people understood that client safety is an organizational priority, as well as a requirement of the day-to-day activities that they do with clients. We looked at a number of tools and liked what we saw in the Patient Safety Education Program – Canada (PSEP – Canada). We have since adopted the patient safety incident management process and Incident Decision Tree that is part of that training. We have committed to have one person a year complete the PSEP – Canada program; I completed the training first, followed by the Client Safety Committee Chair. Last year, we trained one of our clinicians. We are a small organization, and it is very costly to provide training across the entire organization, so we commit to training one person annually going forward. How has this process addressed client safety? The Incident Decision Tree is a very interesting tool to help walk us through our incidents. At every Client Safety Committee meeting, an incident is identified, the action steps are discussed, and there is open dialogue as to whether the Committee feels all action steps address the incident. The Incident Decision Tree is then used to walk us through whether the incident was a result of staff or the client in terms of the processes in place, or a larger system issue that needs to be addressed by the administration or the Board. This approach has resulted in us thinking at a more systemic level. The methodology that we have implemented allows full organizational input; it is a holistic approach to incident management across the organization, with clients and families at the centre of the process. An incident report analysis form is completed when an incident occurs, the Executive Director or team lead automatically reviews the process, and starts identifying action steps. The Client Safety Committee then meets to do a risk severity assessment using our risk management framework that assesses the probability of the problem continuing, the impact on the client for seriousness, and the recommended action to reduce the risk or system issue. Quality Improvement does an audit every quarter to ensure that all of the follow-up recommendations are completed. All incident reports are compiled monthly for the Board of Directors. For anything that is identified as a harmful incident, a disclosure process is in place to discuss the incident with the client or their supporting network to help mitigate any similar incidents from happening. Each year, the Quality Improvement Coordinator identifies the top three trends in client incidents and our Client Safety Committee embarks on a quality improvement initiative. How is this work innovative? The built-in, continuous evaluation is the biggest innovation and a critical piece of this process. The incident is not just written up and dealt with by administration. We have checks and balances in place to ensure that the action steps taken have actually mitigated the potential risk. We also look at gaps in the system and move those issues forward either locally or provincially. As well, it is building a just culture within the organization. Taking what we have learned and having staff learn from the incident that was reported help to ensure that we can learn from these errors. Are there any major takeaways that you can share? As an administrator, when I took the PSEP – Canada training, everything seemed to work in my mind. However, we are now questioning if the Incident Decision tree is the right tool for a community health organization. We are reaching out to the Canadian Patient Safety Institute to have that conversation and to determine what tools other community mental health organizations are using. We will see where that conversation takes us. Currently, everything is paper-based. We are looking at streamlining the incident reporting process and the potential of developing an online dashboard. Is what you have implemented replicable? Yes. We have had a lot of calls from other Canadian Mental Health Association branches and we have done a number of presentations on how this works. The feedback we have heard is that they like the structure, accountability, and checks and balances embedded into the process. They like that there are other groups internally looking at the work and providing information around the analysis. PSEP – Canada was the foundation for this work. Without that foundation, we would not have been able to create something so robust. In addition to the framework adopted for incident analysis, on an annual basis we share a module from the PSEP – Canada training with our staff. It is helping to build an organizational foundation around client safety. Who can we contact to learn more? Contact Sara Dias at sdias@cmhak.on.ca @CMHAKenora For more information on PSEP – Canada, email psepcanada@cpsi-icsp.ca or call 1-866-421-6933. 5/24/2018 6:00:00 AM As Executive Director of the Canadian Mental Health Association's Kenora, Ontario branch, Sara Dias has incorporated a framework where checks and5/23/2018 8:56:44 PM41http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Improving surgical outcomes with Enhanced Recovery Canada7961Patient Safety News Patient Engagement Working Group established to spread best practices After a surgery gone wrong, Melinda Baum has learned so much about the worst of care and the best of care. She has seen both sides. Melinda is bringing that experience to the table as a Co-chair of the Patient Engagement Working Group. The Group was established by Enhanced Recovery Canada (ERC), a collaboration to spread best practices and improve surgical outcomes through the application of Enhanced Recovery After Surgery (ERAS) guidelines. ERAS is a program highlighting surgical best practices and consists of a number of evidence-based principles that support better outcomes for surgical patients, including an improved patient experience, reduced length of stay, decreased complication rates, and fewer hospital readmissions. Enhanced Recovery Canada recognizes that surgery is part of a continuum of patient care from presentation to primary care, initial diagnosis, surgical treatment, rehabilitative care, and ongoing assessment; and that the care team includes the patient, family and a variety of health professionals coordinating their efforts to optimize patient experiences and outcomes. "I feel very lucky to be part of the ERC Governance Committee and to Co-chair the Patient Engagement Working Group; I could not believe in it more," says Melinda Baum. "As a patient advocate, seeing people who are passionate about doing better and being better while providing a roadmap for others to do the same is so rewarding. As a patient, it is not too much to ask that our healthcare team employ best practices and contribute to the research as they are doing it." "I think patients have the most to contribute because patients and families are the ones that see all phases of a surgery," says Melinda. "The anesthesiologist knows most about anaesthetics; the nutritionist knows most about dietary needs – but they only know their piece. The patient is accountable for some pieces too. Patients need to feel heard, be part of the process, and understand all of the pieces the best they can. Really, it is a team approach and everyone is accountable, including the patient." The Patient Engagement Working Group is one of seven working groups tasked with advancing ERAS principles through Enhanced Recovery Canada. Other Working Groups will address clinical pathways for Nutrition Management, Perioperative Fluid and Hydration Management, Perioperative Mobility and Physical Activity, Surgical Best Practices, Multimodal Opioid-Sparing Analgesia, and Dissemination and Implementation. The primary goal of the Patient Engagement Working Group is to curate and/or develop patient engagement tools aligned with clinical pathways supporting core ERAS principles. Members of the ERC Patient Engagement Working Group include Melinda Baum (patient member and Co-Chair); Dr. Leah Gramlich (Co-Chair, Patient Engagement Working Group / Co-Lead, ERAS system project - Alberta Health Services); ); Bevin LeDrew (patient member, Atlantic Region); Valerie Philips (Director, Strategic Priorities - Saskatchewan Ministry of Health); Nancy Posel (Patient Education Office, McGill University Health Centre); Jennifer Rees (Provincial Lead, Patient Engagement - Alberta Health Services); and Melissa Sheldrick (patient member, Central Canada). The Patient Engagement Working Group will have their first face-to-face meeting in June 2018. Visit www.patientsafetyinstitute.ca to learn more about Enhanced Recovery After Surgery. Enhanced Recovery Canada is a project of the Canadian Patient Safety Institute and is managed by the Enhanced Recovery Canada Governance Committee.5/23/2018 6:00:00 AMPatient Engagement Working Group established to spread best practices After a surgery gone wrong, Melinda Baum has learned so much about the worst5/23/2018 8:18:49 PM153http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
#SHIFTtalks: Measurement and Monitoring – It’s more than just a number3857SHIFT Talks With the launch of Safer Healthcare Now! in 2005, the Canadian Patient Safety Institute introduced the importance of measurement to the science of patient safety based on Peter Drucker's often quoted statement"If you can't measure it, you can't manage it" Over the ensuing years, Safer Healthcare Now!, came to recognize that although our ultimate goal may be to achieve specific improvement targets defined by outcome measures, it was necessary to identify the steps in a process that lead to the desired outcome. These process measures form the foundation of the improvement journey, particularly, as a practice guide for those at the frontline of healthcare. While monitoring the process improvement and outcomes, balancing measures, that is, ensuring that improvement in one area is not causing new problems in other parts of the system, must also be concurrently monitored. Among the measurement issues that became evident during the evolution of Safer Healthcare Now! and are still true today include frontline staff may collect and submit improvement data yet they rarely receive feedback on their progress; healthcare providers don't always use their performance results to guide their improvement efforts; one data point at goal does not equate with sustained improvement; and if you stop monitoring when you reach your goal, your improvement gains are frequently lost. In Canada, as in the UK and US, the focus of governments on assessing both quality and safety has increased over the past 10 years. Although a large number of quality outcomes have been specified, the approach to safety has been much narrower, leaving many aspects of safety unexplored. The measurement of harm, so important in the evolution of patient safety, has been largely neglected and there have been prominent calls for improved measures. There is a critical need for patient safety measurement at the frontlines, so that clinical teams can focus on key problems. Dr. Don Berwick stated in his review of the Mid Staffordshire NHS Foundation Trust, that 'most health care organizations at present have very little capacity to analyse, monitor, or learn from safety and quality information. This gap is costly and should be closed'. There is no one authoritative source of data on patient safety and no single measure. In 2013, Professors Charles Vincent, Susan Burnett and Jane Carthey published their report, The Measurement and Monitoring of Safety, which describes their framework designed to close the gap identified by Berwick. The conceptual model provides a broader view of the information needed to create and sustain safer care and recognizes there is no single measure of safety. Vincent et al. identified five areas of measurement that are informed by five key questions Past harm (Has patient care been safe in the past?); Reliability (Are our clinical systems and processes reliable?); Sensitivity to operations (Is care safe today?); Anticipation and preparedness (Will care be safe in the future?); and, Integration and learning (Are we responding and improving?). The 'Measurement and Monitoring of Safety' model has been introduced in a demonstration project to eight teams from seven organizations, representing five provinces in Canada. These teams have reported that it has moved them away from "…meaningless measurement and data collection to a more fluid and dynamic approach to safety." Working with coaches, they have learned to change their focus from the absence of harm, to the presence of safety, that is, just because a patient has not experienced harm does not mean their care delivery has been safe – it may simply mean they have been lucky. Applying both quantitative measures and qualitative data helps healthcare providers move from assurance to inquiry. Using the Measurement and Monitoring of Safety conceptual model to guide your safety conversations and observations is as important as the measures you use. Ultimately, this approach will move healthcare beyond simply measuring the number of harms incurred because safe healthcare is more than just a number. This blog post was compiled by Anne MacLaurin, Patient Safety Improvement Lead and Virginia Flintoft, Manager, Central Measurement Team.​​​Anne Maclaurin ​Virginia Flintoft​5/9/2018 6:00:00 AMWith the launch of Safer Healthcare Now! in 2005, the Canadian Patient Safety Institute introduced the importance of measurement to the science of5/9/2018 8:56:57 PM255http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
The Bug Stops Here3154Patient Safety NewsCanadian Patient Safety Institute brings the global STOP! Clean Your Hands Day to Canada Thousands of healthcare providers in hundreds of healthcare sites across Canada and around the world will participate in today's STOP! Clean Your Hands Day. It is led by the Canadian Patient Safety Institute (CPSI), in conjunction with the World Health Organization's SAVE LIVES Clean Your Hands campaign. The Canadian program is a partnership with Infection Prevention and Control Canada, Patients for Patient Safety Canada, Public Health Ontario, and the Public Health Agency of Canada. Thanks to GOJO Canada for their sponsorship of STOP! Clean Your Hands Day. The theme for this year's campaign is "Clean your hands The bug stops here!" Each year in Canada, 8,000 to 12,000 patients die from complications of healthcare-associated infections. Through the simple act of promoting optimal hand hygiene, people across the country will help to reduce that number. "Hand hygiene is the simplest and most effective way to reduce and prevent infections," says The Honourable Ginette Petitpas Taylor, Federal Minister of Health. "We should all be working together to encourage and promote hand hygiene, including patients, caregivers and health care providers. Washing your hands not only prevents you from getting sick, but also reduces the risk of infecting others." CPSI Chair Dr. Brian Wheelock helps Federal Health Minister Ginette Petitpas Taylor clean her hands, preventing infections and saving lives, on STOP! Clean Your Hands Day. This important message will be reinforced in three major ways today Healthcare providers, administrators and patients will take pictures of themselves cleaning their hands. They will share these images on social media using the hashtags #STOPCleanYourHandsDay and #thebugstopshere. Their pictures not only enter them to win prizes but also pledge a commitment to hand hygiene today and every day of the year! Hundreds of healthcare providers and advocates will tune in to a webinar, hosted by CPSI, that begins at 12 noon ET/10 am MT. The webinar will feature Lori Moore, a Healthcare Clinical Educator with GOJO, addressing hand hygiene uptake in healthcare settings. She will join Dr. Benedetta Allegranzi of the World Health Organization's Infection Prevention and Control Global Unit, who will share her experience with preventing sepsis in healthcare settings. Finally, at healthcare sites across the country, STOP! Clean Your Hands Day activities, stickers and messaging will be shared with visitors. "By taking part in STOP! Clean Your Hands Day, we are joining thousands of healthcare providers, leaders, and patients around the world," says CPSI Chair Dr. Brian Wheelock. "We all share the belief that every patient experience should be safe, and that preventing harm is worth the effort. Even an action as simple as cleaning your hands can save a life. Today, we say #thebugstopshere." #thebugstopshere with Dr. Theresa Tam, Chief Public Health Officer of Canada, CPSI Chair Dr. Brian Wheelock and Federal Health Minister Ginette Petitpas Taylor. Important facts on hand hygiene Every year 220,000 Canadian patients (approximately one in nine) will develop a hospital-associated infection during their stay in hospital, and an estimated 8,000 of those patients will lose their lives. Furthermore, the cost to treat hospital-acquired infection is estimated to be more than $100 million annually. In the acute care setting, infections will be the biggest driver of patient safety incidents, accounting for roughly 70,000 patient safety incidents per year on average – generating an additional $480 million per year on average in healthcare costs. Hand hygiene is important all year round, not just on STOP! Clean Your Hands Day. Canada's Hand Hygiene Challenge supports organizations in their efforts to improve hand hygiene www.handhygiene.ca, is packed with tools, information, and resources to reduce the occurrence of healthcare-associated infections. "During my work in managing infectious disease outbreaks internationally, ensuring good hospital infection control practices is a critical component of the response" says Dr. Theresa Tam, Canada's Chief Public Health Officer. "The simple step of regular, thorough hand washing by health and other care providers can have a powerful impact on limiting the spread of infections and on the recovery of patients. This lesson is equally important in Canada's health care facilities." About Canadian Patient Safety Institute The Canadian Patient Safety Institute is a not-for-profit organization that exists to raise awareness and facilitate implementation of ideas and best practices to achieve a transformation in patient safety. CPSI reflects the desire to close the gap between the healthcare we have and the healthcare we deserve. CPSI would like to acknowledge funding support from Health Canada. The views expressed here do not necessarily represent the views of Health Canada. www.patientsafetyinstitute.ca For inquiries, please contact info@patientsafetyinstitute.ca 5/4/2018 2:00:00 PMCanadian Patient Safety Institute brings the global STOP! Clean Your Hands Day to Canada Thousands of healthcare providers in hundreds of healthcare5/4/2018 2:44:09 PM304http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
#SuperSHIFTER Stuff Patients Want . . . From Patients Who Know: A Hospital Handbook26356Super SHIFTERS #SuperSHIFTERS Lora Appel The ability to create initiatives and share them is the nucleus of OpenLab. Located at the University Health Network in Toronto, Ontario, OpenLab is a design and innovation shop dedicated to finding creative solutions that transform the way healthcare is delivered and experienced. Lora Appel, PhD is a Project Lead for From Patients Who Know A Hospital Handbook. What can you tell us about the Hospital Handbook? Our research shows that patients who leave the hospital do not retain a lot of the information they have been given. They can't remember the names of the healthcare providers who treated them. They are given important information and if it is not written down, it is not passed on to their caregivers and they can end up being re-admitted to the hospital. Basically, the Hospital Handbook addresses a problem in communication and how to navigate your hospital stay. We came up with the idea of working with real users of the health system, which is a focus of OpenLab. For our research, we wanted to include people living in what we call a "Naturally Occurring Retirement Community (NORC)". These tend to be apartment buildings where 30 per cent of residents are seniors, but this occurred naturally, unlike in long-term-care homes where you need to meet certain criteria to be accepted. We went to Kingston, Ontario where one of these buildings exists and worked with over 40 seniors to gather their experiences of living through the hospital system, whether going for an appointment or through emergency services, and seeing what they had learned from the system and what they wished they would have known. With that input we compiled the From Patients Who Know A Hospital Handbook. Unlike other resources that are top-down where the medical system is telling patients what they need to know, this Handbook is a patient-to-patient explanation of 'here is what I learned and here are the things that I didn't know that would have helped me'. For example, when you get to the emergency department, we talk about how you are triaged. Some patients think that if they come to the hospital by ambulance, they will get some kind of priority when being admitted, and that is not true. And worse, they then need to incur the cost of the ambulance trip. Any patient that comes across the Handbook can use it. The concept behind having end users design tools like this is that it can be applied to many sectors. We provide the Hospital Handbook for free, online. All we ask is that anyone who shares it provides the appropriate credit to the seniors who helped us to create it, and that no one is charged to receive it. If another institution or hospital wants to use it for their patients, they have to provide it free of charge. What patient safety issues has the Hospital Handbook addressed and why? Clearly, there are a number of things. Often, patients are unable to recall verbal information given to them during admission and on discharge. This is the most important information they are getting about their care and they are not retaining it. It is a time where there is a lot of anxiousness and stress involved, compounded by the fact that you are not feeling well. There is an expectation that the patient will go home with some sort of written information that they can look at later, and can ask their family or caregiver for help interpreting it. The Hospital Handbook has sections where you can write down notes and it prompts you to be both an advocate for yourself, but also to think about questions you should ask the doctor or healthcare team. It is both an empowering tool and a communication tool. It is also a basic directory of where to find what in the hospital. Where are the elevators? Where are the bank machines? The guide includes practical things that aren't easily, or often, communicated. A side project included in the Handbook is called the Patient-Orientated Discharge Summary (PODS). When you leave the hospital, you are given a piece of paper with clinical information that is meant to be shared between your hospital clinician and primary care provider, yet it includes pertinent things like how often you should take your medication, medications started and stopped, and symptoms you should watch out for. Often, it is written in such a way that it is incomprehensible, and there is no motivation whatsoever to make you want to read it. What we have created is something that is highly visual; it takes all the essentials and provides it in a way that the patient is prompted to ask, okay did I understand that? It is results in a teach-back moment. That is our goal for the PODS project; to have healthcare providers provide the discharge summary, explain it and have the patient repeat back what they understood. This process allows for better understanding of what to expect once they leave the hospital. There are a lot of interactive tools throughout the Handbook. There are so many healthcare providers coming and going during your stay—occupational therapists, doctors, nurses, pharmacists and others. You don't really know who is who. We have a section 'Face2Name' where you can write down what you can best remember about someone. Perhaps, it is their hair colour, their accent, or the type of clothing that they wear. You record who they are, what they told you and there is room to draw an illustration of the person as a visual representation. Then, when they enter your room, you recognize them and know what to expect. What is innovative about the Hospital Handbook? The Handbook is co-designed with users, real patients and caregivers, people like you and me who have years of lived experience. The fact that it is paper-based is not innovative, but the way it is designed involving the user from the start to the finish is. We went to Kingston a couple of times to work with this group of seniors to discuss what topics they wanted to include. In most hospital directories, the first page is a welcome message from the CEO. From a patient perspective, they don't really need that. What they want are instructions on free parking around the hospital so their families don't have to pay twenty dollars a day when they come to visit. Working with patients is an innovative aspect of the Handbook, from the topics, to how to solve problems. There are also elements of humour, so rather than everything being about illness, it is more about how you can manage the system. We have jokes, interesting quotes and tidbits of good information, like 'don't bring your walker because it will go missing". Then there is the basic design of the book, which focuses on known principles, like having white space to break up the copy. What major learnings helped you to create the Handbook? From our evaluations, we learned that the existing resources provided in hospitals are unattractive, unengaging, and even if they have the content users don't want to interact with it. There was a strong design focus in making the information humorous, playful and wanting to look at elements where you could learn. However, what we found was that the content still trumps the look and feel, and we need to find a way to satisfy both of these essential aspects. Can it be replicated? Are there other opportunities you can see with this Handbook? Our goal is to make the Handbook replicable and scalable. We will do this either by creating an online version that people can customize; or an app for next generations that want an interactive digital copy. We are also looking at redesigning the Handbook for specific groups, like indigenous and first nations people. Moving forward, what is unique about our initiative is that we don't want to necessarily own this; we want to share it so that other institutions can customize it to their needs. We will include a set of principles, such as how to involve patients when developing a section. Down the line we could create a digital library where institutions could drag and drop sections, or "chapters" that are relevant in a more scalable manner. The initial Handbook is quite broad in scope and talks about a couple of the areas that we know would be important regardless of what institution you are going to. Navigation around a hospital is notoriously bad. In our Handbook we have explanations on how room numbers work. We also talk about the language and jargon used by the medical team; what does it mean? There are a couple of broad topics, but the idea now is to take this book and customize it to a hospital so that the patient is not getting a generic version, but a map of their hospital specifically. We are also working with the Canadian Patient Safety Institute to evaluate the Handbook. It is very difficult to evaluate a paper resource like this and see that it has a direct impact on the quality of care, or metrics like readmission rates, and length of stay. My background is based in design science and how to creatively, but rigorously evaluate an intervention that is not through traditional means like randomized control trials. To evaluate the Handbook we are moving away from standardized surveys, to conducting more qualitative interviews, and undertaking usability studies where we provide our Handbook and a standardized hospital directory and ask patients to find relevant information, like where they can find parking, or where they can get their hospital card. We will let them think-out-loud through the process of finding this information and see if it took less time, was less frustrating, or clearer and more enjoyable to use one resource over the other. How can I get a copy of the Hospital Handbook and who can I contact for more information? Click here to download a copy of the Hospital Handbook. To learn more, visit http//uhnopenlab.ca/project/stuffpatientswant, or contact Lora Appel at lora.appel@uhn.ca @UHNOpenLab #SuperSHIFTer4/25/2018 6:00:00 AM#SuperSHIFTERS Lora Appel The ability to create initiatives and share them is the nucleus of OpenLab. Located at the University Health Network4/24/2018 9:19:15 PM298http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx

 Upcoming Events

 

 

IPAC Canada 2018 National Education Conference454Banff, Albertahttps://ipac-canada.org/ipac-canada-annual-conference.php5/27/2018 12:00:00 AM5/27/2018 11:59:00 PM The Canadian Patient Safety Institute is proud to have a booth at this event. This event is hosted by IPAC Canada 4/23/2018 7:56:58 PM7http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConferenceTrue
Canadian Patient Safety Officer Course4509Ottawahttp://www.patientsafetyinstitute.ca/en/education/psoc/Pages/default.aspx5/28/2018 2:00:00 PM5/31/2018 10:00:00 PMThe Canadian Patient Safety Officer Course is jointly developed and delivered by the Canadian Patient Safety Institute and HealthCareCAN, supported by experts from across Canada and internationally.12/11/2017 8:56:13 PM17http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWorkshopFalse
Falling Through the Cracks: Greg's Story - Vancouver Screening7357Vancity Theatre, Vancouver International Film Centre, 1181 Seymour Streethttps://www.eventbrite.ca/e/falling-through-the-cracks-gregs-story-vancouver-screening-tickets-438605430655/30/2018 1:30:00 AM5/30/2018 2:30:00 AMShow time, followed by panel discussion, and Q&A 700pm PT CPSI and Infoway is pleased to support Health Arrows / Greg's Wings Projects through a special screening of Falling Through The Cracks Greg’s Story during e-Health 2018. Greg Price was 30 years old when he began developing health issues. He was diagnosed with testicular cancer, and ultimately succumbed to a blood clot. Throughout Greg’s journey, there were a number gaps in his continuity of care leading to delays in treatment, which may have contributed to his untimely passing. The Health Quality Council of Alberta (HQCA) launched an investigation into Greg’s Story, which resulted in a report recommending 18 changes be implemented to better deliver care – including a province-wide personal patient portal and e-referral system. The Price Family and their health advocacy organization, Greg’s Wings, have created the film, which is directed by Dean Bennett (director of CBC’s Heartland series). This impactful, short film (29 minutes) about Greg Price’s journey through the healthcare system is intended to inspire positive change and improvement in the healthcare system. Tickets for the screening are $10. 5/22/2018 10:09:22 PM8http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseSpecial EventFalse
Webinar 5: Identifying barriers and enablers, and determinants, in practice 4527Webexhttp://www.patientsafetyinstitute.ca/en/Events/KTIS-Webcast-Series-2018/Pages/Webinar-5-Identifying-barriers-and-enablers-and-determinants-in-practice-2018-05-30.aspx5/30/2018 4:00:00 PM5/30/2018 5:00:00 PMThe fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.2/14/2018 6:48:09 PM6http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWebcast;Learning SeriesFalse
Deadline: Call for Nominations to the CPSI Board of Directors7440http://www.patientsafetyinstitute.ca/en/About/bod/Pages/Call-for-Nominations-to-the-CPSI-Board-of-Directors.aspx6/1/2018 12:00:00 AM6/1/2018 11:59:00 PMThe Canadian Patient Safety Institute (CPSI) was established as the result of a rallying cry. Dedicated individuals working within the healthcare system simply couldn't experience one more incident of a patient getting harmed. This year, we are seeking prospective Board Members from across Canada to join us in this mission!5/23/2018 4:49:48 PMhttp://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseSpecial EventTrue