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The Final Patient Safety Power Play126219/27/2020 1:08:18 AMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/Chris%20Power.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> ​As you may know, I am retiring at the end of this month. Six years ago, I was invited to lead an organization that was founded on one guiding principle we will not accept one more case of a patient being harmed. I saw a history of national leadership on developing evidence-based tools, of resources intended to educate and inspire safe care… most importantly, in partnership with patients themselves. I saw a groundwork laid for concerted and coordinated patient safety improvement in Canada. This inspired me. Every patient experience should be safe. However, patient safety incidents are the third leading cause of death in Canada. Most people – though fewer today than there were last year – are unaware that the problem exists. I am incredibly proud of what we have achieved at CPSI. Together, we built a new strategy on the ideas of demonstrating what works and strengthening commitment to harm prevention. We have extended those ideas by engaging both the public and policymakers into making Canadian healthcare safe, while making sure there is a patient voice at every table. Reflected right in the name of our strategy, we emphasized PATIENT SAFETY RIGHT NOW. Every day, we worked to implement and spread sustainable patient safety improvements. We requested a higher priority for patient safety in our healthcare systems. We committed to influencing policy, regulations, and standards to ensure evidence-based patient safety practices are requirements, not afterthoughts. I know that our achievements would not have been attainable if it were not for the exceptional staff, leaders, partners and the patient voice working along side us to inspire safer care. When I reflect upon my time with this wonderful organization, I firmly believe that our legacy is the success we have achieved in building the foundational elements for patient safety. The pending amalgamation of CPSI and CFHI will create the scale, breadth, and capabilities to more effectively improve healthcare for everyone in Canada. This amalgamation – along with the momentum we have built together – presents an opportunity like no other for the future. Without question, we all still have work to do, and we can do it far more effectively together. I have enjoyed an incredible journey with CPSI and will forever be a champion of patient safety. I have learned so much from you, my team at CPSI, and so many others around the world. I hope that the work that we have accomplished together will forge safer healthcare for all in the future. Without a doubt, the Canadian Patient Safety Institute has achieved what it set out to do. By trying new approaches, focusing on our strengths, and working together, the new organization can and will make the Canadian healthcare system safer for all health workers and patients. Push hard, be bold, and know that I am cheering you on. My inbox is open to you until October 1 at cpower@cpsi-icsp.ca, and you can follow me on Twitter @ChrisPowerCPSI – though I can't promise I will be updating it regularly. As I take on this new adventure, I simply want to say thank you to each and every one of you so much for your support, for being part of my journey. I remain… Yours in patient safety, Chris Power 9/26/2020 6:00:00 PM As you may know, I am retiring at the end of this month. Six years ago, I was invited to lead an organization that was founded on one guiding9/27/2020 1:21:13 AM589https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
CPSI, PFPSC and WHO: World Patient Safety Day 2020 Successes123519/25/2020 9:04:57 PMPatient Safety News ​Thank you so much for joining us in supporting the second annual World Patient Safety Day on September 17, 2020! In May 2019, all 194 World Health Organization Member States endorsed the establishment of World Patient Safety Day to be marked annually on September 17. Globally, 134 million adverse events contribute to 2.6 million deaths each year because of unsafe care. At 28,000 deaths per year in Canada, patient harm ranks third in mortality after cancer and heart disease. Building on the success of last year's World Patient Safety Day, we once again came together in a global commitment to recognize patient safety as a key health priority. To make patient safety a priority, we were proud to offer the following Canadian Patient Safety Institute Thank you for joining us for the live streaming of Building a Safer System, the documentary celebrating Canadian Patient Safety Institute's 17-year impact on Canada's healthcare system. #BuildingaSaferSystem In case you missed it, the documentary is available on our Youtube channel. Following the documentary screening and lively panel discussion on healthcare worker safety, former staff members, colleagues, and supporters of CPSI gathered online to re-connect and celebrate the organization. A panel of CEOs discussed the future of patient safety, and Donna Davis of Patients for Patient Safety Canada powerfully represented the patient voice. Click here to view the recording of the panel discussion and the closing keynote remarks. Patients for Patient Safety Canada Due to the diligent work and outreach of several of our Patients for Patient Safety Canada members, the 2020 World Patient Safety Day was recognized in Canada like never before! Not only did we see the CN Tower in Toronto lit up in orange to commemorate patient safety, but municipal buildings in Saint-Laurent Montreal, Mississauga, Calgary and Sylvan Lake, Alberta beamed our message into the night. Not only that, but by reaching out to political figures across the country, PFPSC members encouraged declarations of support for World Patient Safety Day from Conseiller Francesco Miele, on behalf of the Council of Saint-Laurent Montreal, Quebec Mayor Ed Holder, on behalf of the City of London, Ontario Mayor Greg Dionne, on behalf of the City of Prince Albert, Saskatchewan Mayor Don Iveson, on behalf of the City of Edmonton, Alberta Mayor Naheed Nenshi, on behalf of the City of Calgary, Alberta Hon. Cameron Friesen, Minister of Health, Seniors and Active Living, on behalf of the Province of Manitoba Hon. Tyler Shandro, Minister of Health, on behalf of the Province of Alberta Hon. Janet Austin, Lieutenant Governor, on behalf of the Province of British Columbia Finally, an opinion-editorial written by PFPSC member Kathy Kovacs-Burns was distributed across the country for newspapers to consider running on the special day and members hosted a lively Tweet Chat using the #BuildingASaferSystem hashtag before the CPSI documentary screening! World Health Organization The COVID-19 pandemic has unveiled the huge challenges and risks health workers are facing globally including health care associated infections, violence, stigma, psychological and emotional disturbances, illness and even death. Furthermore, working in stressful environments makes health workers more prone to errors which can lead to patient harm. Therefore, on World Patient Safety Day 2020, the WHO selected the theme of Health Worker Safety A Priority for Patient Safety. The World Health Organization published a call for action on health worker safety that you can read here. We offer our special thanks to our World Patient Safety Day Platinum Sponsor, BD, as well as our two Gold Sponsors, HealthPro Procurement Services and Gojo Industries, makers of PURELL Hand Sanitizer, for their invaluable support. 9/25/2020 9:00:00 PM Thank you so much for joining us in supporting the second annual World Patient Safety Day on September 17, 2020! In May 2019, all 194 World Health10/6/2020 9:56:50 PM260https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Special Notes for Chris Power upon her Retirement125809/25/2020 8:45:19 PM ​We invited colleagues of Chris Power to share their thoughts with her for her retirement. Please feel free to share your thoughts with Chris as well. Here are a very few of the kind words. "Chris, you are recognized as one of the preeminent healthcare executives in Canada," says Ron Guse, Board Chair for the Canadian Patient Safety Institute. "For the past six years, you have shared your experiences, initiative, and values to lead the Canadian Patient Safety Institute. The patient safety movement owes a debt of gratitude to you for your leadership and dedication." "Thank you for your commitment to patient safety improvement and to involving patients and families," says Katarina Busija, Founding Director, Inaugural Co-Chair and Member of Patients for Patient Safety Canada. "Your demonstrated leadership and championing of Patients for Patient Safety Canada has been instrumental to our ongoing credibility and impact. I hope you enjoy your well-deserved retirement and wish you well as you embark upon a new path." "Your qualities of calm presence, confidence and compassion are something I will strive to emulate," says Alain Doucet, CEO of the Canadian College of Health Leaders. "I am writing to you on behalf of all who work at CPAC - and our many shared partners - but mostly I am writing to you for myself," says Cindy Morton, CEO of Canadian Partnership Against Cancer. "Even before we met, I had the privilege to know of your work for many years, as your reputation as a stellar and steady healthcare leader is well known across Canada and internationally. If I could clone you and place you at the helm of every part of this country's federated and complex healthcare system, we would be golden!" "Thank you for your dedication and hard work in your leadership role with CPSI in keeping our patients and healthcare environments safe," says President of Infection Prevention and Control Canada, Barbara Catt. "On behalf of IPAC Canada, wishing you a wonderful retirement and all the best." "I will always remember when I first met you at an in-person meeting with Patients for Patient Safety Canada," says member Eileen Chang. "I immediately felt your passion and knew that your wisdom would strengthen our vision and mission. Thank you for doing just that, and I wish you all the best of health, happiness and peace in your next chapter." "I'm delighted to add my voice to the chorus of supporters and fans wishing you love and light as you place new steps of change on your journey!" says Mike Villeneuve, CEO of the Canadian Nurses Association. "You have been such a great role model for so many of us, and the nursing community has been especially proud of your executive leadership in role in Halifax over so many years - and of course, most recently, so ably leading the CPSI." "It has been such a pleasure working with you over many years. Your leadership in patient safety was inspirational," says Laurie Thompson, Executive Director of the Manitoba Institute for Patient Safety. "You have opened up the conversation about patient safety and moved it to be inclusive of patients, families, healthcare providers, regulators, industry - truly reflecting the need for patient safety to be everyone's responsibility. Thank you for your significant contribution to improving patient safety in Canada. All the very best in your next chapter." "Chris is a phenomenal person, a role model for all women leaders and quite frankly, for all leaders," says Catherine Gaulton, CEO of the Healthcare Insurance Reciprocal of Canada. "However, her most shining moment was when she became and excelled at being CEO of CPSI. She was in her element. This was where her heart is and always had been and it showed. Chris's work with CPSI leaves a wonderful legacy for patient safety and for how we value and respond to the needs of those we serve. Thank you, Chris, for not only being an agent of change, but for truly caring and for also being a mentor for so many." "I have always been impressed and learned from the way you approach your dealings with others - with empathy and compassion, open ears and an open mind, and great poise and thoughtfulness in your words and actions," says Lindy VanAmburg, Assistant Director at Health Canada. "Thank you for all of the tremendous work you have done for Canadians and for being such a great partner with us at Health Canada over the years. I wish you the healthiest and happiest of retirements." "How absolutely fortunate I am to have had the opportunity to work with you, most recently, of course, at CFHI and CPSI but also at other organizations in the past," says Jennifer Zelmer, CEO of the Canadian Foundation for Healthcare Improvement and the upcoming amalgamated organization. "Your commitment to better health and better care has shone brightly throughout. Your heart is large; your counsel wise. Always generous with your time, your dedication to patient safety and to the health of health workers is crystal clear. We will never know the names of all those whose lives your efforts have made better, but know that they are many and the results of your work very long-lasting. We'll miss you very much but wish you all the best with the new adventures ahead of you." 9/25/2020 8:00:00 PMWe invited colleagues of Chris Power to share their thoughts with her for her retirement. Please feel free to share your thoughts with Chris as9/25/2020 10:04:59 PM358https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
The World Rallies for Health Worker Safety – A Priority for Patient Safety126229/16/2020 5:57:57 PMPatient Safety News COVID! COVID! COVID! Our conversations locally, nationally and globally have focused on nothing but COVID-19 since the start of 2020! One thing is very clear – these are unprecedented times. COVID-19 has impacted every person and every sector of every society around the world, and especially overwhelming health care systems and workers beyond any normal limits. We are witnesses to endless social media and news stories describing what health care systems and health workers were faced with in different countries, including Canada. We listened to stories about keeping our health care workers safe and about the many people they cared for who were either infected or dying from COVID, or had non-COVID conditions and in need of urgent medical care. Simply put, these conversations were primarily about SAFETY – health worker safety and patient safety. This conversation is not and should not be unique to the COVID-19 situation, but we can draw from these experiences to understand why we need to continue the discussion about safety as it applies to health care workers and patients. If there is ever a year to focus on the safety of health care workers as it relates to patient safety, this is the year! The World Health Organization (WHO) has declared this year's theme for World Patient Safety Day on September 17th as 'Health Worker Safety A Priority for Patient Safety'. Their call to action is for us to "Speak up for health worker safety!" Much of the public already supports this call, as does Patients for Patient Safety Canada. This call to action considers the many stories, pictures and facts featuring health care workers in different settings and in situations where their safety was not secured. Sometimes they became patients too, and some died. Not all of these experiences are COVID-related but during this time, the WHO identified common hazards faced by health care workers globally. They were not only exposed to COVID, but challenged with having adequate quality protective equipment, fearful of becoming infected and infecting colleagues or their loved ones, physically and mentally fatigued and psychologically distressed. These hazards could have impacted the safety of health care workers, increasing their vulnerability and risk of becoming infected. During the peak of COVID, the International Council of Nurses indicated that about 6% of all cases of COVID infections in 30 countries were health care workers. Country-specific numbers were even higher. For example, in the US during July, 120,000 known health care workers were infected and 590 died, an estimated 15 – 20% of all COVID cases at that point in time. More locally, Ontario estimated that 17% of people infected during the peak of COVID were health care workers. Regardless of all the stories and facts pointing to unsafe practices in healthcare or community settings, many health care workers and patients do not feel comfortable speaking up about them. And yet – we know why we should be speaking up. We know that when health systems and health care workers are overwhelmed and challenged by pressures like COVID-19, there is increased risk of safety incidents for not only health care workers but also for patients. We know that when health care workers are physically, mentally and psychologically stressed, patient incidents like medication errors and miscommunications increase. Healthcare workers and patients must learn to speak up, and not become 'invisible victims' amidst the hazards and challenges. We need a 'culture of safety' in health care with accessible and accepted methods of reporting unsafe practices and preventing them. A safe healthcare system is always ready to learn. WHO and Patients for Patient Safety Canada are putting out the call to action - 'Speak up for health worker safety!" Through this action, we believe that having safe health workers means that patients have a better chance of getting safer care – 'Safe health workers, safe patients'. If as Canadians we believe in keeping everyone safe in our health care system, during times such as COVID-19 or at any other time, then we have a strong reason to rally. That is why this year's World Patient Safety Day on September 17th is focusing on 'Health Worker Safety A Priority for Patient Safety'. ABOUT THE AUTHOR Katharina Kovacs Burns, member of Patients for Patient Safety Canada (PFPSC), a patient-led program of the Canadian Patient Safety Institute and the Canadian arm of WHO Patients for Patient Safety global network. Our mission is 'Every Patient Safe'. 9/16/2020 6:00:00 PMC OV ID! COVID! COVID! Our conversations locally, nationally and globally have focused on nothing but COVID-19 since the start of 2020! One9/24/2020 8:10:17 AM518https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Shared Health Manitoba embraces new Canadian Quality and Patient Safety Framework during major transformation: “You can’t have quality without safety”125649/15/2020 8:22:27 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2020/MQLF%20infographic_EN.png" width="140" style="BORDER&#58;0px solid;" /> ​"We all broadly use the word quality, but we really do not understand its complexity," shares Jeanette Edwards, Strategic Lead, Community Health, Quality and Learning and Acting Provincial Lead, Indigenous Health at Shared Health in Manitoba. "If you say quality to a healthcare worker, administrator or a patient, it means something different. For many patients in care facilities, quality may mean the food or the availability and ease of parking. To the surgeon, quality may be the efficacy of surgery, including patient outcomes. What we're trying to do is look at a system and think of quality as a complex construct." Manitoba's healthcare system is undergoing major transformation and Jeanette led a quality and accreditation project that ensured input from across health services delivery organizations to guide the development of a provincial quality framework and approach to accreditation as a key quality improvement process. In addition, "We had public representation, families involved with critical incidents who shared their input, Indigenous input from Ongomiizwin– all had contributions," she said. It's all about safety The project team felt that the province needed "a framework to help us talk about quality on all fronts and that we had a consistent view of what quality is," Jeanette said. Furthermore, "safety has been separated from quality in the past," she shared, but we now need to bring quality and safety together. "You cannot have a quality system unless it's safe, so [in our solution], we pulled safety in. We feel that safety is about everything." The team additionally wanted to Ensure quality was built into everyday practices "In organizations from top to bottom, from 'board to ward,' out to the community" Improve learning "I felt very strongly that humans have to have ongoing learning and we needed to look at how we can insert learning into everything we do." Breathe life into accreditation "As an accreditation surveyor, I observed that accreditation was becoming a 'happening, (the peer surveyor visit)' instead of an ongoing quality process tool." Solution Continuous improvement and alignment One of the outcomes of the transformation project was the Manitoba Quality and Learning Framework, which was intended to "support a culture of continuous improvement and drive alignment throughout the health system." Its purpose is to guide healthcare quality improvement for all Manitobans. The resulting infographic (please see below) "helps people speak the common language, but it also helps provide a frame to apply," Jeanette said. "We have all the buzzwords, such as 'culture of safety', but what does that MEAN? Now we have common definitions that align us." Jeanette continued "As part of system transformation in Manitoba, the infographic was our way of bringing together the IHI quadruple aim. You'll see "healthy Manitobans" and "healthy teams," which are key guiding principles in Manitoba, aligned with Accreditation Canada and Health Standards Organization's quality and safety dimensions. We're trying to show people this isn't another flavour of the month this framework brings together all of these aims to support system excellence. It's meant to be a way of simply demonstrating to users that all of these domains are important." The Canadian Quality and Patient Safety Framework Jeanette linked with committee members who guided the development of the Canadian Quality and Patient Safety Framework for Health Services. "The Framework is meant to be overarching to help guide policymakers, senior decision makers, and clinical services," she says. The Framework is made up of five overarching goals to create positive change1. People-Centered Care People using health services are equal partners in planning, developing and monitoring care to make sure it meets their needs and to get the best outcomes. 2. Safe Care  Health services are safe, and free from preventable harm. 3. Accessible Care  People have timely and equitable access to quality health services. 4. Appropriate Care  Care is evidence-based and people-centred. 5. Integrated Care  Health services are continuous and well coordinated, promoting smooth transitions. With definitions for common terms to help teams speak the same language, the five stakeholder groups who interact with the health care system have accompanying Action Guides and implementation resources to help teams work in tandem while improving quality and safety in their own jurisdictions. The Manitoba Quality and Learning Framework Infographic Five Goals for Safer Care in action "The infographic reflects all five of the Canadian Quality and Patient Safety Framework goals and builds them out for Manitoba," Jeanette stated. "For example, the goal of "Integrated care" is a process, but what are its domains? What we aimed to do with the infographic was boil it down a bit for our province. The Canadian Quality and Patient Safety Framework has broad system goals. Embedded in those goals are quality metrics." Jeanette shares three examples to illustrate how Manitoba is advancing the five Canadian Quality and Patient Safety Framework goals with the Manitoba Quality and Learning Framework infographic. 1. At one of our sites we have the Rehabilitation Centre for Children, Specialized Services for Children & Youth in Winnipeg. The board mapped all the metrics they're measuring in their quality plans and reports to these four quadrants. It shows how the site monitors quality and dimensions at a leadership level and they posted it where everyone can see. It's a daily reminder to patients and staff that they are part of a quality and learning organizations, and patients and families can bear witness. We owe it to our public to be accountable for quality and service excellence." 2. "We're moving in Manitoba towards a provincial clinical governance approach. I have a student right now looking at the evidence around clinical pathways, specifically for people arriving in emergency room with a traumatic hip fracture. In doing that and in asking questions like, 'What should that pathway be?' and "What will the measures be to track the implementation of the pathway?', we're applying this framework. We're overlaying it on top of this process and saying 'It needs to be efficient. It needs to be effective. It must be equitable.' You can also zoom out and look at provincial standards to decrease variability. This is a real, concrete clinical standard that we're providing to all of the teams to help them think about how clinical standards need to be measured. I think this framework can be applied to help folks ask questions like these." 3. "COVID-19 is ideal to illustrate the quadrant about 'Healthy Manitobans.' Remarkably, Manitoba has not had an outbreak on a First Nations community. If you think about the actions that were taken to limit transportation between the north and south – we had community driven restrictions, where First Nations people collectively limited access to their communities – those actions are all about a quality system. The biggest action in the success of limiting access was community design. This wasn't about doing to, it was about planning with. We had tables that included First Nations, Metis and Inuit communities, federal departments, provincial departments. It wasn't about an action, it was about a collective action. I think you will see more and more of our Indigenous groups having far more control over health services and influence – I think that is key. If you look at the population focus in the quadrants where it says "work with communities." It's putting action to co-design." Over to you The Canadian Quality and Patient Safety Framework for Health Services is intended to be used by all people and all health systems in Canada to unify and align how we work to improve quality and patient safety as a country. Use it to speak the same language as teams and organizations, identify gaps and strengths in your plans and work with us towards raising the bar on healthcare quality and safety in Canada. 9/15/2020 8:00:00 PM"We all broadly use the word quality, but we really do not understand its complexity," shares Jeanette Edwards, Strategic Lead, Community10/1/2020 7:41:51 PM549https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Healthcare Educators Celebrate Updated Patient Safety Competencies Framework123829/14/2020 5:12:16 PMPatient Safety News For those seeking an interprofessional patient safety curriculum guide, look no farther than the Safety Competencies Framework 2nd Edition. The Framework serves as a roadmap for health professional educators to create their own contextualized patient safety curricula for their programs and for professional development. The Safety Competencies Framework is composed of six Domains and Key Competencies, which are put in practice with Enabling Competencies and elements outlining the associated knowledge, skills and attitudes required. In this new, updated edition, the original six competency domains are only slightly revised, but significant changes have been made to the competencies and elements falling under each domain. The second edition embeds new content on patient/family engagement, leadership, quality improvement, and cultural competency. Three case studies demonstrate how the competencies framework can be used by educators. "The original Safety Competencies Framework has endured over time. It was foundational in establishing consistent safety language and translating emerging patient safety and quality improvement evidence to action," says Gina De Souza, Senior Program Manager at the Canadian Patient Safety Institute. "The revised Framework will help to ensure consistency in teaching safety and quality improvement. It will support and guide the creation of curricula and educational approaches, with the aim of developing learners who can demonstrate competence in safety and quality improvement." In order to produce the updated framework, the Canadian Patient Safety Institute made broad stakeholder engagement a priority. A Steering Committee was led by two co-chairs from different health professions, and more than 60 volunteers served as members of the Steering Committee and Domain Working Groups, as Content Experts, and as external reviewers. Committee members represented a cross-section of health practitioners from multiple disciplines familiar with patient safety science (medicine, nursing, pharmacy, occupational therapy, respiratory therapy, physical therapy, and emergency services), Indigenous communities, and representatives from Patients for Patient Safety Canada. "We are grateful to our two co-chairs, Ruby Grymonpre (College of Pharmacy, University of Manitoba), Deborah Tregunno (School of Nursing, Queen's University) and Project Consultant, Pierrette Leonard for their leadership in developing the second edition," adds Gina De Souza. "We set out to produce this version in collaboration with Patients for Patient Safety Canada and their members played an integral role on both the Steering Committee and Domain Working Groups in highlighting the importance of patient engagement in ensuring safe care." The Safety Competencies Framework 2nd Edition is available at www.patientsafetyinstitute.ca/en/toolsresources/safetycompetencies/pages/default.aspx 9/14/2020 6:00:00 AMFor those seeking an interprofessional patient safety curriculum guide, look no farther than the Safety Competencies Framework 2nd Edition . The9/24/2020 8:10:16 AM88https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
New Patient Safety Improvement Guide Integrates Knowledge Translation and Quality Improvement124499/14/2020 3:59:47 PMPatient Safety News The best way to improve patient safety outcomes is to apply the best research in the most effective way. A Guide to Patient Safety Improvement is a new resource that integrates knowledge translation and quality improvement approaches to guide you through the improvement process. Are there gaps in your patient safety performance? This Guide offers a simplified process to select strategies to effectively implement patient safety practices. Although originally designed to support National Canadian Safety Improvement Projects, it can be adapted to fit any healthcare context. "The Guide to Patient Safety Improvement is an integrated approach to practice change – change that can have a sustainable impact on patient safety outcomes," says Gina De Souza, Senior Program Manager at the Canadian Patient Safety Institute. "It shows how two bodies of knowledge, quality improvement and knowledge translation, can be used synergistically." Several models, theories, and frameworks contributed to the Guide, including the Knowledge Translation and Quality Improvement Integrated Learning Design, Model for Improvement, Knowledge to Action Cycle, and COM-B theory. It includes ideal practice changes ("the what") and strategies ("the how") that creates the evidence-based intervention as well as a section on engaging patients at all levels, not just the point-of-care. "Understanding context and what supports behaviour change is so important when choosing a strategy," adds Gina De Souza. "Knowledge translation goes beyond looking only at what the evidence says, to getting people to be a part of the change and selecting the right strategy to support and sustain the change." A five-minute, 'Quick Start' microlearning course has been designed to complement the Guide to Patient Safety Improvement publication and is now available through Canada's Patient Safety Online Learning Centre at https//learning.patientsafetyinstitute.ca/ 9/14/2020 6:00:00 AMThe best way to improve patient safety outcomes is to apply the best research in the most effective way. A Guide to Patient Safety Improvement is9/24/2020 8:10:15 AM141https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
TeamSTEPPS Canada(TM) Essentials microlearning course launched through Canada’s Patient Safety Online Learning Centre126169/14/2020 3:34:10 PM Are you looking for tools to instil a culture of safety among your teams? A free micro-learning course, TeamSTEPPS Canada™ Essentials, is now available to optimize team performance across the healthcare system. The course consists of six interactive microlearning sessions that demonstrate teamwork and communication tools that can be used to equip your team for improved team functioning. "Initially, the material was designed to support the Safety Improvement Project Collaborative participants," says Maureen Sullivan-Bentz, Senior Program Manager at the Canadian Patient Safety Institute. "TeamSTEPPS Essentials has since been adapted and designed to accommodate the changing needs of today's learners in an interactive and engaging format. Teams can now easily access the course online and learn at their own pace." The Essentials course is based on the five key principles encompassed in the evidence-based TeamSTEPPS CanadaTM framework. These principles are designed to optimize team performance Team Structure, Communication, Leading Teams, Situation Monitoring, and Mutual Support. Each session is five minutes long; at the end of the program teams are familiarized with the tools to use in different situations. Each of the sessions has been enhanced with simulation videos and has been contextualized for Canadian audiences. The Centre for Innovative Education and Simulation in Nursing at the University of Ottawa generously provided their simulation lab as the backdrop for filming; props were provided by the University of Ottawa; and the contributions of Ben Hrkach, both as Director and one of the actors, were invaluable in creating a fun and creative portrayal of the teamwork and communication tools. Canada's Patient Safety Online Learning Centre Canada's Patient Safety Online Learning Centre takes learning anywhere, anytime, at your own pace, on any electronic device. This free, open source learning centre will house a repository of e-courses from the Canadian Patient Safety Institute. It was designed to provide open access to healthcare leaders, managers, educators, and point-of-care providers to learn as efficiently as possible in a self-paced environment. "The world of technology has advanced, and learning needs have evolved," says Gina de Souza, Senior Program Manager at the Canadian Patient Safety Institute. "People want on-demand learning in short snippets. Canada's Patient Safety Online Learning Centre is learner-centric and accommodates the increasing demands and diversity of learners using new tools, technologies, and design strategies." Learners must register to gain access, and once registered, they can explore all of the available e-courses for free. There are no learning pre-requisites required. A certificate of completion is available to print after each course is completed. Click here to learn more about Canada's Patient Safety Online Learning Centre and register for the TeamSTEPPS Essentials course. Watch for the quick-start microlearning version of the Guide to Patient Safety Improvement publication, to be added this fall. 9/14/2020 6:00:00 AMAre you looking for tools to instil a culture of safety among your teams? A free micro-learning course, TeamSTEPPS Canada™ Essentials , is now9/24/2020 8:10:14 AM584https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Safe health workers means safe patients: Peer support programs address the psychological safety of health workers125269/10/2020 8:39:39 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2020/Creating%20a%20Safe%20Space%20EN.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> ​Working in healthcare can be emotionally distressing at the best of times. Healthcare workers can experience strong emotional, physical, cognitive, or behavioural responses to events or to the stress of their workplace. When a patient safety incident happens, the physical and mental wellness of healthcare workers is often forgotten, which could have an impact on the quality and safety of patient care. "Peer support programs, where healthcare workers can discuss their experiences in a non-judgmental environment with colleagues who can relate to what they are going through, is recognized as the most desired model of support to ensure the psychological safety of healthcare workers," says Amy Pack, Senior Program Manager at the Canadian Patient Safety Institute. "The challenges emerging from COVID-19 has amplified the need for peer support programs across all healthcare settings and professions." CPSI's Creating a Safe Space manuscript provides a comprehensive overview of peer support programs available in Canada, along with best practice guidelines, tools and resources. These are intended to assist policy makers, accreditation bodies, regulators, and healthcare leaders assess what healthcare workers need in terms of support, and to create the programs to fill those needs. Working with the Mental Health Commission of Canada, CPSI is now compiling a global environmental scan of support programs currently available throughout the world. This information will be used to update two sections of the Creating a Safe Space manuscript – the Global scan in Section 2, and the Toolkit of available tools and resources in Section 5. The update will be available by Fall 2020. A sixth module has also been commissioned with researchers from the University of Alberta, to look at best practices for patients and healthcare workers to work together and heal through conversation following a patient safety incident. The new module will be available in the Spring of 2021. Despite an increase in peer support programs and supporting resources emerging in Canada, national standardization across such programs has yet to be established. A recognition program is being developed to recognize leaders providing support to their healthcare workers and hopefully encourage consistency and quality in standardization of programs. "We want healthcare providers to step back and take care of themselves, knowing that is better caring for their patients," adds Amy Pack. "Unfortunately, most healthcare workers are not aware of the programs that are available to them. To help support healthcare workers globally, we want to shine a light on the programs that can be used as models in your own organization. You can become a champion in establishing a program at your healthcare facility by simply starting a conversation with your organization's administration and peers raising awareness for the importance of psychological safety and wellbeing among the healthcare workforce. This small first step makes the effort manageable and worthwhile." The Canadian Peer Support Network is helping providers from health and social care institutions of all sizes by creating a community where resources and advice is shared on how to best leverage internal experts and champions to establish a peer support network. For more information on existing peer to peer support programs and how to set them up, refer to the Best Practices (Section 4) of the Creating a Safe Space manuscript and the Toolkit.9/10/2020 7:00:00 PMWorking in healthcare can be emotionally distressing at the best of times. Healthcare workers can experience strong emotional, physical, cognitive,10/13/2020 6:39:39 PM235https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
What you can do to create the presence of safety126459/10/2020 7:58:39 PMPatient Safety News ​Is care safe today? What are the obstacles to care being safe? What can we do to mitigate those issues? Understanding the difference between the absence of harm and the presence of safety is essential patient safety refers to more than just looking at harm that has occurred in the past. Living the principles of the Measurement and Monitoring of Safety Framework (MMSF) requires broadening our view of safety by shifting our focus from managing risk to advancing safety. "Moving from the absence of harm to the presence of safety involves a proactive approach to safety rather than a retrospective past term view," says Wayne Miller, Senior Program Manager at the Canadian Patient Safety Institute (CPSI). "You need to be able to push the envelope around patient safety to advance safe care. It means being thoughtful and deliberate to make the shift in your actions and behaviours. By asking the framework questions, coupled with anticipation preparedness and innovative learning, you are not just waiting to respond, but actually anticipating things that are happening inside the system and taking action on them." Safety Improvement Project on the Measurement and Monitoring of Safety teams at the Closing Congress Members of the 11 participating teams from the 18-month Safety Improvement Project for the Measurement and Monitoring of Safety initiative, created environments where staff now anticipate problems and feel empowered to speak up and advocate for their patients. They have learned how to think about safety in a very different way. They do things that help achieve the presence of safety. A tool adapted from the United Kingdom, called the Safety Measurement and Monitoring Maturity Matrix (SaMMMM) (Carthey J and Downham N; 2017), enables them to self-rate their level of maturity in creating and instilling the presence of safety within their organizations. The Safety Improvement Project teams have created a video to share their learnings. As Anne Maclaurin, CPSI Senior Program Manager, points out, "Safety is more than metrics. It is more than just counting the past harm that has occurred. By tapping into the wisdom of patients and healthcare providers, the presence of safety will cultivate the thoughtful intelligence that exists in your day-to-day interactions while delivering care. You will add value to the information you are collecting, to what you are seeing, to what you are hearing, and to what you are observing." "Everyone has something that they can contribute to safety," adds Virginia Flintoft, CPSI Senior Program Manager and MMSF Coach. "Whether you are a point-of-care provider, a leader, or a Board member, there is value in looking at the broader perspective of safety and what you can do to create safety versus preventing harm. Determine what your role is in creating safety; take the time to start shifting your thinking on what safety is; and learn what you can do to in the moment, day-to-day, to create safety. It's about communication, information-sharing, and the willingness to support one another that is really critical. It is changing attitudes and changing the way we approach our work." A learning session was held in August to discuss and share strategies of how teams have utilized the framework to manage risk in their preparation and response to the COVID pandemic. The session was recorded and is available upon request. A webinar to disseminate the learnings from the Evaluation of the Measurement and Monitoring Safety Improvement Project is being planned for October 14, 2020. A virtual toolkit of learnings and resources from the Measurement and Monitoring of Safety Demonstration and Safety Improvement Projects is being compiled. It will contain key concepts for each of the domains of the framework, some metrics or indictors of measures, and tools that can help. It will also include activities that can be used to help bring the framework alive, a video library to draw from, and a list of literature used to strengthen and expand understanding of the concept. We anticipate the final product will be available early in 2021 and will be announced on our website. For the latest information on the Measurement and Monitoring of Safety Framework and to access the video, visit https//www.patientsafetyinstitute.ca/en/toolsResources/Measure-Patient-Safety/Pages/default.aspx. 9/10/2020 7:00:00 PM Is care safe today? What are the obstacles to care being safe? What can we do to mitigate those issues? Understanding the difference9/24/2020 8:10:12 AM148https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx