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CPSI Share                                                  
8/31/2010 6:00 PM


Inside this issue:

Patient Safety Metrics system: moving to a web-based data submission

Safer Healthcare Now! is moving to a web-based data format for submission and reports. The Patient Safety Metrics System reflects two components – the Safer Healthcare Now!  measurement methodology and the software that allows for web based data submission, reporting and analysis. The application has been built to accommodate the current Safer Healthcare Now! measurement processes and many new features have been added.

Teams will benefit from the ease of data entry and all information will be online, eliminating the need to save or upload files. Reports will be available in real-time, providing results as data is entered.

Standardized reporting tools similar to current ones will allow the user immediate access to worksheet run charts and Quarterly Reports. The enrolment and measurement databases have been merged and synchronized to reduce the number of steps required to register.

The “Quick Data Entry” tool may be used by anyone to enter but not view data of organizations that have already enrolled. For security, these data are saved and “parked” until approved by a registered/approved member.

All historic data has been imported into the web-based tool and will be displayed in reports. The Excel worksheets will be phased out over the next year, during which time the Central Measurement Team will provide support with transitioning from Excel worksheets to the web-based submission.

Additional phases are being planned that will enhance the application over the next number of years. Phase 2 of our planning process, based on flexibility and transparency, is already in progress. Our goal is to develop advanced reporting systems capable of internal and external benchmarking, and peer group comparison and possibly to link our web-based tool to other systems, as recommended and permitted by users.

Webinar training sessions for the web-based tool will be held throughout the Fall. More information on the training webinars can be found on the Safer Healthcare Now! website. Mark your calendar to attend one of these training sessions:

  • Thursday, September 30 – 12pm-1pm EST
  • Wednesday, October 6– 11am-12 pm EST
  • Tuesday, October 12 – 2pm-3pm EST
  • Wednesday, October 27 – 1pm-2pm EST

Benefits of the new web-based Patient Safety Metrics System

  • Reports of participating facilities by region, type, intervention, measure
  • Centralized data / report source
  • Real-time access to data of all participants
  • Real-time access to performance reports (controlled by permission linked to user level)
  • Data can be rolled up or drilled down for reporting. 
    • “team”  Hospital  Region  Province
  • Customizable reports
  • Dashboard multi-site and -indicator reports (Phase 2)


Patient Safety Crosswalk

The Canadian Patient Safety Institute (CPSI) is exploring new approaches to capture patient safety practices and design knowledge transfer points. CPSI is taking a baby step by launching what we call the Patient Safety Crosswalk – a hub connecting patient safety news and information from healthcare organizations across Canada. The Patient Safety Crosswalk will provide a space for clinicians, educators, researchers and others to have easy access to current projects, events, research and successes in patient safety from across Canada in order to enhance their own work. To find out more, please email


Hand Hygiene Case Study Exploring Six Sigma Methodology

The Canadian Patient Safety Institute (CPSI) continues to actively promote hand hygiene as an effective method of reducing healthcare associated infections. Healthcare organizations across Canada have demonstrated a keen interest in improving hand hygiene compliance rates through a variety of educational, promotional and measurement activities. CPSI is interested in adding to the hand hygiene tools currently available to assist with implementing and sustaining hand hygiene programs. 

Six Sigma is a business management strategy that has widespread application in nearly all sectors including healthcare. The methodology seeks to improve the quality of outputs by identifying and removing the causes of defects while also mitigating the variation in improvement processes.

CPSI and 3M are partnering to study the impact of using Six Sigma methodology versus traditional quality improvement approaches used by hospitals and long-term care facilities to help achieve and sustain hand hygiene compliance targets. 

This 28-week case study will compare the efforts of two groups. One group will use Six Sigma methodology along with Canada's Hand Hygiene Challenge materials to advance a hand hygiene case study pilot leading to a facility-wide roll out in an effort to realize sustainable improvements in hand hygiene compliance. The second group will use Canada's Hand Hygiene Challenge materials in a more traditional framework to advance the same hand hygiene case study with facility-wide roll out. The outcomes from the efforts of both groups will be compared and shared.  The study will commence in September 2010 and conclude in April, 2011. 

Click Here for more information about the Hand Hygiene Six Sigma Case Study.  Click here to link to the Call for Participation.


Mentor Teams to support ICU-related interventions

Do you have questions about the ICU-related interventions?  The Canadian ICU Collaborative Faculty is pleased to announce new mentor teams: 

Central-line associated bloodstream infections (CLA-BSI)

  • Vernon Jubilee Hospital
  • Windsor Regional Hospital

Ventilator-associated Pneumonia (VAP)

  • Alberta Health Services (Calgary Zone)
  • Kelowna General Hospital
  • Penticton Regional Hospital,
  • Windsor Regional Hospital

Rapid Response Teams (RRT)

  • Alberta Health Services (Calgary Zone)

Team profiles, including contact information, are posted in the “Documents - Mentor Profiles” folder in the individual Communities of Practice for the above-noted interventions.  Other mentors will be added in the coming months. Stay tuned!


Implementing a flexible road map in a world where the only constant is change

Marc van der Woerd has taken on a very exciting social media position with Safer Healthcare Now! and the Canadian Patient Safety Institute. The intent of the position is to develop and implement a social media strategy for “A New Approach to Controlling Superbugs” initative.  We are striving to strengthen the online community through engaging social media strategies.

This is a very exciting opportunity to increase our spread strategy. One of Marc’s first priorities has been redeveloping the New Approach Controlling Superbugs Community of Practice and trialing a platform that will allow users to more easily interact and exchange ideas with others.

By trailing unique ways of communicating we hope to provide:

  • The tools to create awareness and get the word out to achieve change and innovation.
  • Easy access to a faculty of people that can answer your questions.
  • The means to answer other people’s questions more easily.
  • New ways to achieve change, finding innovative tools and methodologies to use (like Positive Deviance).

If you have any comments or suggestions feel free to contact Marc at


People in Patient Safety

New VTE Coordinator appointed

Safer Healthcare Now! is pleased to welcome Artemis Diamantouros, as the Coordinator for the Venous Thomboembolism (VTE) intervention, effective September 7, 2010. Artemis is a currently a pharmacist at Sunnybrook Health Sciences Centre specializing in knowledge translation. For the past 10 years she has had a variety of roles within the Pharmacy department ranging from outpatient to inpatient care and research. Most recently, Artemis worked with Dr. Geerts on a number of regional thromboprophylaxis patient safety initiatives. One project involved eight Toronto area hospitals in a knowledge translation (KT) research project that evaluated the impact of KT Interventions on improving the use of appropriate VTE prophylaxis. Artemis can be reached at

Lynn Riley, the former VTE Coordinator relocated to Nova Scotia over the summer months.  The Atlantic Node is pleased to announce that Lynn will be providing part-time Safety Improvement Advisor (SIA) services and supports effective September 7, 2010. Our thanks to Lynn for her support to Dr. Geerts and the VTE Intervention. The Atlantic Node is delighted to have Lynn join their team! Lynn can be reached at 902-657-3846.


Getting Started Kits – what’s new?

The new Medication Reconciliation in Home Care Getting Started Kit (GSK) is in the final stage of preparation and is expected to be released by early September. There is a sense of excitement building in the home care community around this GSK, as it is a first for the home care community.  Draft copies of the kit have been delivered to various members of the home care community for review and the positive feedback is overwhelming:  “It’s an excellent reference and I passed it on to our home care teams before the ink was even dry!!!!” reports one of the reviewers.

The content of the GSK is centered around the five w’s - what, why, when, who and how. Within the pages of the GSK you will find a formalized framework for medication reconciliation in home care supported by a structured process and various tools, guides, and strategies for successful implementation. The new Medication Reconciliation in Home Care Getting Started Kit is in a user-friendly, electronic format. Watch the homepage of the Safer Healthcare Now! website, for an announcement on the release of the Medication Reconciliation in Home Care GSK and check the article on 2010 Improvement Opportunities to learn more about the Medication Reconciliation in Home Care virtual learning Action Series.

The VTE Prevention Getting Started Kit is in the process of being revised and will be available in the upcoming months. Accreditation Canada has added a VTE Prophylaxis component to the Required Organizational Practices (ROPs), to commence in January 2011. The GSK will be updated to reflect this change and the focus of the GSK will now be to assist organizations in meeting these new ROPs. The hip fracture and general surgical patient measurement component will be removed, as the importance of VTE prophylaxis for all hospitalized patient groups is now emphasized.  More Canadian content will be added and the appendices will be updated with new tools and examples of documents to assist in meeting the ROP requirements.

Watch for new Safer Healthcare Now! Getting Started Kits for Reducing Falls and Injuries from Falls and Preventing Surgical Site Infections in the coming months.


New Approach to Superbugs – New Information Call Scheduled

We extend our sincere apologies for the technical difficulties experienced on the Information Call for the New Approach to Controlling Superbugs Wave 2 that took place on August 26, 2010. We understand that some teams were unable to join us.

A second Information Call has been scheduled for Wednesday, September 8th, 2010 at 12pm EST. This will be a repeat of the presentation that was delivered on August 26th.

Please join us if you missed any part of that call. Also feel free to forward this on to anyone else who may be interested. There will be no password required for this call and that will be consistent for all calls going forward.

To join the call, click here.  For more information, please contact Leah Gitterman at


MedRec 101

It’s September and time to get back to school! The following Safer Healthcare Now! National medication reconciliation calls are geared to participants who are getting started with medication reconciliation. At the completion of the call, participants will understand the process of medication reconciliation, what to measure, how to join Safer Healthcare Now! and access resources on the communities of practice.

Participants will also learn from experienced practitioners who will share their journeys of implementing medication reconciliation successfully in their own institutions. Don't miss this opportunity to get on board with MedRec!

Long Term Care: Tuesday, September 14, 2010 (12:00-1:00pm EST). Click here to join the call.

Acute Care:  Wednesday, September 29th, 2010 (12:00-1:00pm EST). Click here to join the call.


2010 Improvement Opportunities


Medication Reconciliation in Home Care – “Home is where the heart is!”

This series will run from September to November 2010

Safer Healthcare Now! in partnership with the Canadian Patient Safety Institute, the Victorian Order of Nurses for Canada and the Institute for Safe Medication Practices Canada are hosting a Medication in Home Care Virtual Action Series to support home care organizations improve medication safety through medication reconciliation. Participants will attend five learning sessions over three months and be supported by faculty between sessions. There is a participation fee of $250/team. Click on the links to access Information Calls, scheduled for Tuesday, September 7th, at 12:00 Noon EST in English and 2:00 EST in French. For more information, contact 

Register today!


Time is Myocardium: Timely Reperfusion Therapy

Sessions begin October 20th

“Timely reperfusion therapy is the most important determinant of better outcomes for patients suffering an ST segment elevation myocardial infarction (STEMI). All healthcare professionals should work together to ensure that all Canadian STEMI patients receive reperfusion therapy in the most timely manner possible.”  - Dr. Jack Tu, Institute for Clinical Evaluative Sciences 

Time is Myocardium is a Virtual Leaning Collaborative that will create an opportunity to work with colleagues, content experts, and improvement faculty to achieve timely reperfusion.  Sessions run from October 2010 to April 2011. There is a participation fee of $500/team.  An Information Call is scheduled for Wednesday, September 8th (1:00-2:00pm EST). Click here for more information.

Register today!

Falls Prevention 

“Don’t Slip Up! Falls Prevention Virtual Learning Collaborative

Sessions begin October 2010 to March 2011

The Falls Prevention Virtual Learning Collaborative is designed to reduce falls and injury from falls in participating Canadian healthcare settings, utilizing available effective methodologies, resources and strategies to support practice change focused on falls. Participants will attend four virtual learning sessions over a seven-month period and will be supported by Faculty between sessions.  There is a Registration fee of $500/team. Registration closes on September 24, 2010. For more information, join the National Call scheduled for Thursday, September 9th. 

Register today!


Toward Zero Infections: Reducing Central Line Associated Bloodstream Infections (CLA-BSI)

Sessions begin October to December 2010

This 12-week Action Series hosted by the Canadian ICU Collaborative will provide high leverage strategies for instituting the CLA-BSI bundle elements both inside and outside the ICU. The participation fee is $250/team for five virtual learning sessions and Faculty support. Click here for more information. 

Register today!

New Approach to Controlling Superbugs

Sessions begin September to December 2010

The New Approach to Controlling Superbugs helps teams across Canada learn about Positive Deviance and how to use it as part of their efforts to reduce the spread of nosocomial infections.  The participation fee is $250/team.  For more information, click here.

Register today!


National Calls

Thursday, September 9, 2010 – “Don’t Slip Up! Reduce Falls and Injuries from Falls” – Falls National Call. Safer Healthcare Now! and the Canadian Patient Safety Institute in partnership with the Registered Nurses’ Association of Ontario invites you to participate in a National Call to learn more about the Getting Started Kit: Reducing Falls and Injury from Falls, and receive information on the Falls Prevention Virtual Learning Collaborative designed to reduce falls and injury from falls in Canadian healthcare settings.

Tuesday, September 21, 2010 – “Association Between Timeliness of Reperfusion Therapy and Clinical Outcomes in ST-Elevation Myocardial Infarction” AMI National Call – Ms. Laurie Lambert, PhD. of the Cardiology Evaluation Unit, Quebec Healthcare Assessment Agency (Agence d’evaluation des technologies et des modes d’interventions en santé) will present the current Canadian research on the timeliness of reperfusion therapy and discuss practice implications.  The 30-minute presentation will be followed by a question and answer session.