|Canadian Patient Safety Week (CPSW)||2396||Events||12/8/2009 9:50:43 PM||Welcome to asklistentalk.ca – your home for Canadian Patient Safety Week! Next year's Canadian Patient Safety Week will be on October 30th – November 3rd, 2017 where we will make #asklistentalk trending again on Twitter! We look forward to celebrating with you next year. In the meantime, remember to ask lots of questions to help us promote safer care. Registration will be opening soon…stay tuned!
Take the patient safety provider or patient quiz!
About Canadian Patient Safety Week is a national, annual campaign that started in 2005 to inspire extraordinary improvement in patient safety and quality. As the momentum for promoting best practices in patient safety has grown, so has the participation in Canadian Patient Safety Week. Canadian Patient Safety week is relevant to anyone who engages with our healthcare system providers, patients, and citizens. Working together, thousands help spread the message to Ask. Listen. Talk. If your organization is interested in sponsoring a portion of CPSW 2016, please contact
firstname.lastname@example.org. We have many sponsorship opportunities available.
Do you have any questions or suggestions? Contact CPSI CommunicationsPhone (780) 409-8090Toll free 1-866-421-6933
CPSW@cpsi-icsp.caJoin the conversation at #asklistentalk||Canadian Patient Safety Week||Canadian Patient Safety Week (CPSW)||4/24/2017 8:47:56 PM||69894||http://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|STOP! Clean Your Hands Day||2398||Events||6/3/2015 4:46:05 PM||May 5, 2017
Join the conversation
#STOPCleanyourhandsday It's time for patients and providers to come together for clean hands – STOP! Clean Your Hands Day returns Friday, May 5, 2017. The theme for STOP! Clean Your Hands Day is
Ask Yourself… Making a change to your behaviour can be as simple as asking yourself a question and understanding that change doesn’t need to be a burden. Small, incremental changes can lead to big things. Not only can you improve your own practices, you’re setting a great, easy to follow example for everyone around you! Whether you’re a patient, provider, or work in a healthcare setting – if you’re involved in the healthcare system, take the time to have a conversation with yourself and ask what you can change today to improve for tomorrow. Here's a run down of what we've got planned for STOP! Clean Your Hands Day 2017Webinar We're hosting a webinar May 4, 2017 at 10 am MT / 12 pm ET.
Learn More How Clean Are Your Hands?
Take the Quiz Video Competition Thank you to everyone who submitted a video, they look great!
View Videos Winners will be announced May 4, 2017 during our STOP! Clean Your Hands Day webinar.
Sponsored by Partners
||STOP! Clean Your Hands Day|| May 5, 2017
Join the conversation
#STOPCleanyourhandsday It's time for patients and providers to come together for clean hands –||4/21/2017 9:31:19 PM||21277||http://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Measure Patient Safety, Quality Improvement and Leadership||2327||Metrics||7/12/2016 5:25:21 PM||
Use Real-Time Data to Make Patient Safety Improvements To improve your organization's patient safety quality, you need reliable, up-to-date data that helps you implement positive changes. The Framework for Measuring and Monitoring Safety, created by Professor Charles Vincent and colleagues from the Health Foundation, consists of five dimensions that organizations, units, or individuals can use to understand the safety of their services. This new approach assesses and evaluates safety from "ward to board" by providing a rounded and accurate real-time view of patient safety, while identifying the greatest opportunities for improving safety. The Framework shifts away from past cases of harm towards current performance, and measures future risks and organization resiliency.
Armed with a series of valuable questions, you can make better decisions about the safety of the care you provide. The primary questions are Has patient care been safe in the past?Are our clinical systems and processes reliable?Is our care safe now? Will our care be safe in the future? Are we responding and improving? The Framework will be foundational to CPSI's new measurement coaching services offered by its Central Measurement Team. Stay tuned for additional details on how to access these coaching services. For more information, contact us at
email@example.com. "The Framework helps us think differently, and have different conversations at different levels, whether it be at ward level through safety huddles and safety briefs in the morning, the hospital safety brief, or through other scheduled meetings. By doing this we can ensure everything we do every day for our patients and for our staff is focused on the same thing. We consider different components to determine if it's affected by system, process, or human factor and determine what we should do differently." —Charlie Sinclair, Associate Director, Nursing NHS Borders||Measure Patient Safety, Quality Improvement and Leadership||Use Real-Time Data to Make Patient Safety Improvements To improve your organization's patient safety quality, you need reliable, up-to-date data||4/5/2017 7:34:04 PM||2133||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Safety and Incident Management Toolkit||2311||Toolkits||12/18/2014 8:28:40 PM||Prevent Patient Safety Incidents and Minimize Harm When They Do Occur When a patient's safety is compromised, or even if someone just comes close to having an incident, you need to know you are taking the right measures to address it, now and in the future. CPSI provides you with practical strategies and resources to manage incidents effectively and keep your patients safe. This integrated toolkit considers the needs and concerns of patients and their families, and how to properly engage them throughout the process. Drawn from the best available evidence and expert advice, this newly designed toolkit is for those responsible for managing patient safety, quality improvement, risk management, and staff training in any healthcare setting.
Patient Safety Management
System Factors For more information, contact us at
firstname.lastname@example.org.Toolkit Focus and Components The toolkit focuses on patient safety and incident management; it touches on ideas and resources for exploring the broader aspects of quality improvement and risk management. There are three sections to the toolkit Incident management—the actions that follow patient safety incidents (including near misses)Patient safety management—the actions that help to proactively anticipate patient safety incidents and prevent them from occurring System factors—the factors that shape and are shaped by patient safety and incident management (legislation, policies, culture, people, processes and resources).
Visual representation of the toolkit.
Incident management Resources to guide the immediate and ongoing actions following a patient safety incident (including near misses). We emphasize immediate response, disclosure, how to prepare for analysis, the analysis process, follow-through, how to close the loop and share learning.
Patient safety management Resources to guide action before the incident (e.g., plan, anticipate, and monitor to respond to expected and unexpected safety issues) so care is safer today and in the future. We promote a patient safety culture and reporting and learning system.
System factors Understanding the factors that shape both patient safety and incident management and identify actions to respond, align, and leverage them is crucial to patient safety. The factors come from different system levels (inside and outside the organization) and include legislation, policies, culture, people, processes and resources.Implementing Patient Safety and Incident Management Processes Consider the following guiding principles when applying the practical strategies and resources.
Patient- and family-centred care. The patient and family are at the centre of all patient safety and incident management activities. Engage with patients and families throughout their care processes, as they are an equal partner and essential to the design, implementation, and evaluation of care and services.
Safety culture. Culture refers to shared values (what is important) and beliefs (what is held to be true) that interact with a system's structures and control mechanisms to produce behavioural norms. An organization with a safety culture avoids, prevents, and mitigates patient safety risks at all levels. This includes a reporting and learning culture.
System perspective. Keep patients safe by understanding and addressing the factors that contribute to an incident at all system levels, redesigning systems, and applying human factor principles. Develop the capability and capacity for effectively assessing the complex system to accurately identify weaknesses and strengths for preventing future incidents.
Shared responsibilities. Teamwork is necessary for safe patient care, particularly at transitions in care. It is the best defence against system failures and should be actively fostered by all team members, including patients and families. In a functional teamwork environment, everyone is valued, empowered, and responsible for taking action to prevent patient safety incidents, including speaking up when they see practices that endanger safety.Resources to Support Patient Safety and Incident Management CPSI's
toolkit resources are practical tools for patient safety and incident management, compiled with input from experts and contributing organizations. You may not require all of them when managing an incident, so please use your discretion in selecting the tools most appropriate for your needs.Toolkit Development and Maintenance CPSI accessed a variety of qualified experts and organizations to compile this practical and evidence-based toolkit. The process includedAssigning a CPSI team with support from a writer with experience in the fieldSeeking advice from an expert faculty that included patient and family representativesBasing the content on the Canadian Incident Analysis FrameworkEngaging key stakeholders via focus groups and collecting evidence from peer-reviewed journals and publicly available literature The toolkit will be updated every year to keep it relevant. We welcome feedback on what is helpful, what can be improved, and content enhancements at email@example.com.||Patient Safety and Incident Management Toolkit||Prevent Patient Safety Incidents and Minimize Harm When They Do Occur When a patient's safety is compromised, or even if someone just comes close to||4/5/2017 7:36:23 PM||18716||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Venous Thromboembolism Prevention (VTE): Getting Started Kit Components||2334||Getting Started Kit;Toolkits||2/9/2017 6:41:38 PM||
Venous thromboembolism comprises both
deep vein thrombosis (DVT) and
pulmonary embolism (PE) and is one of the most common and preventable complications of hospitalization.1 Many risk factors for developing VTE have been identified (see Table 1), but the most common risk factor in hospitalized patients is reduced mobility. Almost every hospitalized patient has at least one of these risk factors for VTE and most have multiple risk factors.2 The VTE Getting Started Kit provides you with evidence-based resources to assist you in increasing the use of appropriate thromboprophylaxis in acute care hospitalized patients and aligns with Accreditation Canada's Required Organizational Practices on VTE prevention. This free resource contains clinical information, information on the science of improvement, and everything you need to know to optimize the appropriate use of thromboprophylaxis.
Getting Started Kit The Venous Thromboembolism Prevention Getting Started Kit is divided into eight sections
Section 1 Rationale for VTE Prophylaxis
Section 2 Evidence-Based Appropriate VTE Prophylaxis
Section 3 Adherence to VTE Prophylaxis
Section 4 A Formal Process to VTE Prophylaxis Quality Improvement The 10 Steps
Section 5 VTE Prophylaxis Improvement Guide
Section 6 Measurement and the VTE Improvement Program
Section 7 Measurement - Technical Descriptions and Worksheets
Section 8 Appendices
Want to learn more?
Download the complete Venous Thromboembolism Prevention Getting Started Kit
This document was updated in January 2017 For more information, email
firstname.lastname@example.org or call 1-866-421-6933||Venous Thromboembolism Prevention (VTE): Getting Started Kit Components ||Venous thromboembolism comprises both
deep vein thrombosis (DVT) and
pulmonary embolism (PE) and is one of the most common and||2/10/2017 9:01:24 PM||634||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Canadian Disclosure Guidelines||2335||Guide;Publication||4/18/2011 4:05:57 PM|| The Canadian Disclosure Guidelines build on various patient safety initiatives currently under way across Canada and assist and support healthcare providers, inter-professional teams, organizations, and regulators. These guidelines symbolize a commitment to patients’ right to be informed if they are involved in a patient safety incident by promoting a clear and consistent approach to disclosure, emphasizing the importance of inter-professional teamwork, and supporting learning from patient safety incidents. The development of the Canadian Disclosure Guidelines is a significant achievement in healthcare in Canada.
Canadian Disclosure Guidelines (November 2011)
Backgrounder Development of the Canadian Disclosure Guidelines (2006)
The Impact of Disclosure on Litigation (2007)||Canadian Disclosure Guidelines: Being open with patients and families||The Canadian Disclosure Guidelines build on various patient safety initiatives currently under way across Canada and assist and support healthcare||6/20/2016 8:35:25 PM||11747||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|The Safety Competencies Framework||2314||Publication;Framework||4/14/2009 11:53:32 PM|| Achieve safe patient care by incorporating our framework The Safety Competencies into your healthcare organization’s educational programs and professional development activities. Patient safety, defined as the reduction and mitigation of unsafe acts within the healthcare system, and the use of best practices shown to lead to optimal patient outcomes, is a critical aspect of quality healthcare.
Educating healthcare providers about patient safety and enabling them to use the tools and knowledge to build and maintain a safe system is critical to creating one of the safest health systems in the world. The Safety Competencies is a highly relevant, clear, and practical framework designed for all healthcare professionals. Created by the Canadian Patient Safety Institute (CPSI), The Safety Competencies has six core competency domains
Domain 1 Contribute to a Culture of Patient Safety – A commitment to applying core patient safety knowledge, skills, and attitudes to everyday work.
Domain 2 Work in Teams for Patient Safety – Working within interprofessional teams to optimize patient safety and quality of care..
Domain 3 Communicate Effectively for Patient Safety – Promoting patient safety through effective healthcare communication..
Domain 4 Manage Safety Risks – Anticipating, recognizing, and managing situations that place patients at risk..
Domain 5 Optimize Human and Environmental Factors – Managing the relationship between individual and environmental characteristics in order to optimize patient safety..
Domain 6 Recognize, Respond to, and Disclose Adverse Events – Recognizing the occurrence of an adverse event or close call and responding effectively to mitigate harm to the patient, ensure disclosure, and prevent recurrence.. This valuable framework includes 20 key competencies, 140 enabling competencies, 37 knowledge elements, 34 practical skills, and 23 essential attitudes that can lead to safer patient care and quality improvement. CPSI encourages its stakeholders, national, provincial, and territorial health organizations, associations, and governments; and universities and colleges to play a role in engaging stakeholders and spreading the word about this program so that healthcare professionals recognize the knowledge, skills, and attitudes needed to enhance patient safety across the spectrum of care. For further information, please email
email@example.com.||The Safety Competencies||The Safety Competencies: Message from the CEO||11/9/2016 8:49:19 PM||36098||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Effective Governance for Quality and Patient Safety||2324||Toolkits||2/23/2010 10:49:46 PM||
Effective Governance for Quality and Patient Safety A Toolkit for Healthcare Board Members and Senior Leaders Safe patient care happens when healthcare service delivery organizations are functioning at the highest levels. Governing boards and senior leaders of healthcare organizations can ensure effective governance and meet their legal responsibilities with the Effective Governance for Quality and Patient Safety Toolkit.
Order Now This toolkit teaches healthcare board members, senior executives, and physician leaders across Canada about the tools available to support organizational efforts in improving quality and patient safety. Commissioned research led by Dr. G. Ross Baker (2010), Effective Governance for Quality and Patient Safety in Canadian Healthcare Organizations, identified a number of interdependent drivers that enable boards to fulfill their responsibilities for quality and patient safety.
The resources in this toolkit are organized around each of the key drivers and includePrinciples of each driver Tools and recommended reading Stories and examples from healthcare organizations
Use this toolkit to strengthen your organization’s performance and to promote and advance safer care.
This symbol, used throughout the toolkit, denotes Canadian references and examples.||Effective Governance for Quality and Patient Safety||Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders||6/23/2016 3:37:52 PM||11775||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Hospital Harm Improvement Resource||2692||4/14/2015 5:37:10 PM||Introduction Patients expect hospital care to be safe and for most people it is. However, a small proportion of patients experience some type of unintended harm as a result of the care they receive. The Canadian Institute for Health Information (CIHI) and the Canadian Patient Safety Institute (CPSI) have collaborated on a body of work to address gaps in measuring harm and to support patient safety improvement efforts in Canadian hospitals. The Hospital Harm Improvement Resource was developed by the Canadian Patient Safety Institute to complement the Hospital Harm measure developed by CIHI. It links measurement and improvement by providing evidence-informed practices that will support patient safety improvement efforts. The purpose of measuring quality and safety is to improve patient care and optimize patient outcomes. The Hospital Harm measure should be used in conjunction with other sources of information about patient safety, including patient safety reporting and learning systems, chart reviews or audits, Accreditation Canada survey results, patient concerns and clinical quality improvement process measures. Together, this information can inform and optimize improvement initiatives. The Improvement Resource is a compilation of evidence-informed practices linked to each of the clinical groups within the Hospital Harm measure to help drive changes that will make care safer. Through extensive research and consultation with clinicians, experts and leaders in quality improvement (QI) and patient safety, the Improvement Resource is intended to make information on improving patient safety easily available, so teams spend less time researching and more time optimizing patient care. The Improvement Resource is a dynamic tool that the Canadian Patient Safety Institute will continue to develop and review every two years, or as new evidence emerge. If you have any suggestions for the Improvement Resource, please send your ideas to
firstname.lastname@example.org. The layout of the Improvement Resource reflects the framework of the Hospital Harm measure (Figure 1) and focuses on actions that can be taken to decrease the likelihood of harm. The measure includes four major categories of harm and within each category is a series of individual clinical groups, or types of harm, each of which connects to evidence-informed practices for improvement. For each clinical group, the Improvement Resource provides the followingAn overview of the clinical group and goal for improvement.Implications for patients experiencing the type of harm and their importance to patients and family.Evidence-informed practices to reduce the likelihood of harm. Outcome and process improvement measures. Associated Accreditation Canada standards and Required Organizational Practices and Global Patient Safety Alerts recommended search terms.Success stories from organizations.References and key resources, including guidelines and select research articles.Definitions As patient safety terminology evolves it is important to be clear on the meaning and differences of specific words. For the purposes of the Hospital Harm measure, the following definitions apply
Harm – An unintended outcome of care that may be prevented with evidence-informed practices and is identified and treated in the same hospital stay.
Occurrence of harm – Harmful event is synonymous with occurrence of harm.
Patient Safety – The reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum. An acceptable minimum takes into consideration current knowledge, resources available and the context in which care was delivered weighed against the risk of non-treatment or other treatment.
Hospital Harm Measure – Acute care hospitalizations with at least one unintended occurrence of harm that could be potentially prevented by implementing known evidence-informed practices. For harm to be included in the measure, it must meet the following three criteria It is identified as having occurred after admission and within the same hospital stay.It requires treatment or prolongs the patient's hospital stay.It is one of the conditions from the 31 clinical groups in the Hospital Harm Framework.
Back to Hospital Harm Measure||Hospital Harm Improvement Resource ||Introduction Patients expect hospital care to be safe and for most people it is. However, a small proportion of patients experience some type of||10/25/2016 7:23:53 PM||4292||http://www.patientsafetyinstitute.ca/en/toolsResources/Hospital-Harm-Measure||html||True||aspx|
|Hand Hygiene Toolkit||4170||Guide;Toolkits||6/3/2015 4:47:25 PM||This comprehensive Hand Hygiene Toolkit allows you to start improving hand hygiene in your organization. You can buy this toolkit here. Additional copies of some of the tools available in the Hand Hygiene Toolkit can be found below.
Hand Hygiene Toolkit resource links to scholarly literature and fact sheets can also be found in the Resources section.
Copies of the hand hygiene education PowerPoint presentations can be found in Hand Hygiene Education.
Looking for the Patient and Family Guide? You can find it plus other resources in the Patients & Their Families section.
Hand Hygiene Observation Tool
WRHA Hand Hygiene Observation Tool
WRHA Hand Hygiene Audit Instructions
On-the-Spot Feedback Tool
Hand Hygiene Surveillance Instrument
Guidebook for Use of Hand Hygiene Surveillance Instrument
Instructions for Using the Hand Hygiene Surveillance Instrument
A Simple Framework and tools for Establishing Accountability in Hand Hygiene Programs
How to Handrub
How to Handwash
4 Moments for Hand Hygiene (poster)
WHO Facility-Level Situation Analysis
WHO Template Action Plan
||This comprehensive Hand Hygiene Toolkit allows you to start improving hand hygiene in your organization. You can buy this toolkit here .||11/28/2016 6:03:38 PM||7296||http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Patient Stories||2339||7/27/2015 12:39:48 PM|| ||Patient Stories||5/19/2016 4:22:33 AM||14041||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Safety Metrics||2342||Metrics||7/9/2015 6:19:21 AM||
The Patient Safety Metrics system is no longer available. This decision is the result of a shift in our measurement approach as we focus more on expert measurement consultation and coaching. To access and transfer your data from Patient Safety Metrics, to a location of your choice, please email the Central Measurement Team at email@example.com for information. For more information, please refer to a recording of our webinar held on this subject Measurement Now and Into the Future If you have any questions or require support, please feel free to contact us via email at firstname.lastname@example.org We would like to thank all of the teams who have contributed to Patient Safety Metrics and taken part in our quality improvement audits over the years.
Frequently Asked Questions
||Patient Safety Metrics ||Safer Healthcare Now! Enrolment & Measurement||2/16/2017 6:51:41 PM||11261||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Am I Safe?||2346||Report||7/13/2016 9:39:51 PM||
It's time to have a conversation about safety in the home Choosing to receive care at home is an important decision to make. Being aware of and understanding potential risks to safety is a big part of receiving home care for patients, their families and care providers. Talking openly and honestly as a healthcare team is important —before, during, and after care appointments. In 2015, CPSI worked with the Canadian Home Care Association to find tools and resources to guide safety conversations between health care providers and patients when receiving home care services. The result was the
Am I Safe? report.
Am I Safe? helps healthcare providers, patients, and caregivers work together to evaluate and manage risk when receiving care at home. Understanding and accepting "what is safe" means balancing the patient's and family's understanding of risk with the healthcare provider's knowledge and perception of acceptable risk. If all parties involved can have the right conversations, establish trust, share information and knowledge, and support one another, they greatly increase their chances of successful, safe care in the home. The next phase of Am I Safe? begins now. We want to discover and test resources to support safety conversations in the home. If you are using a tool or are aware of a tool that could facilitate conversations around safety in the home, please contact us at
email@example.com.||Am I Safe?||It's time to have a conversation about safety in the home Choosing to receive care at home is an important decision to make. Being aware of and||4/5/2017 7:21:23 PM||2638||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data||2333||Report||4/8/2016 8:36:50 PM||
More than one million surgical procedures were performed annually in Canada between 2004 and 2013. The Canadian healthcare system strives to provide safe care, but patient safety incidents still occur, with over half attributed to surgical care. Safe surgical care requires that physicians and healthcare teams use appropriate tools and contribute to system improvements within a complex professional environment. The Canadian Medical Protective Association (CMPA), which provides medical liability protection for most Canadian physicians, and the Healthcare Insurance Reciprocal of Canada (HIROC), which provides liability insurance for healthcare organizations and their employees, have collaborated to conduct a retrospective analysis of Canadian surgical safety incident data. This analysis of medico-legal data advances knowledge in patient safety concepts, and is intended to lead to system and practice improvements. This analysis was undertaken as part of the
Surgical Care Safety Action Plan. A summary of the results and recommendations can be found in the summary report
Surgical Safety in Canada
A 10-year review of CMPA and HIROC medico-legal data. A deep dive into the methods, limitations and the results can be found in the
Detailed Analysis report.
Detailed Analysis ||Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data ||More than one million surgical procedures were performed annually in Canada between 2004 and 2013. The Canadian healthcare system strives to provide||4/11/2016 5:18:04 PM||2692||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Engagement Resources||2337||Guide;Toolkits;Patient and Family Resource||8/17/2016 3:27:12 PM|| Effective partnerships with patients/ families to accelerate patient safety, quality and health service planning are being recognized as a best practice and in response to this, new initiatives, standards, policies, evidence and resources are being routinely developed across Canada and internationally. However, this is still an evolving field within healthcare, requiring much learning and collaboration to advance. The Canadian Patient Safety Institute (CPSI) is acutely aware of both the needs and challenges because of the decade-long partnership with patients/families, through Patients for Patient Safety Canada (PFPSC). The volunteer PFPSC members are partners in the design, development, delivery or evaluation of most of CPSI's programs as well as collaborating with external partners in their efforts. In addition, PFPSC volunteers are part of patient advisory groups at local levels allowing for a good understanding of needs at all system levels. PFPSC is also part of a global patient community through the World Health Organizations' Patients for Patient Safety Programme and through that global network is aware of needs, opportunities and challenges from around the world. The challenge of accelerating engagement practices across Canada presents a unique opportunity to coordinate and align efforts and resources that better support those working to improve patient safety through patient engagement. The National Patient Safety Consortium, a partnership among over 50 organizations has established a shared action plan for safer healthcare. One of the key themes in the Action Plan is the patient voice, and one of the shared actions is to develop a comprehensive guide for patient engagementbased on evidence and best practices. CPSI in collaboration with partners (see Action Team membership below) began the development of several resources, includingA Canadian Patient Engagement Guide (PE Guide) This practical guide will be based on evidence and best practices, applicable to various system levels, aligned with and complementary to existing resources, and the content will be generated from and targeted to both patients/families and providers/organizations. The topics covered will focus on patient/family engagement in incident management and improving patient safety and quality, as well as developing or sustaining structures and processes to support patient/family engagement. The Canadian Patient Safety Institute, the Atlantic Health Patient Safety and Quality Collaborative, and Health Quality Ontario provide leadership and financial contribution for the PE Guide development. One World Inc has been contracted to conduct the evidence scan and consultations with users and write the guide for the action team. The expected launch date is June 2017. Contact us at firstname.lastname@example.org to tell us what you would like to see in a guide like this or to share resources, evidence or best practices.The Canadian Patient Engagement Network (PE Network) A public, open, and safe space for anyone passionate about patient engagement or patient-centred care to learn, help and get help. Patients, families, patient advisors as well as healthcare providers and leaders can participate in this moderated network. Click on the following links to join the LinkedIn or Facebook network.The Canadian Foundation for Healthcare Improvement's Patient Engagement Resource Hub (CFHI's PE Hub) CFHI's growing collection of over 200 open source tools has been expanded to better support patients, families, caregivers and patient advisors as well as healthcare providers to advance patient engagement and patient safety. The Canadian Patient Safety Institute is one of several organizations that support CFHI's PE Hub through financial and ongoing in‑kind support. Click on the following link to access the Patient Engagement Resource Hub.Action Team The Canadian Patient Safety Institute, in partnership with representatives from the organizations listed below (the Action Team), is conducting the work related to the patient engagement resources described above.Canadian Patient Safety Institute Atlantic Patient Safety and Quality Council Health Quality Ontario Patients for Patient Safety Canada Imagine Citizens Collaborating for Health (Alberta) Accreditation Canada Alberta Health ServicesBC Patient Safety and Quality Council Canadian Foundation for Healthcare Improvement Centre of Excellence on Partnership with Patients and the PublicHealthCareCANHealth Quality Council of Alberta Manitoba Institute for Patient Safety Manitoba Health, Seniors and Active LivingOntario Ministry of Health and Long Term CareOntario Hospital AssociationSaskatchewan Health Quality Council University Health NetworkUniversity of Montreal||Patient Engagement Resources||Effective partnerships with patients/ families to accelerate patient safety, quality and health service planning are being recognized as a best||2/28/2017 10:34:29 PM||1072||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Tools & Resources||441||3/25/2009 3:33:37 PM||||Tools & Resources||Tools & Resources||8/25/2016 8:34:20 PM||68289||http://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Atlantic Learning Exchange||2400||Events||9/20/2016 6:01:00 PM||
Mark your calendars, the Atlantic Learning Exchange is back, and better than ever!
Join us in Charlottetown, PEI on May 30th and 31st, 2017 at the Confederation Centre of the Arts. The Atlantic Learning Exchange 2017 is a must-see event that you do not want to miss! Join leaders and patient safety champions who will be gathering for a two-day quality and patient safety knowledge exchange. Take in engaging presentations on quality improvement from the system, provider, and patient experiences, as well, rapid fire presentations will showcase local initiatives and the differences they have made. This year's theme is Advancing patient safety culture to improve the patient experience.
Be sure to check out the ALE 2017 Program at a Glance.
Program at a Glance
MAINTENANCE OF CERTIFICATION Attendance at this program entitles certified Canadian College of Health Leaders members (CHE / Fellow) to
5.75 Category II credits towards their maintenance of certification requirement. Please note that the Holman Grand Hotel has filled the block of rooms available for the ALE. The Rodd Charlottetown Hotel does have a limited number rooms available for the nights of May 29 and May 30 at the same rate of $135.00 Rodd Charlottetown Hotel Rodd Hotels & Resorts 75 Kent St. Charlottetown, PE - C1A 7K4 p(902)894-7371 f (902)368-2178
||Atlantic Health Quality & Patient Safety Learning Exchange 2017||Mark your calendars, the Atlantic Learning Exchange is back, and better than ever!
Join us in Charlottetown, PEI on May 30th and 31st, 2017 at||4/21/2017 7:22:39 PM||4113||http://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Home Care Safety||2309||Report;Research;Toolkits||6/5/2014 8:48:12 PM||
With the release of the Safety at Home A Pan- Canadian Home Care Study (2013), the Canadian Patient Safety Institute (CPSI) and the Canadian Home Care Association (CHCA) worked with the research team to translate the knowledge acquired from the study into tools, resources and programs for the field. Click on the following links to access resources available to home care providers, clients and families, and policy makers.
Resources for home care providers
Resources for family caregivers and clients
Resources for policy makers and academics
||Home Care Safety||With the release of the Safety at Home: A Pan- Canadian Home Care Study (2013) , the Canadian Patient Safety Institute (CPSI) and the||6/29/2016 8:24:53 PM||4436||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Events||446||Events||6/4/2015 6:09:31 AM|| ||Events||4/4/2017 4:18:24 PM||26073||http://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Patient Safety Champion Awards||2399||Events||7/24/2015 10:09:51 AM||
Recognizing the people and the organizations who are making care safer through partnership. Safe care must include patient and family engagement. HealthCareCAN and the Canadian Patient Safety Institute strongly believe this and are working together to foster spread and sustainability of patient and family partnerships in healthcare delivery and patient safety. We are once again partnering to present the Patient Safety Champion Awards to recognize volunteers and organizations that are taking a leadership role in ensuring that patients and families are at the centre of patient safety initiatives. In 2017 and beyond, the Patient Safety Champions Awards will be presented at the annual
National Health Leadership Conference, to highlight the important leadership required to steward effective partnerships and improve patient safety. Are you a Patient Safety Champion? If you or someone you know sounds like a deserving recipient of the 2017 Patient Safety Champion Award, in either the volunteer or organizational category, submit your nomination today! The deadline for nominations is April 15, 2017, and the Awards will be presented at the National Health Leadership Conference, June 12 to 13, 2017 in Vancouver, BC.
Award winners will receive an all-expense paid trip and attendance to the conference.
See the award criteria
Submit your volunteer nomination
Submit your organizational nomination Last Year's Winners Volunteer Award
Johanna Trimble won the 2016 Patient Safety Champion Award for her ongoing passion and commitment to changing the healthcare system by raising awareness around the overmedication of seniors. Organizational Award
Michael Garron Hospital, which also took home a 2016 Patient Champion Safety Award last year, was recognized for their outstanding work in engaging patients and families as partners in continuous improvement. Read more here These are just two examples of some of the exceptional work the Patient Champion Safety Awards have featured in that past couple years. Use the menu on the right to explore the stories of past winners and honorable mentions. For questions about the 2017 Patient Safety Champion Awards, please contact us at
||2017 Patient Safety Champion Awards||2016 Champion Awards||3/27/2017 5:04:39 PM||7838||http://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Healthcare Provider Stories||2343||10/19/2015 4:42:11 PM||||Healthcare Provider Stories||10/26/2015 3:41:32 PM||2143||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Sepsis: Prevention, Early Identification and Response: Getting Started Kit Components||2320||Getting Started Kit;Guide||2/24/2016 8:43:33 PM||
Sepsis is a potentially fatal condition involving the body's response to a severe infection. It manifests in various ways and may involve fever, low blood pressure, and dysfunction in vital organs such as the brain, heart, kidneys, and lungs.Sepsis affects 30,000 Canadians each year, and over one-third of these will die if not treated appropriately. As with polytrauma, heart attack, and stroke, the speed and appropriateness of therapy improves patient outcomes.The Sepsis Getting Started Kit provides you with evidence-based resources to assist you in decreasing sepsis rates in your organization as well as in improving clinical outcomes from septic patients. This free resource contains clinical information, information on the science of improvement, and everything you need to know to start using the intervention.Drawn from the best available evidence and expert advice, and regularly updated, the Sepsis Getting Started Kit will help to decrease the morbidity and mortality from sepsis in hospitalized patients through a structured approach to prevention, early identification and response to sepsis.Getting Started Kit The Sepsis Getting Started Kit is divided into five sections Section 1 Prevention, Identification and Response to Sepsis Section 2 Pediatric Sepsis Section 3 Maternal Sepsis Section 4 Measurement – Technical Descriptions and Data Screens Section 5 Sample Checklists and Other Tools
Want to learn more? Download the complete Sepsis Getting Started Kit
This document was updated in September 2015 The Model for Improvement is designed to accelerate the pace of improvement using the PDSA cycle; a "trial and learn" approach to improvement based on the scientific method. Please refer to the Improvement Frameworks GSK (2015) for additional information. For more information, email
email@example.com or call 1-866-421-6933||Sepsis: Prevention, Early Identification and Response: Getting Started Kit Components ||Sepsis is a potentially fatal condition involving the body's response to a severe infection. It manifests in various ways and may involve fever, low||4/1/2016 2:36:16 PM||3210||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Deteriorating Patient Condition||31386||Toolkits||3/30/2017 5:19:46 PM|| Early warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical inpatient events are preceded by warning signs that occur approximately six-and-a-half hours in advance. In this section, you'll find information, tools and resources to not only help you recognize deteriorating patient condition, but what you can do to act on it as a member of the public, a healthcare provider or leader. Click any of the icons below to get started!
||Deteriorating Patient Condition||Early warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical||4/21/2017 4:50:50 PM||83||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Implementing the Vincent Framework at the Frontline||31210||Events;Presentation||2/6/2017 5:34:40 PM||
Archive February 23, 2017
Purpose of the Call Hear firsthand from Healthcare Improvement Scotland and one of their teams that participated in the U.K. Health Foundation collaborative about their experience in applying the Vincent Framework at the frontline. The related challenges and benefits and how it has impacted their work.
"…if I apply this [framework] conceptually to any problem I've got in safety I can make it work, and it orders my thinking" – Neil Prentice, Assistant Medical Director Mental Health, Tayside Trust, Scotland
ObjectivesLearn how the Vincent Framework was implemented in Scotland at the frontlineLearn how Healthcare Improvement Scotland is spreading the FrameworkLearn how their experience applies to Canada
Speakers Jo Thomson – Senior Programme Manager, Measurement and Monitoring of Safety Programme, Healthcare Improvement Scotland Alison McGurk, Clinical Team Manager (RMN), Angus Health and Social Care Partnership Morag MacRae – Patient Safety Development Manager, NHS Tayside Dr. Jonathan Kirk – National Clinical Lead, Measuring and Monitoring Safety Programme, Healthcare Improvement Scotland
Dr. G. Ross Baker – Institute of Health Policy, Management and Evaluation, University of Toronto
SHIFT to Safety Ensuring patients are safe remains a major challenge for Canadian healthcare organisations and systems. The Canadian Patient Safety Institute's (CPSI) new initiative,
SHIFT to Safety, has been launched to address these challenges, including helping providers and leaders improve their measurement efforts.
ResourcesA framework for measuring and monitoring safety A practical guide to using a new framework for measuring and monitoring safety in the NHS (2014) –
Download the guide from The Health FoundationThe measurement and monitoring of safety Drawing together academic evidence and practical experience to produce a framework for safety measurement and monitoring (2013) –
Download the full report from The Health FoundationIntroduction of the Measuring and Monitoring of Safety (Vincent) Framework to Canada –
January 30, 2017 National Call||Archive: February 23, 2017
Purpose of the Call: Hear firsthand from Healthcare Improvement Scotland and one of their teams that||3/1/2017 10:04:13 PM||526||http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Hand Hygiene Observation Tools||4168||Guide;Toolkits||6/3/2015 4:47:24 PM||Measurement is a vital part of the quality improvement process. Auditing hand hygiene compliance by health care providers provides a benchmark for improvement. The results of observation audits will help identify the most appropriate interventions for hand hygiene education, training and promotion. Results should be shared with front-line healthcare providers, management and hospital boards.
To support organizations in doing direct observation, CPSI has an observation tool based on the 4 Moments for Hand Hygiene. This tool is available in electronic (link to content below) and paper (link to content below) format.
CPSI has also adapted a Patient Family Observation Tool that will allow patient and family partners to observe and share information about how healthcare workers participate in optimal hand hygiene. (link to content below)
Direct observation of hand hygiene practices should be performed by trained observers using a standardized and validated audit tool. Need training on how to conduct Hand Hygiene observations? Here are some training resources to help you. (link to content below)
CPSI Hand Hygiene Observation Tool (Paper Tool)
This paper tool is for Acute Care only.
CPSI Hand Hygiene Observation Tool
Instructions for Using the Observation Analysis Tool
Observation Analysis Tool - Excel workbook (ZIP)
Training on how to conduct Hand Hygiene observations
Hand Hygiene Education
Monitoring and Observation (Auditing) for ACUTE
Monitoring and Observation (Auditing) for LTC
Hand Hygiene Measurement within Patient Safety Metrics (National Call Websinar)||Measurement is a vital part of the quality improvement process. Auditing hand hygiene compliance by health care providers provides a benchmark for||8/9/2016 7:43:28 PM||7997||http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit||4159||Getting Started Kit||7/1/2015 8:51:29 AM||These free resources are designed to help you successfully implement interventions in your organization. Getting Started Getting Started Kit The Getting Started Kit contains clinical information, information on the science of improvement, and everything you need to know to start using the intervention. Click here to download the Getting Started Kit. One-Pager The One-Pager is a summary of the Getting Started Kit that you can use to promote the intervention to your organization. Click here to download the One-Pager. Icons Intervention Icons Use these intervention icons on presentations, reports, flyers, and other material to promote the intervention throughout your organization. Click here to download the full-colour intervention icon.Click here to download the black and white intervention icon. Intervention Icons With Text Click here to download the full-colour intervention icon with text.Click here to download the black and white intervention icon with text.
||CLI: Getting Started Kit||11/24/2016 10:07:46 PM||4888||http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Canada’s Hand Hygiene Challenge||19991||News||6/3/2015 3:52:43 PM||11/4/2010 6:00:00 AM|| Safer Healthcare Now! in partnership with the Canadian Patient Safety Institute invites you to register as a participant in Canada’s Hand Hygiene Challenge to deliver the safest care possible through optimal hand hygiene practices. The former ‘Hand Hygiene Campaign’ has been updated to align with existing evidence and is being re-launched as Canada’s Hand Hygiene Challenge. This new approach features new and updated toolkits with four main components
Hand Hygiene Toolkit Revised from the earlier version, this toolkit is based on the “Four Moments” of effective hand hygiene, providing participants with a variety of tools and promotional materials to develop and sustain optimal hand hygiene.
Human Factors Toolkit This new component provides four specific tools to optimize hand hygiene programs. By using these tools organizations can apply the concepts learned from current research regarding the human factors that influence hand hygiene compliance.
Patient and Family Guide Newly developed for Canada’s Hand Hygiene Challenge, this guide provides useful information to reinforce the important role patients and their families play in effective hand hygiene practice.
On-Line Learning module Over 14,000 healthcare workers in Canada have completed the initial version of this highly successful module. The revised version is again based on the ‘Four Moments’ and takes about 15 minutes for users to complete.
For more information, or to download or order these materials visit www.handhygiene.ca.||Canada’s Hand Hygiene Challenge||10/6/2015 7:12:34 AM||2405||http://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspx||html||False||aspx|
|Medication Reconciliation (Med Rec): Tools||4185||Toolkits||7/1/2015 8:53:35 AM||
These free resources are designed to help you successfully implement interventions in your organization.
Paper to Electronic MedRec Implementation Toolkit
Click here to access
Sunnybrook Draft Form
Click here to downloadHome Care Medication Reconciliation Physician Order Form Saskatoon Health Region Click here to download
Best Possible Medication History (BPMH) Interview Guide
Click here to order
Individual BPMH Record and Audit Tool
Click here to download
Individual Transfer BPMH Record and Audit Tool
Click here to downloadCommunities of Practice
Click here to register
||Med Rec (Acute Care): Tools||11/28/2016 4:29:44 PM||4109||http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Five Questions to Ask about your Medications||2328||Patient and Family Resource;Checklists;Toolkits||2/25/2016 8:39:10 PM||
Ask the Right Questions about Your Medications For patients who require multiple medications or who are transitioning between treatments, safety can become a concern. You or your loved one may be at risk of fragmented care, adverse drug reactions, and medication errors. To be an active partner in your health, you need the right information to use your medications safely.
Download CPSI has teamed up with the Institute for Safe Medication Practices Canada, Patients for Patient Safety Canada, the Canadian Pharmacists Association, and the Canadian Society for Hospital Pharmacists to create a list of top questions to help patients and their caregivers have a conversation about medications with their healthcare provider. Use these five questions when you're Attending a doctor's appointment (e.g., family physician or specialist, dentist, optometrist)Interacting with a community pharmacistLeaving the hospital to go homeVisited by home care services
Are you a provider? Please share this valuable resource with your patients! Visit ISMP Canada for additional resources and endorsementsClick here for Additional resourcesClick here to endorse and add your organizations logo For more information, contact
firstname.lastname@example.org.||Five Questions to Ask about your Medications ||Ask the Right Questions about Your Medications For patients who require multiple medications or who are transitioning between treatments, safety can||4/5/2017 7:26:26 PM||8593||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Improvement Frameworks Getting Started Kit||2310||Toolkits;Getting Started Kit;Framework||11/24/2011 4:21:24 PM||12/2/2015 7:00:00 AM||The Improvement Frameworks Getting Started Kit is intended to serve as a common document appended to the Safer Healthcare Now! Getting Started Kits. The goal is to help provide a consistent way for teams and individuals to approach the challenge of making changes that result in improvements.
Download ||Improvement Frameworks Getting Started Kit||The Improvement Frameworks Getting Started Kit is intended to serve as a common document appended to the Safer Healthcare Now! Getting Started||1/5/2016 6:18:07 PM||6684||http://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|