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Canadian Patient Safety Institute

Safe care....accepting no less​

The Canadian Patient Safety Institute (CPSI) has over 10-years of experience in safety leadership and implementing programs to enhance safety in every part of the healthcare continuum.​

SHIFT to Safety

Improving patient care safety and quality in Canada requires everyone’s involvement—SHIFT to Safety gives you the tools and resources you need to keep patients safe, whether you are a member of the public, a provider, or a leader.


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Our Programs​

 CPSI Latest News

 

 

University Health Network’s approach to reducing surgical site infections29390 ​University Health Network (UHN) has embarked on a patient safety transformation following the principles and approaches that are used by high reliability organizations. Known as Caring Safely, the approach focuses on four pillars, one of which aims to reduce hospital-acquired conditions (HACs) to zero over time. Six HACs, chosen because they are the ones with the most impact on patients, are being addressed first surgical site infections, central line infections, Clostridium difficile (C. diff), pressure ulcers, falls and adverse drug events. UHN is participating in the National Surgical Quality Improvement Program (NSQIP), to evaluate its performance and benchmark against other U.S. and Canadian hospitals. This is helping them evaluate their surgical site infections. Developed by the American College of Surgeons, NSQIP enhances a hospital's ability to zero in on preventable complications. UHN has also joined Health Quality Ontario's Ontario Surgical Quality Improvement Network, a community of surgical teams across the province who are working to achieve long-term surgical quality improvement goals. The program is designed to deliver better patient outcomes, shorten hospital stays, and reduce the number of surgical complications per year. Last February, UHN also participated in the Safer Healthcare Now! Canadian Surgical Site Infection (SSI) Prevention Audit, which provided a snapshot of the current state of its practice related to surgical site infection prevention. "The Safer Healthcare Now! SSI Audit provided a baseline granular view of where we have gaps in data collection and practice," says Wing-Si Luk, Director, Hospital Acquired Conditions Prevention & Management, UHN. "We did not have a robust ongoing mechanism to collect data on the status of practice related to surgical site infection prevention at UHN. The audit was really helpful in terms of providing a snapshot of what we are doing well and where we need to improve. It created a current state for us and an opportunity to compare our data with other healthcare organizations across Canada." Patient care coordinators and nurses in the surgical program at both the Toronto Western (TWH) and Toronto General Hospital (TGH) sites of UHN participated and were tasked with reviewing 270 paper-based patient charts for the SSI audit. These clinicians recorded data on all components of the Safer Healthcare Now! SSI bundles, which included temperature, glucose levels, hair removal and perioperative antimicrobial coverage, and trailed the patient's journey from pre-op to the operating room to recovery, to collect relevant information. "The audit was a lot of work, but the information is so valuable," says Laura Corman, Patient Care Coordinator in Perioperative Services at TGH. "We found gaps in the way we document across sites and the audit showed where we have work to do. By extracting the data, we can now give valuable feedback to the direct caregivers." Joe Brubaker, Nurse Manager on the 9B Surgical Unit at TWH, adds "We are now looking at trends and feeding information back to groups and managers of those areas so that they can take that information back to the staff, to look at how and what they are documenting. Our clinicians have gathered a great deal of knowledge from the audit and we will be involving them to recommend changes in our processes." The audit results are being review by UHN's Surgical Quality Review Committee and the Surgical Divisions at both TWH and TGH.21/07/2016 6:00:00 AMUniversity Health Network (UHN) has embarked on a patient safety transformation following the principles and approaches that are used by high20/07/2016 9:31:27 PM37http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Whitehorse General Hospital shares key learnings from the SSI Audit28978Safer Healthcare Now!;Patient Safety News As the sole Infection Control Practitioner for the Yukon Hospital Corporation, Samantha Stewart is pulled in many directions addressing infections and finding ways to keep infection rates down. Whitehorse General Hospital (WGH) was looking to develop a system for timelier reporting so that they could respond quicker when infections surface. When plans for the Surgical Site Infection (SSI) Audit were announced, Samantha eagerly signed-up to participate. "The audit was our jumping off point," says Samantha Stewart. "There was no formal tracking system in place and we really did not know if we were compliant with any of the SSI prevention best practices, or just one or two components of them. We were having trouble getting data, we did not know how we compared with other hospitals, and we were not sure how to benchmark, other than against ourselves. The audit provided a good baseline to see how we were doing with best practices and recommendations outlined in the Safer Healthcare Now! SSI Getting Started Kit." Samantha led the charge for the audit, first getting buy-in from the OR, Surgical Unit and Surgical Daycare Managers. Forms were placed on patient charts and she had quick information sessions with front-line staff so that they would know what they were auditing. An envelope system was created where completed forms were placed on the unit, to be collected and verified by Samantha prior to being submitted to Patient Safety Metrics. If information was missed, or had to be redone, it was easy to update to ensure the data was as accurate as possible. With the help of front-line staff, 133 patient charts were audited during the month of February 2016. "Our staff were more receptive and accepting of the audit form once they could see the end goal and better understand what they were participating in would help us to improve care for the safety of our patients," says Samantha. "Generally, people did not find it a difficult form to fill out, but some had challenges finding the time to do it during their busy work day." Samantha noted several key learnings as a result of participating in the audit. Often, staff will presume that the infection may have been caused by the surgeon or the OR team. However, when the audit information is broken down to the pre-operative, peri-operative and post-operative stage, staff hopefully had that ah-ha moment that surgical site infection and prevention applies across the continuum of care, from before the patient is admitted -- straight through to discharge home. "Amongst all of our best efforts and the best practices put forward in the SSI Getting Started Kit, it is also important to emphasize the role of the patient," says Samantha. "Specifically, hand hygiene and wound care after discharge, can also play a role in infection rates. We are currently focussing on how to empower patients and emphasize their role in infection prevention as it relates to performing hand hygiene." The audit also identified what they do well and what they need to improve on. "The audit provided the opportunity to benchmark against other participants, as well as specific aspects in the Getting Started Kit," says Samantha. "Based on national trends, we now know we can do better with pre-warming patients and will be looking at best practices for accomplishing that. Another, was improving documentation of a pre-operative bath/shower and glucose monitoring, and whether it is being done appropriately, or if the information was not readily noted on the chart. These are just some of the pieces we need to look at to ensure we are in compliance with the bundle approach outlined in the SSI Getting Started Kit." Some procedural changes under consideration are to standardize 2g Cefazolin/Ancef for applicable pre-operative patients; investigate the use of Povodine Iodine with alcohol; and to consider the discontinuation of prophylactic antibiotics appropriately. Documentation will also be improved to note the completion time of the antibiotic infusion pre-op; the patient's temperature at end of surgery; and if the patient had a pre-operative shower. Overall, Samantha was quite pleased to see that Whitehorse General matched larger jurisdictions and several other hospitals on their results. "I am quite proud of our team," says Samantha. "We are in the process of packaging the results and presenting the information back to those stakeholders who took all that effort and energy to gather the data for us. We want to make it meaningful so that they know that all of their efforts are appreciated. If staff do not know how we are using the data, it fosters negativity. If they can see that we are using the information for quality improvement, they too will see the value in participating in an audit like this. "In my mind, the SSI Audit is a nice, tidy parcel with a bow on it," says Samantha. "You are provided with the audit tool to compare with national best practices, it is easy to use, and the data analysis is provided for you. It makes it very easy to get and use the information effectively. If I had to do all of the auditing, data collection, analyzing and reporting, an audit like this would not have been a feasible option.04/07/2016 6:00:00 AMAs the sole Infection Control Practitioner for the Yukon Hospital Corporation, Samantha Stewart is pulled in many directions addressing infections06/07/2016 2:25:28 PM446http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Something BIG this way comes28980Patient Safety Power Plays I've got some news . . . and as much as I want to share it with everyone right now, I'm afraid that I've been sworn to secrecy. What I can tell you is that this is good news. This is good news for the Canadian public. It is good news for every patient, resident and client accessing healthcare in this country, not to mention the loved ones who are by their side every step of the way. This is good news for healthcare providers who are dedicated to providing safe care. Who regard their patients and their families as partners and who are always looking for ways to improve the safety and quality of the care they deliver. This is good news for healthcare leaders who are the stewards of our healthcare system and seek to make system-wide improvements and effect changes in culture that allow for quality improvement to thrive. Everyone who touches our healthcare system is about to be given free access to a resource that allows them to make a difference. Now that I think about it, this isn't good news. This is great news! If you want to find out what it is, keep your eyes and ears open on July 20th as we unveil a shift in the patient safety and quality improvement landscape in Canada. We're about to change everything and I can hardly wait. Yours in patient safety, Chris Power04/07/2016 6:00:00 AMI've got some news . . . and as much as I want to share it with everyone right now, I'm afraid that I've been sworn to secrecy. What I can tell you04/07/2016 5:16:19 PM686http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Telling the patient engagement story8305Patient Safety Power Plays My role as CEO of the Canadian Patient Safety Institute takes me around the country seemingly non-stop, meeting with and speaking to various groups of people and advancing the patient safety and quality improvement agenda. It's a part of what I do that I absolutely love. If you've ever heard me speak, or give a presentation, you'll know that I like to humanize the subject matter as much as possible, often with stories drawn from my own experiences and life lessons picked up along the way. Although I can leverage my professional experiences and speak to a room as a CEO of a healthcare organization, or a front-line healthcare provider, the parts that resonate the most are my stories of what it was like to be a patient or a family member in the healthcare system. This isn't surprising, because it's something to which we can relate. Every now and then, we all get to play the part of the patient or the family member. It may not be the focus of my speech or presentation, but I like the fact that these stories garner so much attention. It means there is recognition within the system that the voice of the patient is important. A top-down approach to care delivery is increasingly becoming a thing of the past. As healthcare leaders and providers, we need to empower our patients to embrace their role as advocates of their own healthcare. We have to make it okay to speak up and ask questions. There are countless examples of quality initiatives happening all over Canada where the patient has a seat at the table. At CPSI, we practice what we preach and lean on Patients for Patient Safety Canada to ensure the role of the patient and the family members is accounted for in everything we do. We're also not the only ones making this a priority. While the patient voice is being heard, we need to do more than sustain momentum, we need to keep pushing. I envision a time when patient engagement is as much a point of pride as our publically funded healthcare system. I believe it can happen! What do you think? Where have you seen the benefits patient engagement can have of care outcomes? Share your story with me at cpower@cpsi-icsp.ca. Yours in patient safety, Chris Power06/06/2016 6:00:00 AMMy role as CEO of the Canadian Patient Safety Institute takes me around the country seemingly non-stop, meeting with and speaking to various groups06/06/2016 2:57:44 PM493http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
CPSI honoured by award wins8077Patient Safety News It's been a humbling week for the Canadian Patient Safety Institute. CPSI is the recipient of six communications awards, proudly on display in the Edmonton office. Five of the awards come from the International Association of Business Communicators. They includeAward of Excellence in Communication Leadership – Patient Safety Forward with FourAward of Excellence in Digital Communication – CPSI's new websiteAward of Excellence in Special Events – Canadian Patient Safety WeekAward of Excellence in Special Events – Canada's Virtual Forum on Patient Safety and Quality ImprovementAward of Merit in Publications – Hands in Healthcare magazine The sixth award is an Award of Excellence for Best Publication for Hands in Healthcare magazine presented by the Canadian Public Relations Society. "These awards are a huge vote of confidence that our work is effective, on point and on message," said Cecilia Bloxom, Senior Director of Strategic Communications. "However, as good as these accolades are, the real win comes from knowing we're making an impact on patient safety. On that front, we look forward to many future celebrations."03/06/2016 6:00:00 AMIt's been a humbling week for the Canadian Patient Safety Institute. CPSI is the recipient of six communications awards, proudly on display in the03/06/2016 8:34:55 PM321http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx

 Upcoming Events

 

 

Become a Patient Safety Trainer Conference [Kingston, ON]4672Kingston, ONhttp://www.patientsafetyinstitute.ca/en/education/patientsafetyeducationprogram/patientsafetytrainer/pages/kingston-2016.aspx08/08/2016 12:00:00 AM09/08/2016 11:59:00 PMContinuing Professional Development in the Faculty of Health Sciences at Queen's University, in partnership with the Canadian Patient Safety Institute, is excited to offer this "Become a Patient Safety Trainer" conference in Kingston, ON.13/04/2016 5:57:04 PM7http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference;Workshop
Nominations deadline: 2016 Champion Awards4693http://www.patientsafetyinstitute.ca/en/Events/PatientChampionAwards/Pages/default.aspx01/09/2016 12:00:00 AM01/09/2016 11:59:00 PMHealthCareCAN and the Canadian Patient Safety Institute (CPSI) have partnered to present the Patient Safety Champion Awards to recognize champions of patient safety - volunteer patient or family members and teams or organizations who demonstrated exemplary leadership and collaboration to champion change and achieved safer care through patient/family engagement. 22/06/2016 5:47:26 PM7http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseSpecial Event
Become a Patient Safety Trainer Conference [Winnipeg, MB] 4673Winnipeg, MBhttp://www.patientsafetyinstitute.ca/en/education/patientsafetyeducationprogram/patientsafetytrainer/pages/psep-winnipeg-2016.aspx14/09/2016 12:00:00 AM15/09/2016 11:59:00 PMThe Manitoba Institute for Patient Safety (MIPS) with support of the Canadian Patient Safety Institute (CPSI) is excited to offer the "Become a Patient Safety Trainer" education conference for both healthcare faculty and clinical teams from healthcare organizations. 13/04/2016 5:53:37 PM8http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference;Workshop
Early Bird Deadline: Become a Patient Safety Trainer Conference [Sioux Lookout, ON] 4691http://www.patientsafetyinstitute.ca/en/education/PatientSafetyEducationProgram/PatientSafetyTrainer/Pages/Sioux-Lookout-2016.aspx14/09/2016 12:00:00 AM14/09/2016 11:59:00 PMThe Canadian Patient Safety Institute (CPSI) in collaboration with the Sioux Lookout Meno Ya Win Health Centre, the Northern Ontario School of Medicine (NOSM), and the Ontario Hospital Association (OHA) are pleased to announce that the Become a Patient Safety Trainer conference, a high impact, 2-day comprehensive patient safety education program will be offered in Sioux Lookout, Ontario.13/06/2016 3:43:00 PM6http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseWorkshop;Conference
4th Annual National Forum on Patient Experience4687Toronto, ONhttp://goo.gl/tLiKNm20/09/2016 12:00:00 AM21/09/2016 11:59:00 PMThe Canadian Patient Safety Institute is proud to support this event. This Canadian event brings together passionate, devoted patients & professionals from across the country to address crucial issues impacting the patient experience and all those involved, from doctors and nurses to family caregivers and homecare providers. Over 100 leaders in healthcare are joining together to discuss massive changes to physician-assisted dying (PAD) legislation, improving the safety of senior/home care and how to successfully measure the patient experience, plus much more. Don't miss the conversation! CPSI Contacts receive 20% OFF Registration using VIP Code CPSI20.02/06/2016 2:41:00 PM4http://www.patientsafetyinstitute.ca/en/Events/Lists/Events/calendar.aspxFalseConference