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Everybodys got a story to tell200522/6/2017 4:12:00 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;" /> If there is one thing we’ve learned at the Canadian Patient Safety Institute, it’s to believe in the power of the story and the human experience. Look no further than our Patient and Provider Stories. These heart breaking tales have become a staple of Canadian Patient Safety Week and are so powerful that we call upon them at events throughout the year. For this, we are incredibly grateful to the brave members of Patients for Patient Safety Canada and the healthcare providers who have come forward to share their stories with us. These are stories on a small scale. They’re still very niche, but if you’ve heard or seen them for yourself, you know the impression they can make on a person. On a much larger scale, stories are what makes Bell’s Let’s Talk Day so successful. One day, each year, devoted to talking about mental health awareness. Not only is this event fueled by stories about struggles with mental health issues, but it encourages everyone to open up and share their own experiences. Bell has the kind of reach to ensure everyone knows about Let’s Talk Day, but it’s the stories that are the real stars of the show and that give the event its appeal. We’re doing a lot of work at the moment to define the CPSI story. What’s it all about? Where did we come from and where are we going? You’re going to be hearing a lot from us in the coming year about the CPSI story. I firmly believe it to be an important part of our way forward. We’ve been at this a long time, and we need to do a better job telling our story if we’re going to continue to have an impact on the healthcare system. How about you? What’s your story? As always, I’m available to you either by email at​ or on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power 2/6/2017 7:00:00 AMIf there is one thing we’ve learned at the Canadian Patient Safety Institute, it’s to believe in the power of the story and the human2/6/2017 5:23:42 PM202
Pioneer in the patient movement still dedicated to the cause202191/31/2017 9:03:06 PMPatient & Family stories<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Anne%20Lyddiatt.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> Anne Lyddiatt wears many hats in her volunteer efforts but the priority remains the same — getting out the message for patient safety across Canada. After her many long years and varied roles in the battle to improve patient safety in Canada, Anne Lyddiatt still somehow retains enough energy to sweat the details. Even minor problems can get her back up. She was waiting for a ride inside a back entrance of a sprawling hospital in Sherbrooke, Quebec, recently when she spotted some striking patient safety posters mounted on a nearby wall. Good, right? Wrong. The place where Lyddiatt was standing was neither a public entrance nor a high-traffic area for medical staff. "But there were those posters on a wall back in the corner, out of view, nowhere where visitors or patients and staff would normally be going," Lyddiatt says. "I felt like taking them down and walking them over to the other side of the hospital." The Ontario member of Patients for Patient Safety Canada became one of this country's first patient safety champions 10 years ago but her work for the cause stretches considerably farther, steeped in her background with VON Canada and as a longtime nurse educator. A diagnosis of inflammatory arthritis forced her to leave the nursing work force many years ago but once her disease was under control, Lyddiatt threw herself into volunteer activity and she's never slowed down since. For the past 20 years she's been the national trainer for the Patient Partners in Arthritis Program. She regularly offers the patient perspective in Strategy for Patient Oriented Research master classes, sponsored by the ON SPOR SUPPORT unit through the Canadian Institutes of Health Research. And she's just completed a three-year term on the board of the Cochrane Collaboration, which has been producing systematic reviews of primary research in human health care and health policy for the past 20 years. Lyddiatt continues to chair that organization's consumer group, where her dedication to the patient perspective remains undiminished. "It's one of those things you just keep working away at," Lyddiatt says of her patient advocacy. "If it's something that can help get out the message for patient safety, as far as I'm concerned if you're able to do it and have the time, then you just jump in and do it." Looking back, Lyddiatt says she can't point to a single dramatic safety incident that first drew her attention. "It was a series of small things that really shouldn't happen. Medication errors and things like that. To me it was, okay, this is an accident waiting to happen," she says. "By the time I got into patient safety and heard some of the stories I realized I was a little behind the times because some of those drastic things had already happened. So that made me even more convinced that this was really necessary, something that really needed feedback. Obviously we needed input from health providers but you also needed to have it patient driven as well." That conviction was only strengthened by a deeply troubling personal experience with the health care system a few years back. Lyddiatt's adult daughter, Jeri-Joann, suffered a series of adverse events in a number of health care facilities, including two debilitating bouts of C. difficile diarrhea, prior to her death in 2011. The lack of empathy and understanding that Lyddiatt and her daughter encountered at times over that period confirmed for her how crucial it is to have that perspective, whether you call them patients or clients or consumers, at the forefront of any health care strategy. "I think when you are navigating the health care system, whether it's for yourself or a family member or whomever, you need to be really clear and know what your goals are and what you want and need. You need to not be afraid to express that. And sometimes that will be different from the provider's goals and what they are aiming for but you need to somehow work out a system where you and the providers can work together." Lyddiatt says she generally keeps her nursing background under wraps on those frequent occasions when she finds herself on a site visit within a health care setting. She prefers to just stand back and observe. "If that sounds like spying on staff it's not because I realize they're fighting against obstacles too," Lyddiatt says. "Nursing has changed, there's a lot more paperwork, there are so many things that are different. But I still think that there's the element of safety in patient care that sometimes gets lost in the shuffle. There's a lack of listening to a patient and the family. Either it's 'we don't have time" or "you don't understand what we're doing,' which isn't always the case. "We know this happens in hospitals all the time. But I really am concerned and alarmed by what happens in nursing home and long term care facilities because many of those patients don't have a voice. They don't have a voice personally and many of them don't have someone to speak up for them. You know the horror stories that go on in some of these, and I'm not saying they're all bad because that's not the case, but I do think that's an area of patient safety that we haven't really tackled and we need to look at." For all the strides that have been made in patient engagement and patient safety, bringing change to medicine and health care "is really difficult and it's always slow," Lyddiatt says. "Why, I have no idea. But the standard response you get whenever you want to try something new is, well, we've always done it that way. And the other is well that's the way I was trained and it was good enough for me, so therefore it's good enough for the next guy," she says. "I can understand it, if you've been doing something for 20 or 30 years and it's always worked for you why would you want to change? But by the same token, the world has changed. I really fault the med schools. I think they do the best they can but I don't think they've changed as quickly as they could to keep up with the times." Lyddiatt takes the same measured view when assessing the general legacy of patient advocacy in Canada. One development she'd like to see is a greater emphasis on patient solutions rather than patient stories about adverse events. "I think we've come a long, long way since we first started. We've got a lot more patients involved and I they're a lot more engaged than they were originally. I don't think there's a shortage of volunteers anymore," Lyddiatt says, checking off the pluses. "The one thing we have to do is look at the issues that we regard as real patient safety problems and not only tell our stories but also come up with realistic solutions about how we can prevent this in the future."1/31/2017 7:00:00 AMAnne Lyddiatt wears many hats in her volunteer efforts but the priority remains the same — getting out the message for patient safety across Canada. 1/31/2017 9:12:24 PM312
Help us reduce falls and make care safer: join our expert faculty2007911/18/2016 4:39:46 PMPatient Safety News ​A unique opportunity is open to members of the Canadian healthcare community to contribute to the new way forward on protecting patients from falls. As part of the Canadian Patient Safety Institute's (CPSI) SHIFT to Safety initiative, CPSI and the Registered Nurses' Association of Ontario (RNAO) are putting together a team of experts in fall prevention and injury reduction to help craft the next version of the Falls Getting Started Kit. The Getting Started Kit is a free resource designed to help care providers successfully implement evidenced-based falls prevention and injury reduction strategies to keep their patients, clients or residents safe. Like all SHIFT to Safety tools, this kit empowers healthcare providers to prioritize safety when caring for their patients and to promote a safe healthcare experience for everyone. The primary role the faculty will be to assist in the revision and dissemination of the update of the Falls Getting Started Kit,contribute to knowledge transfer activities such as webinars; and offer expert knowledge to CPSI/RNAO and on occasion, to respond to inquiries from the field. If this sounds like an exciting opportunity, and you or someone you know, would like to get involved in improving safety by reducing falls, click the button below to learn more or email us at​. Learn more 1/25/2017 9:00:00 PM A unique opportunity is open to members of the Canadian healthcare community to contribute to the new way forward on protecting patients from falls.1/26/2017 10:34:42 PM864
Project Saving Legs: New hope for Diabetics facing amputation202261/23/2017 8:12:36 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/DrGiuseppe.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> Peripheral artery disease (PAD) is a build-up of plaque in the walls of the arteries, blocking the flow of blood to the limbs, most commonly the legs. This vascular disease affects as many as 800,000 Canadians and people with diabetes are two to four times more likely to be affected. Even with treatment, 40 per cent of people with severe PAD face major amputation. In Ontario alone, more than 2,000 leg amputations are performed each year. Project Saving Legs is a project, rather than a single procedure, to raise awareness and to invent and offer the most advanced treatments to eliminate amputations, and to educate and train a new generation in these advanced techniques. The project is an initiative led by Vascular Surgeons at Sunnybrook Health Sciences Centre, with an aim to open a clinic specializing in saving legs through treating diabetic foot ulcers. By promoting early detection and diagnosis of wounds, and aggressive treatments, Sunnybrook's mission is to reduce amputation rates from 40 to five per cent. In Canada, anyone with diabetes has a 15 to 25 per cent risk of developing a foot ulcer. When a patient with diabetes develops a foot ulcer, their chance of dying in the next two years is 50 per cent; and their chance of having an amputation in next two to five years is over 75 per cent. The day that a patient develops a foot ulcer is actually a worse outcome than a day when a patient is diagnosed with breast cancer, prostate cancer, or colon cancer combined. "If you are a diabetic and with a foot ulcer where the blood flow below the knee is affected, which is typically the case, you would inevitably need an amputation, but that has now changed," says Dr. Giuseppe Papia, Vascular & Endovascular Surgeon. Sunnybrook's vascular and wound care experts are working concurrently, using the toe and flow model to increase blood flow to the area, to benefit patients who develop a foot ulcer. By using the latest skills and equipment, patients can be treated quickly and in a multidisciplinary fashion. Dr. Papia, and his colleague Dr. Andrew Dueck, perform some 250 procedures annually using a minimally invasive angioplasty to clear blockages and restore blood flow to patients' legs. The procedure involves sending a balloon catheter through tiny arteries in the leg to open blood vessels leading to the foot. Patients often experience immediate relief from pain and typically return home the same day. "Sunnybrook is one of the first medical centers in Canada to treat vascular disease with angioplasty balloons that are covered in an anti-inflammatory drug," says Dr. Papia. "To angioplasty the artery open is not enough, it will scar back down. The drug minimizes scar tissue formation, which can lead to blockage of the artery. When you use an anti-inflammatory drug and deliver it to the actual spot that you need it, it will make a difference over the long-term." Sunnybrook is very unique in Canada, in that vascular surgery, cardiac surgery and cardiology are combined as one program. As a result, the procedure is done is a dedicated Cath Lab, rather than a radiology suite or an operating room with hybrid equipment. In 2008, Dr. Papia began looking at alternate treatments for vascular disease. While doing a fellowship in endovascular surgery at the Cleveland Clinic, he worked with a mentor to learn how to do the angioplasty procedure. At that time, coronary technologies and wires used in the heart were used; they did not have the right equipment and had to make the wires longer and put them together to perform the vascular procedure. Dr. Papia then learned that this type of procedure was being done in Europe and subsequently did site visits and worked with physicians there. During those site visits, he was inspired by the diabetic foot hospitals that are dedicated to aggressive and early treatment for patients with vascular problems. He found the centers in Europe incredibly organized. "They function much like a cancer center, but for diabetic foot problems," says Dr. Papia. "The patient shows up and has everything done from diagnostics to multidisciplinary visits -- medical, surgical, podiatry and wound care are all in one spot. Amputation rates are extremely low and the quality of life rates for these patients are extremely high; overall their outcomes are great." With increasing age and obesity, diabetic rates are exploding not only in the Western world, but globally. Dr. Papia says that not only is it an epidemic, but there is a tsunami coming to our health system because of this problem. Data from the Ontario government indicates that if you have a foot ulcer and are a diabetic, to treat that ulcer will cost about $6,000 to $9,000. If you have an infected foot ulcer, antibiotics and medical costs bring the cost closer to $12,000 to 13,000. If you end up having a leg amputation, the cost to the health system is closer to $65,000 to $70,000 for the same patient. "There is a tenfold increase in cost if we don't prevent these ulcers and treat them early," says Dr. Papia. "Looking forward, we have the potential to benefit patients and make a huge impact on their quality of life," says Dr. Papia. "If I had to pick an area in healthcare 2030 that would address this colossal problem, this would be one of them. It makes sense that if you have this problem that we know is very costly, and has an outcome or diagnosis that is worse than many cancers, without a dedicated center we are going to have a hard time making a difference." Dr. Papia says if you look at cancer centers for example, or trauma centers, you can't have just one. You need them everywhere if you are going to make a difference. His vision is to take this grassroots initiative provincially and nationally as a campaign for awareness, education, research and ultimately treatment. Project Saving Legs has a Twitter feed and Facebook page to help spread the word and build momentum. Tweet using #SavingLegs, or visit https// For more information, contact How the angioplasty procedure worksAfter undergoing ultrasound tests (that detail blood flow and reveal narrowed arteries or blockages), a physical exam and sometimes a CT scan in the clinic, patients head to the catheterization lab for an angioplasty procedure. If the patient requires it, some mild sedation may be offered. X-rays of the groin area are then taken to determine the safest point of entry to the patient's femoral artery.After administering a local anesthetic, a small needle puncture will be made in the groin on the side opposite the problem leg. (For a right foot ulcer, Dr. Papia prefers to access the femoral artery from the left side of a patient's groin, a technique that offers him the most manoeuvrability down the blood vessel and offers the best picture of what's happening from the aorta all the way down the leg.) The artery is then punctured with a needle, and a catheter is fed up and over the middle of the femoral artery, down into the opposite leg. (This is all visible on the X-ray monitor mounted next to the operating table.) A coronary wire is fed through the catheter. Dye is injected through the catheter, allowing the surgeon to see the blood flow and vessels via moving X-ray pictures (fluoroscopy). A blood thinner is administered (catheters can sometimes block blood flow and start clotting in the artery); then the wire of choice is fed through the catheter down to the target area. The wire is used to clear the blockage, and then a tiny balloon is slid down to the site of the angioplasty. Using a small hand pump, the surgeon inflates the balloon inside the artery, leaving it in place for three minutes or so, opening up blood flow through the vessel. The balloon, wire and catheter are removed from the patient, and the wound is closed with a closure device. Patients go home four hours post-procedure and return for a diagnostic checkup in a month's time. 1/23/2017 7:00:00 AMPeripheral artery disease (PAD) is a build-up of plaque in the walls of the arteries, blocking the flow of blood to the limbs, most commonly the1/23/2017 10:23:31 PM140
Highlights of 2016 collaboration with Atlantic Health Quality Patient Safety Collaborative: First National Incident Management Skills Development Session!200821/6/2017 10:26:13 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2017/Patient%20Safety%20Incident%20Management%20Skills%20Development%20Session%20-%20Thumbnail.jpg?Width=118" width="118" style="BORDER&#58;0px solid;" /> The Canadian Patient Safety Institute (CPSI) is celebrating many successful collaborations in 2016 and wanted to share one of those highlights with you. The Atlantic Health Quality Patient Safety Collaborative (AHQPSC) prioritized incident management skills development as a key area of focus for the health professionals who serve as patient safety and quality and risk specialists across the four Atlantic Provinces. The two-day in-person training opportunity was designed to equip Health Professionals with core concepts in Patient Safety Incident Management with a focus on translating the knowledge, skills, and attitudes to effectively identify, report, and learn from patient safety incidents. On October 5 and 6, the AHQPSC and CPSI hosted the first National Patient Safety Incident Management Skills Development Session in Halifax. National partners, which included, Patients for Patient Safety Canada, Institute for Safe Medication Practices Canada, Accreditation Canada, Master Facilitators, and the Canadian Patient Safety Institute greatly contributed to the overall success of this initiative. The two-day session encompassed the fundamentals of the continuum of incident Participants were engaged in multiple activities that explored meaningful patient engagement, patient safety culture, physician engagement, various incident analysis methodologies, best practices and national accreditation standards. Final evaluation by participants revealed that 97.1% would recommend this session to others. "massive learning opportunity and sharing experience with provinces…I would recommend for more employees to attend" (session participant). As the initial pilot we are very pleased with the overall learning outcomes. As a result of this national learning opportunity Prince Edward Island has already garnered the learnings from this event and delivered a province specific skills development workshop October 27, 2016. They had over 100 participants in attendance. "Invaluable; Informative, Excellent workshop, were just some of the comments shared by attendees. The evaluation from this successful event will be integrated within a broader national needs assessment currently underway, which will aim to explore the current educational content, tools and resources for incident management across Canadian healthcare organizations and to assess the needs of Canadian organizations in relation to incident management, professional development, education and training. CPSI wishes to thank the Atlantic Health Quality Patient Safety Collaborative for their on-going commitment to patient safety and in providing this unique learning opportunity.1/6/2017 10:00:00 PMThe Canadian Patient Safety Institute (CPSI) is celebrating many successful collaborations in 2016 and wanted to share one of those highlights with1/6/2017 10:40:55 PM598
2017: The year of the possible199461/6/2017 6:01:53 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;" /> I'm always excited by possibility and really enjoy the challenge of taking something possible and making it into a reality. Never more so than when I think about patient safety for the people of Canada. We are a skilled and conscientious nation, so safety for all patients is most definitely possible. Here are some of the ways we at the Canadian Patient Safety Institute work with our partners to change possible to realShift to Safety After a huge launch in 2016, we know you expect big things from SHIFT to Safety moving forward. We have a lot planned for SHIFT to Safety this year and are excited to bring it to you. If you haven't discovered SHIFT to Safety yet, you can learn all about it here. With this program, the possibilities are endless!National Patient Safety Action Plan To date, we have nearly 70 per cent of objectives listed in the National Patient Safety Action Plan complete and with the outstanding organizations that have come to the table and taken the lead on some of this work, we're well on our way to 100 per cent. There's to much happening to list here but I encourage you to learn more.Atlantic Learning Exchange The Atlantic Provinces are small but mighty and when they come together they can accomplish great things. This will be on display this May as the 4th Atlantic Health Quality and Patient Safety Learning Exchange is held in Charlottetown, PEI. Held every two years, this event is a prime example of what makes the Atlantic Provinces special and why they lead by example when it comes to partnering for patient safety. Let's build on the successes of the past to truly make 2017 the year of the possible. I know that with the incredible support we receive from our partners, our leaders, and our fellow citizens, patient safety will be at the forefront of our Canadian healthcare system. We know it's possible, let's make it a reality together. As always, please send me your thoughts and join in the patient safety conversation Yours in patient safety, Chris Power1/6/2017 8:00:00 PMI'm always excited by possibility and really enjoy the challenge of taking something possible and making it into a reality. Never more so than when I1/6/2017 6:08:22 PM392
National Consortium Quarterly Update2001812/15/2016 4:40:18 PMPatient Safety News The National Patient Safety Consortium's fourth national gathering held on September 23, 2016 in Ottawa was the largest to date. It brought together a diverse group of 100 stakeholders, all committed to improving patient safety in Canada. Participants included representatives from nine provincial ministries and one territorial ministry of health; Health Canada, Canadian Institutes of Health Research, and the Public Health Agency of Canada for the federal health portfolio; professional associations, provincial quality and safety organizations, and many patient representatives. This year, the Consortium meeting was preceded by a full-day Leads Group meeting, the results of which helped shape the agenda and conversations at the Consortium. The two days were full of vibrant discussion and passionate engagement. Overall, meeting evaluations were positive, with 84% agreeing that that meeting objectives had been met. Highlights of the day included Patient partners celebrating patient engagement with the Consortium and urging action for safe care; Thought-provoking presentations by an esteemed International Expert Panel, bringing insights from Scotland, the United States, and Canada;Leads Groups' sharing on the progress of the Integrated Patient Safety Action Plan over the past year, with presentations and discussion on recommended priority actions to accelerate patient safety in their respective areas; andIdeas for ways to deepen collaboration and focus energies in the final 18 months of the Integrated Patient Safety Action Plan, including leveraging actions with health ministries across Canada. Throughout the two days, there was a persistent drum beat around the crucial importance of partnering with patients and families and acknowledgement of the leadership role played by Patients for Patient Safety Canada– to paraphrase international expert panelist Dr. Brian Robson, "Patients will define the future of patient safety in Canada." The Steering Committee will also be meeting in December to review the Consortium meeting and plan for 2017. As of Q2, 54% of Consortium actions are already complete, 17% are currently in progress, and 29% are scheduled to start later. 12/15/2016 4:00:00 PMThe National Patient Safety Consortium's fourth national gathering held on September 23, 2016 in Ottawa was the largest to date. It brought together12/21/2016 3:28:01 PM211
Improving Patient Safety Rounds at the IWK Health Centre2010412/14/2016 3:47:31 PMPatient Safety News ​After attending the Advancing Safety for Patients in Residency Education (ASPIRE) program at the Royal College two years ago, Dr. Sarah Stevens, a paediatric anaesthesiologist at the IWK Health Centre in Halifax, Nova Scotia got to thinking that although her perioperative group were functioning well as a team, the review of morbidity and mortality might be improved if the approach to case review was more educational. "What we did was look at a couple of topics that had raised a lot of discussion," says Dr. Stevens. "One of the early topics was a review on the effect of an upper respiratory tract infection on children and why anaesthetists don't like to put babies who have an acute respiratory infection to sleep. Patient Safety Rounds provided a setting for a joint case presentation between surgery and anesthesia, discussion of outcomes and review of the literature. Rounds included the entire perioperative team (pediatric anesthesiologists, pediatric surgical specialists, OR/ PACU nurses and anesthesia assistants). Input and questions from the audience were encouraged and the format was well received. The audience was provided with evidence-based literature about the decision making process and proceeding with a pediatric elective case, or not, when faced with an acute respiratory infection. It was very instructive for the post-anaesthesia care unit nurses and nurses in the operating room, who also felt much more educated about the topic." An interdisciplinary team has been formed to plan Patient Safety Rounds quarterly. The team includes a nurse educator, Kathy MacDonald a registered nurse from the Children's Operating Room who also oversees perioperative morbidity reviews; an anesthesiologist (Dr. Stevens); and a surgeon, Dr. R. Romao, Pediatric Surgeon and Urologist. So far, six rounds have taken place with 45 minutes allocated for presentation followed by 15 minutes of active discussion. Attendance at each of the rounds has drawn between 25 to 55 healthcare professionals. Patient Safety Rounds are also being utilized as a way of providing formal education on quality improvement and patient safety to clinical fellows and residents, who are encouraged to present cases they have experienced, in a safe learning environment. When a young patient had a pulmonary embolism after surgery, the team used that case and invited the nurses from the floor to attend the Perioperative Patient Safety Rounds and learn about the patient's risks. As a result of a case a screening protocol a decision tree has been developed by a multi- disciplinary team to decide what children should receive venous thromboembolism prophylaxis and determine the type of thromboprophylaxis that should be administered. "There has been a trickle-down effect in the sense that there is education, collaboration, the ability to ask questions about the management and care of children in a forum where everyone has the opportunity to provide input," says Dr. Stevens. "We are focusing less on the morbidity and mortality, and more on the event and what we can learn from it to improve our care. The formal morbidity and mortality process still occurs at another time." During another round, data from the surgical safety checklist, central line infections, wound infections, and septic infections was presented so that the staff could see the impact of how changes in the operating room over the last five years are having a positive effect. "Our goal this year is to get our colleagues in emergency medicine and paediatrics involved," says Dr. Stevens. "Getting information back to the primary care team is really valuable. Medicine has evolved in such a way that we tend to work in silos, and getting education from other team members will give you a much more complete picture."12/14/2016 4:00:00 PMAfter attending the Advancing Safety for Patients in Residency Education (ASPIRE) program at the Royal College two years ago, Dr. Sarah Stevens, a12/14/2016 4:00:18 PM842
Patient Safety Power Plays – Looking back on 20162020612/9/2016 6:41:30 PMPatient Safety Power Plays ​Time flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I personally would like to thank everyone who touches the work we do and the broader patient safety and quality agenda for your ongoing commitment and contributions to our cause. Before we turn the page and welcome 2017, I'd like to reflect on a few milestones that made 2016 so memorable for me and many others. First and foremost is the tenth anniversary of Patients for Patient Safety Canada, whose members, driven by their own stories of loss and not wanting others to experience that grief, are giving a voice to patients and families. This amazing group continues to grow and inspire us every time we lean on them. We all benefit from the wisdom and experience they bring. Next up was the 2016 Great Canadian Healthcare Debate, held at the National Health Leadership Conference in Ottawa. CPSI's motion, "A Public Reporting of the 15 Never Events," was one of three selected for inclusion at the conference, and was expertly debated by our own Hina Laeeque. What a great opportunity to put patient safety forward for discussion on the national stage. This was followed by the hotly-anticipated launch of SHIFT to Safety – your source for everything patient safety. Whether you're a provider, leader, or a member of the public, provides you with access to tools and resources to make patient care safe, whatever your role. I'm truly excited to see where SHIFT to Safety goes next! Next was an event more than two years in the making, the launch of the Hospital Harm Measure, in partnership with the Canadian Institute for Health Information. Through this initiative, we now have a national picture of patient harm in acute care, coupled with evidenced-based improvement resources specific to the 31 types of harm captured in the measure. Finally, I'd be remiss if I didn't mention our most successful Canadian Patient Safety Week to date. From the Twitter Talk to the Questions Save Lives social media campaign, I loved seeing what felt like the entire country get involved and put patient safety in the spotlight. What was your highlight of the year? As always, my ear is yours to bend at On that note, I'd like to wish you and yours a bright and merry holiday season and all the best for a prosperous new year! Your in patient safety, Chris Power12/9/2016 5:00:00 PMTime flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I12/9/2016 6:46:42 PM166
Quarterly Update Infection Prevention and Control2023912/7/2016 5:17:26 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2016/Medical%20Kit.jpg" style="BORDER&#58;0px solid;" /> ​Infection Prevention and Control (IPAC) Action Teams continue to make progress on three actions from the IPAC Action Plan conducting an environmental scan, the creation of a pan-Canadian set of case definitions for surveillance of healthcare associated infections, as well as improving infection prevention and control through the use of strategies known to improve behaviour and culture. To advance the IPAC action plan goal of "Improving infection prevention and control through a national campaign for public, patients and providers, focusing on raising awareness and promoting behaviour change", CPSI conducted an environmental scan. The purpose of the environmental scan was to examine the complexities of changing healthcare workers' behaviour and to better understand how the use theories, models and strategies can be used to bring about behavioural change. The learnings and recommendations arising from this scan will be used to help inform future STOP! Clean Your Hands Day Campaigns. The executive summary of the Environmental Scan of Behaviour Change Campaigns Recommendations for the Canadian Patient Safety Institute is available for download from the CPSI website. IPAC Canada has completed on a review of the current CNISP case definitions and determining the challenges and barriers to use of these case definitions in smaller hospitals and community hospitals. The review has been sent to CNISP for consideration. At the same time, a sub-committee of the Surveillance and Applied Epidemiology Interest Group of IPAC Canada is reviewing the long term care definitions from McGeer et all (2008) and SHEA (2012). A report will be prepared for the action team early in 2017. Next steps are engage provincial health authorities to adopt the acute care and long term care definitions, and to prepare a business case to influence the establishment of a national repository. Work is moving forward to Improve infection prevention and control (IPAC) through the use of strategies known to improve behaviour and culture. In July 2016, Canadian Patient Safety Institute (CPSI) launched a new initiative called SHIFT to Safety. SHIFT to Safety promotes a positive, safe healthcare experience and an approach to safety that encompasses the importance of public, providers and leader's roles in patient safety. One of the new areas of focus for SHIFT to Safety is strengthening teamwork, communication, leadership and patient safety culture with the goal to reduce harm and strengthen patient safety. October 6th, was the first National Webinar for the new SHIFT to Safety Platform. The session objective was to introduce participants to new SHIFT to Safety content in behaviour change, knowledge translation, and implementation science. Dr. Jeremy Grimshaw and Dr. Kathy Suh presented to a 'sold-out' crowd of 237. Feedback has been positive, with respondents asking for more calls, webinars and resources in knowledge translation and implementation science. Based on the positive response a second call with SHN interventional leads and Dr. Grimshaw has been planned for Nov. 22nd, 2016. 12/7/2016 5:00:00 PMInfection Prevention and Control (IPAC) Action Teams continue to make progress on three actions from the IPAC Action Plan: conducting an12/8/2016 6:24:22 PM122