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2/5/2020 6:00 AM

A special issue of Healthcare Quarterly assembles conclusions of CPSI’s National Patient Safety ConsortiumThis year, in a special issue of Healthcare Quarterly, the Canadian Patient Safety Institute (CPSI) has assembled some of the most significant elements of the National Patient Safety Consortium, which began in 2014. The Consortium was the result of a single guiding principle: to deliver a pan-Canadian action plan to drive real change in patient safety. It could not have succeeded if it were seen to be simply one organization's agenda. It required commitment from more than 40 organizations, governments, professional and patient groups.

Watch CPSI CEO Chris Power present these results at the Longwoods Breakfast with the Chiefs on January 15, 2020.

You can read the reports from the participating groups on the Healthcare Quarterly website. However, we have prepared a little summary of each of the reports for your consideration.

  1. Find out how far we have come in patient safety. In the past 20 years, there has been an escalation in the awareness and acknowledgement of the importance of patient safety and quality healthcare: read an overview of some key pan-Canadian initiatives.
  2. Examine the culture of engagement and improvement across Canada. These were brought about by an ongoing consensus development on key priorities, an unprecedented level of collaboration and shared leadership with diverse stakeholders and patients and families as full partners.
  3. The National Patient Safety Consortium could not have succeeded without patient engagement at every stage. How were patients were meaningfully engaged in a large-scale change initiative?
  4. From the perspectives of two former patients and a physician, how do we capitalize on the experiences of, and learnings from, people when healthcare interventions go awry? How can we learn from past mistakes? 
  5. Never Events for Hospital Care in Canada was published in 2015, outlining patient safety incidents that result in serious patient harm or death, that can be prevented by using organizational checks and balances. We need to take this further, to collaborate across systems, so that we can learn from one another and prevent patient harm.
  6. Initially developed as a checklist for patients and healthcare providers, "5 Questions to Ask About Your Medications" grew from a shared commitment to empower patients with questions into a tool that has been formally endorsed by over 70 organizations worldwide and translated into over 30 languages.
  7. We have been promoting the Enhanced Recovery After Surgery program to help patients be more prepared for surgery and recover more quickly. Patients, healthcare providers and health systems came together to create tools and resources based on the most up-to-date evidence.
  8. Senior healthcare leaders are key influencers in ushering in an organizational culture committed to patient safety. The patient safety culture bundle for CEOs and senior healthcare leaders is a cohesive set of evidence-based practices that to establish a culture of quality and safety.
  9. A safe environment is safe for all. This includes acknowledging that patient safety and staff and physician safety are not separate strategies and that patient, staff and physician safety are not mutually exclusive.
  10. During two homecare learning collaboratives, teams from across the country engaged patients and families, prevented harm from safety incidents such as falls, and improved interprofessional collaboration, teamwork and communication.
  11. There are unique safety risks for providers, patients and family caregivers in the home setting, including physical, environmental and social factors. This requires collaborative work with patients and their families to identify, manage and minimize risks as much as possible.
  12. Measuring and monitoring healthcare-associated infections provide key data to better understand the magnitude of the problem. However, inconsistencies in the use of standardized definitions and surveillance practices make it difficult to benchmark and set targets to reduce the rate of HAIs in Canadian hospitals.
  13. Despite the best efforts within our healthcare system, patient safety incidents continue to occur. System-level transformation is required to improve safety. The involvement of patients and interested citizens every step of the way is a critical success factor in that transformation.

Read all of the above reports on the Healthcare Quarterly website!