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2/11/2010 5:00 PM


Inside this Issue:

 Hugh MacLeod

Canadian Patient Safety Institute
appoints new CEO!

The Board of Directors of the Canadian Patient Safety Institute recently announced that Hugh MacLeod will become its Chief Executive Officer, effective February 15, 2010. To view this announcement, click here.



Safer Healthcare Now!: Moving Forward with Vigour

Back by popular demand, Monday, April 12, 2010 has been set aside as a workshop to support teams working on Safer Healthcare Now! Held in conjunction with Canada's Forum on Patient Safety and Quality Improvement, this one-day pre-Conference session will take place from 8:30 am to 5:00 pm at the Westin Harbour Castle in Toronto (Ontario).

Keynote speakers include Joe McCannon, Institute for Healthcare Improvement (Leader for 100K Lives and 5 Million Lives Campaigns) and Rabih Darouiche, MD (Lead Author of Landmark New England Journal of Medicine article on Skin Prep in the OR).
Workshop highlights:

  • Learn about the future direction for Safer Healthcare Now!
  • Hear Rapid Fire presentations from faculty
  • Find out more about newly launched Getting Started Kits on:
    • Controlling Superbugs
    • Preventing Falls
    • Medication Reconciliation in Home Care
  • Acquire strategies for success in challenging times

Register Now! Join your Safer Healthcare Now! colleagues for this one-day workshop and stay for the Forum.


Safer Healthcare Now! Team Awards

During the workshop the Safer Healthcare Now! Team Awards will be presented to recognize and celebrate your work. Deadline for submissions is February 22, 2010. For more information about the Awards, click here.

Some key highlights:

  • You can apply online using a short and easy application process
  • There will be an award presented for all Safer Healthcare Now! interventions! There is also an Overall Award for one team with exemplary performance (Overall Award sponsored by BD)
  • This is a recognition award with no monetary value attached to it – Teams recognized will be profiled at the Safer Healthcare Now!: Moving Forward with Vigour pre-conference day on April 12, 2010 in Toronto.

Our thanks to Cardinal Health sponsor of the Central Line Infection and Surgical Site Infection team awards, and to BD, sponsor of the Overall Safer Healthcare Now! Team Award.

If you have questions about the Workshop or the Awards, please send an email to:


Canada's Forum on Patient Safety and Quality Improvement: “Improving Safety Across the Continuum”

Register now for Canada’s Forum on Patient Safety and Quality Improvement!  The 2nd annual forum will take place from April 12 to 14, 2010 at the Westin Harbour Castle, Toronto (Ontario).
As physicians, nurses, pharmacists, health care providers, educators, leaders, researchers, and board members you are encouraged to experience the international perspective in areas across the continuum including palliative care, home and community care, long-term/residential care, acute care, mental health and primary care.

This Forum is designed to highlight safety issues across disciplines, across settings, across the country and around the world, offering you many solutions, tools and other resources that have proven effective in care settings both nationally and internationally.

An outstanding list of international speakers will talk about the challenges and successes of leading national initiatives to improve the quality and the safety of care provided across nations and across all sectors. The speakers list will include:

  • Jim Easton, National Director for Improvement and Efficiency for the National Health Service in the UK, is currently leading the UK’s national strategy to deliver a better quality of care in an environment of cost containment. Jim will speak to the link between quality and safety and the current cost environment.
  • Rahaf Harfoush is a ‘New Media’ expert who was integral to the success of the Obama presidential campaign.  She will talk about the value and the role of social media in creating national campaigns that capture the hearts and minds of leaders and frontline workers across the country.
  • Jason Leitch, National Clinical Lead for Safety and improvement for the Scottish Government Health Foundation will talk about their two-year journey to reduce mortality in acute-care by 15 per cent over five years and reduce adverse events by 30 per cent across the Scottish Healthcare System.

Canada’s Forum will also have six concurrent streams that will provide specific examples of successful initiatives that have made care safer for patients across the healthcare continuum. The streams will include Infection Prevention and Control, Medication Safety, Learning from Adverse Events, Partnering for Patient Safety, and Building a Culture of Quality and Safety. An applied learning stream will provide attendees with tools to improve safety as well as the opportunity for hands on learning of the use of these tools.


STOP! Clean Your Hands Day

Wednesday, May 5, 2010

Each year in Canada, 8,000 to 12,000 patients die as a result of complications of hospital acquired infections. Through the simple act of practicing optimal hand hygiene, you can help reduce that number by half! The spread of pathogens by human hands creates risk at home, in the community, and particularly in healthcare settings. Without action, patients and healthcare workers are at risk. Help us help you to save lives!

In Canada, STOP! Clean Your Hands Day will be held Wednesday, May 5, 2010, in conjunction with the World Health Organization's global event. Canada's Hand Hygiene challenge "STOP! Clean Your Hands" website will be re-launched shortly with a new look, renewed emphasis, new tools, information, and strategies.

Stay tuned to for how you can participate in Canada’s Stop! Clean Your Hands Day.


Encouraging results from the VAP/CLA-BSI Collaborative

During 2009, 25 teams from 13 organizations came together to improve on two Safer Healthcare Now! topics, ventilator-associated pneumonia (VAP) and central line-associated/bloodstream infections (CLA-BSI), during the VAP/CLA-BSI Collaborative, hosted by the Canadian ICU Collaborative. Overall results were positive and encouraging. Illustrated are two reports from the Collaborative team data, as reported to the Safer Healthcare Now! Central Measurement Team:



Several individual teams have also made significant progress on outcome and processes measures.

For example:

  • Windsor Regional Hospital - seven months without a VAP (March-September) and close to 100 per cent compliance to the VAP bundle.
  • Grand River Hospital improved their VAP bundle compliance from 40 to 80 per cent.
  • Peterborough CLA-BSI team had only one infection (March) and increased their insertion bundle compliance from 40 to 90 per cent.

Three face-to-face Learning Sessions were held in Toronto where teams learned new strategies, tools and techniques from Faculty and other participants. Monthly Collaborative webinars supported teams with additional learning and sharing opportunities and kept them on track in achieving their goals.  Feedback from participants included:

  • (We now have a) much more structure in our goal of improvement, a significant increase in knowledge of available tools for improvement, an increase skill/ability/knowledge in developing our own tools for data collection.
  • (The Collaborative) gave us a framework to tackle the problem.
  • (This) was a team building experience, got to know colleagues in a different setting ... to share ideas, continue to apply what we’ve learned.
  • Support of faculty, sharing with peers, turning this qualitative person into someone who sees the need for quantitative data collection (and knowing how to do it), empowerment, encouragement to keep going when frustration set in.

Congratulations to all the teams on their accomplishments and a heartfelt thank you to the Faculty who generously shared their knowledge and experiences to assist the teams with their achievements.


Moving Forward:  A summary of the Safer Healthcare Now! consultation

The Canadian Patient Safety Institute, together with the four Safer Healthcare Now! Nodes, recently completed a national consultation process to identify local and national patient safety priorities that could be supported by Safer Healthcare Now! The consultation gained input from national and regional stakeholders and partners through a widely circulated online survey, focus group sessions, and individual interviews with key partners and provincial and territorial stakeholders.

Several themes surfaced from the analysis on future priority topics. Some of these themes were:

  • Medication Safety
  • Safe Surgical Care
  • Reducing Harm from Falls
  • Healthcare-associated Infections and Antibiotic Resistant Organisms 
  • Acute Myocardial Infarction Care
  • Critical Care
  • Engagement of patients and families; and
  • Safe and effective communication at transition of care

The Canadian Patient Safety Institute, along with the Nodes and Intervention Leads are using the survey results to guide the future direction of Safer Healthcare Now! Join us at the Safer Healthcare Now! pre-Conference on April 12, 2010 to learn more.

A summary of key findings, learnings and priorities identified during each of the Node consultations is now being translated and will be posted to the Safer Healthcare Now! website.


Launch of Safe Surgery Saves Lives Collective – Checklist Action Series

The Safe Surgery Saves Lives (SSSL) initiative has been generating significant interest since its inception one year ago. Clearly surgical safety is a topic everyone cares about. Through interactions with frontline staff it is also evident that implementing the surgical safety checklist, a tool proven to significantly improve surgical safety, is not an easy task mainly because it affects “intangible” aspects of surgery: communication, teamwork and culture.

An innovative program was created to support frontline clinicians with the implementation of surgical checklists.  The Safer Surgery Saves Lives Collective is a partnership between Safer Healthcare Now! and the Canadian Patient Safety Institute. The Checklist Action Series is the first program to be launched. It is a three-month virtual learning initiative that focuses on seven key areas of challenges that clinicians expressed interest in when implementing the checklist. The first wave of this program filled quickly and the planning team is now working on the launch of Wave 2 and 3 of the program.  Please register if you want to be involved. Click here for more information, or send an email to


Table Talk: MedRec in Mental Health


Tuesday, February 23, 2010 – Panelists will share their journey and unique perspectives of working and implementing medication reconciliation (MedRec) in mental health.

Guest speakers include:

Ruby Virani – Riverview Hospital
Beth Sproule/Saima Awan – Centre for Addiction and Mental Health
Heather Parker – Ontario Shores Hospital
Keith McDonald/Jane deLemos – Vancouver Coastal Health

Facilitator: Marg ColquhounSafer Healthcare Now! National MedRec Lead

This one-hour session is scheduled at 9:00 a.m. PST/10:00 am MST/11:00 am CST/12:00 Noon EST/1:00 pm AST/1:30 pm NST. Dial in and/or log on 10 minutes prior to call start time. Wherever possible, please join with others in your region/team to participate in this call.

There is no cost for this session. Many thanks to our sponsors Iatric Systems and the Canadian Patient Safety Institute.


National Calls

Check the Calls section of the Safer Healthcare Now! for further information on these National Calls:

Tuesday, March 9, 2010 –MedRec National CallDifferent Strokes: Engaging Pharmacy Technicians in MedRec.  Guest Speaker: Mario Bedard, Ottawa Hospital
(9:00 am PST/10:00 am MST/11:00 am CST/12 Noon EST/1:00 pm AST/1:30pm NST)

Thursday, March 11, 2010 – Engaging Patients and Families in Patient Safety. Guest Speaker: Heather Richardson, Alberta Health Services.
(10:00 am PST/11:00 am MST/12:00 Noon CST/ 1:00 pm EST/2:00 pm AST/2:30 pm NST)