|Advocacy and support for use of a Surgical Safety Checklist||3040||Surgical Care Safety||Position Statements||2/5/2019 7:55:32 PM||Position StatementA Surgical Safety Checklist is smart for patients and smart for providers. It's use in Canadian healthcare facilities is endorsed by a
Position Statement supported by many surgical interest groups. Healthcare professionals must make every reasonable effort to provide safe care to their patients. The purpose of this statement is to express the commitment of the undersigned organizations to prioritize perioperative patient safety by creating an environment conducive to the effective adoption and use of a Surgical Safety Checklist.
||Advocacy and support for use of a Surgical Safety Checklist||Position Statement A Surgical Safety Checklist is smart for patients and smart for providers. It's use in Canadian healthcare facilities||9/24/2020 8:13:01 AM||3060||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Measures: Ventilator-Associated Pneumonia (VAP)||12658||Infection Prevention ＆ Control (IPAC)||Toolkits ＆ Guides||7/1/2015 8:57:33 AM|| Measurement is essential to monitoring success and helps guide your team towards your specific intervention goal. Measurement also tells us what's working and what's not, and provides evidence to inspire other healthcare providers to improve the quality of patient safety. The measurement methodology and recommendations regarding sampling size referenced in this GSK, is based on The Model for Improvement and is designed to accelerate the pace of improvement using the PDSA cycle; a "trial and learn" approach to improvement based on the scientific method. Langley, G., Nolan, K., Nolan, T., Norman, C., Provost, L. The Improvement Guide A Practical Approach to Enhancing Organizational Performance. San Francisco, Second Edition, CA. Jossey-Bass Publishers. 2009. It is not intended to provide the same rigor that might be applied in a research study, but rather offers an efficient way to help a team understand how a system is performing. When choosing a sample size for your intervention, it is important to consider the purposes and uses of the data and to acknowledge when reporting that the findings are based on an "x" sample as determined by the team. The scope or scale (amount of sampling, testing, or time required) of a test should be decided according to The team's degree of belief that the change will result in improvement The risks from a failed test Readiness of those who will have to make the change Provost, Lloyd P; Murray, Sandra (2011-08-26). The Health Care Data Guide Learning from Data for Improvement (Kindle Locations 1906-1909). Wiley. Kindle Edition. Please refer to the
Improvement Frameworks GSK (2015) for additional information.VAP Measures
Type VAP 1 - VAP Rate in ICU per 1000 Ventilator Days Decrease 50% Outcome VAP 2 - VAP Bundle Compliance 95% Process VAP 3 - Paediatric VAP Bundle Compliance 95% Process
Measures and definitions Types of Measures
Safer Healthcare Now! (SHN) has two types of measures for each of the interventions process measures and outcome measures. Some interventions also have balancing measures and information measures. Below are examples of each.
Outcome measures - answers whether the team is achieving what it is trying to accomplish and articulates the picture of success. For example, if the team wants to reduce falls it should measure the number of falls.
Process measures - Processes which directly affect the outcome are measured to ensure that all key changes are being implemented to impact the outcome measure. For example, the delivery of timely prophylactic antibiotics to reduce surgical site infection.
Balancing measures - answer the question whether improvements in one part of the system were made at the expense of other processes in other parts of the system. For example, in a project to reduce the average length of stay for a group of patients, the team should also monitor the percent of readmissions within 30 days for the same group.
Information measures - collect general details relative to the intervention.||VAP: Measurement Worksheets||9/24/2020 8:15:22 AM||14152||https://www.patientsafetyinstitute.ca/en/toolsResources/psm/Pages/Forms/UpdateData.aspx||html||False||aspx|
|Tools & Resources||2872||9/18/2020 4:40:20 AM||Tools & Resources||Tools & Resources||9/21/2020 9:19:04 AM||82793||https://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Education to support mandatory ADR and MDI reporting (Vanessa’s Law)||3080||General Patient Safety;Government Relations;Healthcare Harm||Reports ＆ Publications;Patient and Family Resource;Toolkits ＆ Guides||3/4/2019 9:27:01 PM||
The Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, is intended to increase drug and medical device safety in Canada by strengthening Health Canada's ability to collect information and to take quick and appropriate action when a serious health risk is identified. As of December 16, 2019, it became mandatory for hospitals to report serious adverse drug reactions (serious ADRs) and medical device incidents (MDIs) to Health Canada. Downloadable from this
webpage are 4 PowerPoint modules developed in collaboration with
Health Canada. These modules contain core content intended for use by hospitals, health care
professionals, patients and their families, and educators, to explain,
describe, or promote the reporting of serious ADRs and MDIs. Module 1 – Overview of Vanessa's Law and Reporting Requirements
PowerPoint - Module 1
Module 2 – Reporting Processes to Health Canada
PowerPoint - Module 2
Module 3 – Strategies to Promote and Support Mandatory Reporting
PowerPoint - Module 3
Module 4 – Health Canada's Review and Communication of Safety Findings
PowerPoint - Module 4 These materials (as entire modules or as individual slides or selected content) can be used for individual learning or incorporated into presentations, orientation, continuing education, and other information-sharing activities. The materials can be used in the following ways to support and raise awareness of mandatory reporting requirements
Hospitals can include some or all of the content in their local, regional, and/or provincial information-sharing activities (e.g., "Lunch and Learn" sessions, presentations, orientation programs for new staff).
Educators in the health care sector can use the content in presentations or as part of a curriculum.
Professional associations, societies, and regulatory colleges, as well as other training institutions for health care workers, may incorporate the content of the modules into accredited courses or continuing education certification programs.
Patient and consumer organizations can help disseminate some or all of the information in the modules to increase awareness and knowledge among their members.
If you have questions about how to use these educational materials for your specific audience (e.g., selecting slides or content from several modules to create a customized presentation), please contact
ISMP Canada firstname.lastname@example.org
https//healthstandards.org/ CPSI email@example.com
If you have questions about Vanessa's Law and the mandatory reporting requirements, please contact
This conceptual model of serious ADR and MDI reporting by hospitals depicts the information provided in the 4 PowerPoint modules mandatory reporting requirements, reporting processes to Health Canada, strategies to promote and support reporting, and Health Canada’s review and communication of safety findings. ACKNOWLEDGEMENTS Health Canada, ISMP Canada, HSO, and CPSI gratefully acknowledge input received from the Advisory Panel (listed in alphabetical order)
Glenn Cox, Senior Director Pharmacy Services NSHA, Director Pharmacy Services, Cape Breton/Antigonish/Guysborough, Cape Breton Regional Hospital, Sydney, NS ;
Michael Gaucher, Director Pharmaceuticals & Health Workforce Information Services, Canadian Institute for Health Information, Ottawa, ON ;
Andrew Ibey – Clinical Engineer, Children's Hospital of Eastern Ontario, Ottawa, ON ;
Denis Lebel – Pharmacien, adjoint aux soins, enseignement et recherche, Département de pharmacie, CHU Sainte-Justine, QC ;
Dr. Joel Lexchin, Professor Emeritus, School of Health Policy & Management, York University, Toronto, ON ;
Faith Louis, Regional Manager, Quality Improvement & Support Services, Pharmacy Services, Horizon Health Network, NB;
Holly Meyer, Provincial Director, Product Quality & Safety, Alberta Health Services, AB ;
Maryann V. Murray, Patients for Patient Safety Canada;
Tolu Oyebode, Government of Saskatchewan, Senior Project Manager, Patient Safety Unit, Strategic Priorities Branch, Ministry of Health, SK ;
Sheryl Peterson, Associate Director, Lecturer, Faculty of Pharmaceutical Sciences, The University of British Columbia (Vancouver Campus);
Michelle Rossi, Director, Policy and Strategy, Health Quality Ontario, Toronto, ON ;
Myrella Roy, Executive Director, and
Cathy Lyder, Director Professional Practice, Canadian Society of Hospital Pharmacists, Ottawa, ON ;
Christelle Sessua, Quality Assurance-Risk Management Coordinator, Iqaluit Health Services, Department of Health, Government of Nunavut ;
Robyn Tamblyn, James McGill Chair, Professor, Department of Medicine, Department of Epidemiology & Biostatistics, McGill University, Scientific Director, Institute of Health Services and Policy Research, Canadian Institutes of Health Research, Montreal, QC ;
Annemarie Taylor, Executive Director, Patient Safety & Learning System, Vancouver, British Columbia ;
Terence Young, Chair of Drug Safety Canada and father of Vanessa Young. ||Educational Support for Mandatory Reporting of Serious ADRs and MDIs by Hospitals||The Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, is intended to||9/24/2020 8:13:31 AM||169480||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Creating a Safe Space: Addressing the Psychological Safety of Healthcare Workers||3056||General Patient Safety;Psychological Safety for Healthcare Workers||Toolkits ＆ Guides;Healthcare provider stories;Reports ＆ Publications||1/6/2020 4:59:11 PM||In March 2021, Healthcare Excellence Canada launched, bringing together the Canadian Foundation for Healthcare Improvement and Canadian Patient Safety Institute. This content can now be found on HEC’s new website.
Check it out ||Creating a Safe Space: Psychological Safety of Healthcare Workers (Peer to Peer Support and Other Support Models)||In March 2021, Healthcare Excellence Canada launched, bringing together the Canadian Foundation for Healthcare Improvement and Canadian Patient||6/21/2022 5:44:59 PM||13178||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|New Patient Safety Improvement Guide Integrates Knowledge Translation and Quality Improvement||18580||Improving Culture;General Patient Safety;Policy||News||9/14/2020 3:59:47 PM||9/14/2020 6:00:00 AM|| 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/ ||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||9/24/2020 8:10:15 AM||927||https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspx||html||False||aspx|
|Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit||7514||Infection Prevention ＆ Control (IPAC);Surgical Care Safety||Toolkits ＆ Guides||7/1/2015 8:51:29 AM|| Effective March 14 2019, the Canadian Patient Safety Institute has archived the Central Line-Associated Bloodstream Infection (CLABSI) intervention. Though you may continue to access the Getting Started Kit online, it will no longer be updated. 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||9/24/2020 8:10:31 AM||12827||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Canada's Virtual Forum||2940||General Patient Safety||Events||7/12/2011 8:55:44 PM||
Thank you to the more than 1,100 viewers from the nearly 600 sites in Canada and 6 countries around the world that made Canada's Virtual Forum on Patient Safety & Quality Improvement a huge success! If you weren't able to watch live, or if you want to watch anything again,
click here to access the archives and watch recordings of each of our sessions. Make use of these recordings during your in-services and as part of your local education sessions.
We would like to hear from you To help us plan for future events, we'd like to have your feedback. Please tell us what went well or what we could do better by
completing our survey. Questions or comments? Contact CPSI Communications at
firstname.lastname@example.org.||Canada’s Virtual Forum on Patient Safety and Quality Improvement||
Thank you to the more than 1,100 viewers from the nearly 600 sites in Canada and 6 countries around the world that made Canada's Virtual||9/24/2020 8:05:32 AM||13956||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Excellence in Patient Engagement for Patient Safety||2947||General Patient Safety;Improving Culture;Partnering with Patients||Events||7/24/2015 10:09:51 AM|| A Program Recognizing Patient Engagement Leaders and Practices The Canadian Patient Safety Institute, HealthCareCAN and Health Standards Organization, with support from Patients for Patient Safety Canada, have partnered in the yearly recognition program that aims to identify, celebrate and disseminate leading practices in patient engagement for patient safety. Congratulations to the two teams selected by the Award Panel for their excellence. The Regional Medicine Program team from Eastern Health, Newfoundland The Bedside Handover Project has adjusted the delivery of patient information at the change of nursing shifts away from the nursing desk and brought it to the patient's bedside, resulting in patients feeling that they are more involved in their own care. The change has resulted in significant improvements on patient satisfaction surveys. Notably, in the post-implementation survey, 100% of patients felt nurses shared information about their case from one shift to another, up from 72% pre-implementation, and 91% felt nurses had involved patient families in making decisions about patient care, an increase from 66% pre-implementation. The project developed by the
Regional Medicine Program (part of the CPSI Patient Engagement Collaborative), was implemented as a pilot project at Carbonear General Hospital. Led by Regional Medicine Program Managers Shannon Perry and Susan Newhook in partnership with patient advisors Julie Hollett and Dorothy Mary Senior, the project is a leading practice that empowers patients to become involved in their own care by moving the nurse handover process to the patient's bedside – a time when patients feel the most vulnerable.
Read more here and in the
HSO's Leading Practices Library
Read More The Long-Term Care Yorkton team from Saskatchewan Health Authority, Saskatchewan The leading practice, dubbed "Family Engagement & Co-design in Measuring & Monitoring Safety", has led to a significant drop in the number of injuries – 42% drop in resident injuries and 69% reduction in staff injuries. It has also resulted in an incredible 83% reduction in the use of antipsychotics (without a diagnosis of psychosis). Led by Ms. Bellamy, Director of Continuing Care South East, in partnership with resident family member Adelle Kopp-McKay, the practice involves engaging with resident family members to challenge the care team to think broadly about harm and safety. This, along with collaborating closely with patients and family representatives helps promote the safe delivery of resident-and-family-centred care while building accountability at an individual, team and organizational level.
Read more here and in the HSO's Leading Practices Library
Read More In addition, teams from the following organizations have identified by the Award Panel as leading practices and added to HSO's Leading Practices Library. Congratulations to each of them! Alberta Health Services
Achieving Exceptional Service Experience with Design Thinking BC Mental Health & Substance Use Services
Partnerships in Care Huron Perth Healthcare Alliance
Critical Care Indicator Flagging Program Ontario Shores Centre for Mental Health Sciences
Minimizing Harmful Coercive Practices in Mental Health Using Patient Engagement and Human Rights St. Joseph's Health Care London
Improving Care Together Western Health
Patient Driven Hand Hygiene Auditing CancerControl Alberta, Alberta Health Services
My Care Conversations app Nova Scotia Health Authority
Evolution of the Patient/Family Advisor Experience Markham Stouffville Hospital
Falls Prevention Congratulations to all teams who submitted nominations this year. The Award Panel noted that each nomination was excellent and they were impressed by the progress made across Canada in advancing patient safety in partnership with patients. The call for nominations for the 2021 program will be announced in the Fall. We welcome your questions and suggestions at
email@example.com. To learn about the practices and leaders we celebrated in previous years click
here. ||Recognizing Excellence in Patient Engagement for Patient Safety ||2016 Champion Awards||9/24/2020 8:05:50 AM||13950||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Atlantic Learning Exchange||2948||General Patient Safety||Events||9/20/2016 6:01:00 PM||
Discover innovative and emerging trends in patient safety & quality improvement
October 8 – 9, 2019 St. John's, NL, The Atlantic Health Quality and Patient Safety Collaborative (AHQPSC), through partnership support of the Canadian Patient Safety Institute (CPSI), welcomes you to attend this year's Atlantic Health Quality & Patient Safety Learning Exchange (ALE 2019) which will take place at the Sheraton Hotel Newfoundland, St. John's, NL,
October 8 – 9, 2019.
Program Who should attend? We look forward to welcoming innovative and engaged care providers, managers, health leaders, academics and students from university and college setting, as well as government representatives from the four Atlantic Provinces in attendance this year. Tickets are limited! Through this conference, you will be given an opportunity to Mobilize energy and enthusiasm for a new era of patient safety and quality improvement; Understand the role innovation and technology play in healthcare improvement; Stimulate change through the power of the patient voice; and Develop the skills for leading transformational change!
Do you want to support this event? Do you want exclusive access to the front line of healthcare in the Atlantic provinces? We are looking for Sponsors and Exhibitors contact Gina Peck at 902-481-5034 or
firstname.lastname@example.org to receive more information on sponsorship and exhibiting at the conference. ||Atlantic Quality and Patient Safety Learning Exchange||Discover innovative and emerging trends in patient safety & quality improvement
October 8 – 9, 2019 St. John's, NL, The Atlantic Health||10/29/2020 9:25:42 PM||14508||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Home Care Safety||3037||Community Based Care;General Patient Safety;Improving Medication Safety;Healthcare Harm||Reports ＆ Publications;Toolkits ＆ Guides||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||9/24/2020 8:14:05 AM||7089||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Improvement Frameworks Getting Started Kit||3038||General Patient Safety;Healthcare Harm||Toolkits ＆ Guides;Frameworks||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||9/24/2020 8:14:36 AM||11812||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|The Canadian Surgical Site Infection Prevention Audit - Results ||3041||Surgical Care Safety;Infection Prevention ＆ Control (IPAC)||Events;Webinars;Reports ＆ Publications||8/31/2015 5:35:10 PM||
Surgical site infection is the most common healthcare associated infection among surgical patients, with 77 per cent of patient deaths reported to be related to infection. In February 2016, the Canadian Patient Safety Institute (CPSI) along with our partners Alberta Health Services-Surgery Strategic Clinical Network, Atlantic Health Quality & Patient Safety Collaborative, BC Patient Safety & Quality Council, Health Quality Ontario, and Saskatchewan Ministry of Health- Patient Safety Unit, conducted the Canadian Surgical Site Infection (SSI) Prevention Audit.
Download Auditing helps to identify both areas of excellence and areas for improvement. During the month of February, all acute care organizations providing surgical services were challenged to audit their established processes for preventing surgical site infections (SSI). 52 service areas participated in the Surgical Site Infection Prevention Audit with 1.998 patient charts audited. Audit highlights noted that 91% of patients received appropriate prophylactic antibiotics and 96% of patients received the appropriate method of pre-operative hair removal whereas post-operative glucose control was identified as an area requiring improvement. To learn more about the Canadian Surgical Site Infection Prevention Audit and Results
Click here for information regarding Audit Methodology Access the National Call
Results from Canadian SSI Prevention Audit; March 24th, 2016
View the Canadian Surgical Site Infection Prevention Audit Recap Report
Audit Recap Report ||The Canadian Surgical Site Infection Prevention Audit - Results ||Surgical site infection is the most common healthcare associated infection among surgical patients, with 77 per cent of patient deaths reported to be||9/24/2020 8:16:44 AM||3254||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Suicide Risk||3043||Mental Health;Healthcare Harm||Toolkits ＆ Guides;Reports ＆ Publications||4/21/2011 4:02:20 AM||The Canadian Patient Safety Institute (CPSI) has partnered with the Mental Health Commission of Canada (MHCC) to help healthcare workers and organizations select and compare available suicide risk assessment tools in Canada. For every death by suicide, 15-30 people are profoundly affected - this toolkit can help inform and strengthen the suicide risk assessment process. The Suicide Risk Assessment Toolkit seeks to provide a high-level overview of what to consider when using suicide risk assessment tools, along with a non-exhaustive list of available Canadian and international tools, and their characteristics. It is designed to be a quick, informative guide for healthcare workers and organizations interested in selecting and comparing such tools. The process of assessing suicide risk is complex. While assessment tools play an important role, they should be used to inform, not replace, clinical judgment. Use this toolkit, developed by CPSI and MHCC, to help you select/compare tools to complement the suicide risk assessment process.
Download Toolkit (publication January 26, 2021) For a more comprehensive guide to suicide risk assessment, including the role of healthcare workers and organizations, see
Suicide Risk Assessment Guide A Resource for Health Care Organizations.
Download Guide (publication 2011) We acknowledge the need to have suicide risk assessment tools that are truly inclusive and are based on principles of equity and diversity. We encourage you to seek out opportunities to engage with diverse peoples, including First Nations, Inuit, Métis, people who identify as 2SLQBTQ+, and immigrant, refugee, ethnocultural and racialized groups in order to understand and respond to their specific needs. Sponsored by The Canadian Patient Safety Institute and the Mental Health Commission of Canada. Production of this toolkit has been made possible through a financial contribution from Health Canada. ||Suicide Risk Assessment - Toolkit and Guide||The Canadian Patient Safety Institute (CPSI) has partnered with the Mental Health Commission of Canada (MHCC) to help healthcare workers and||2/4/2021 5:47:10 PM||16850||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Report on the Integration of the Safety Competencies Framework||3045||General Patient Safety;Healthcare Harm;Improving Culture||Frameworks;Reports ＆ Publications||9/12/2017 7:58:51 PM|| CPSI is pleased to present a comprehensive new report on the integration and impact of the
Safety Competencies Framework (SCF) originally launched in 2008 in partnership with the Royal College of Physicians and Surgeons of Canada. The framework has been one of the most downloaded documents on the CPSI website, consistently since its launch. Almost 10 years after the launch, this report examines the historical background of the SCF while providing a rationale for the development of the competencies, mapping of the competencies to integrate patient safety content in training programs. The report outlines the successes and challenges in the uptake of the competencies and includes a provocative call to action for educators. Several key findings were determined through interviews done with a select group of stakeholders familiar with the SCF and this feedback provided better understanding of the value of the competencies to organizations and professional bodies. As we look towards renewing the SCF to address feedback received, it is clear that despite the successes and challenges, we must shift our attention away from the "what" to focus on the "how" of integrating safety competencies in the curricula of health professionals on a more consistent basis.
||Report on the Integration of the Safety Competencies Framework||CPSI is pleased to present a comprehensive new report on the integration and impact of the
Safety Competencies Framework (SCF)||9/24/2020 8:15:57 AM||4586||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Results of 2018 Public Survey Related to the Labelling of Non-Prescription Health Products||3046||Improving Medication Safety;Government Relations||Reports ＆ Publications;Patient and Family Resource||2/21/2019 3:31:22 PM||
As part of a Health Canada committee developing Plain
Language Labelling regulations for non-prescription health products, Patients for Patient Safety Canada led a joint PFPSC and
CPSI initiative to survey the public on the issue. Have people had problems
with the labelling of non-prescription health products?
The survey results indicate that consumers are often confused when purchasing self-care products. This raises concerns of harm are people choosing the wrong product because of this confusion? Our survey found that
29% of respondents said that they had wrongly purchased a natural health or homeopathic product, or over-the-counter drug; Another 29.5% said that they were not sure if they had wrongly purchased one of these products. The most cited reasons for the wrong purchase were Mixed it up with another product, Information about the product on the label was too small to read, or They were confused by, or did not understand, the information on the label. Some examples of comments on the survey include "I looked for Gravol on the drugstore shelf and all of the types of Gravol were together. When I saw Gravol ginger I thought it was Gravol with an added boost of ginger. When I got home and read the ingredients, I realized that there was not active ingredient in it. I feel I am a very health literate person, but I did not know the difference." "I did not realize the ingredients until I arrived home. Printing is so tiny on labels." "I bought a product for a yeast infection thinking it was for a Urinary Tract Infection" PFPSC
represented members at the Health Canada table to ensure that "just like
food products, all labels should be written in plain language, list all
ingredients, and be printed in legible size."
The results of this survey confirm that consumers want to know what's in the products they are taking. To protect Canadians from preventable harm, PFPSC and CPSI are calling for clear information and larger size lettering on the labels for non-prescription health products. ||Results of 2018 Public Survey Related to the Labelling of Non-Prescription Health Products|| As part of a Health Canada committee developing Plain
Language Labelling regulations for non-prescription health products, Patients for||9/24/2020 8:16:23 AM||2941||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Learn how to use and store methadone safely||3051||Improving Medication Safety||Tip Sheets;Toolkits ＆ Guides||3/24/2021 8:07:00 PM|| Methadone is an opioid used to help people with opioid dependence. Unlike other opioids, it stays in the body a long time, preventing cravings and the discomfort of withdrawal. Like all other medications, methadone must be taken safely. Seeking help for your opioid dependence is a wise and important step in your road to recovery. Click here to learn how to use and store methadone safely. This information is brought to you in partnership between ISMP Canada and the Saskatchewan Ministry of Health, the College of Physicians and Surgeons of Saskatchewan's Opioid Agonist Therapy Program, Canadian Agency for Drugs and Technologies in Health (CADTH), the Saskatchewan Health Authority, Patients for Patient Safety Canada along with support from Canadian Patient Safety Institute. It has been reviewed by Canadian Society of Hospital Pharmacists (CSHP), the Nurse Practitioner Association of Canada (NPAC), The College of Family Physicians of Canada (CFPC), the Canadian Pharmacists Association (CPhA), and the Canadian Centre on Substance Use and Addiction (CCSA). Visit ISMP Canada for additional resources. ||Learn how to use and store methadone safely||Methadone is an opioid used to help people with opioid dependence. Unlike other opioids, it stays in the body a long time, preventing cravings and||3/24/2021 8:10:17 PM||313||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|MedError.ca||3052||Partnering with Patients;Patient ＆ Family Resources;Improving Medication Safety;General Patient Safety||Patient and Family Resource||10/26/2020 4:10:45 PM|| Medication errors cause harm to Canadians. Preventing such harm requires an understanding of where and why the medication safety system has failed, and the perspective of consumers is needed to advance this understanding. By sharing the learning from medication errors, consumers and providers can meaningfully work together to improve medication safety in Canada. Developed by the Institute for Safe Medication Practices Canada (ISMP Canada) and CPSI,
www.mederror.ca is a new website for the public to submit reports of medication errors for analysis, learning, and action. It builds on the work and success of
SafeMedicationUse.ca, to create a more user-friendly portal to share their medication error experiences with the goal to improve the quality and quantity of incident reporting in Canada. Anyone can report and with the growing numbers of Canadians who take prescription and non-prescription medications in the community, it is important to understand and learn from the public. Whether it is a suspected medication error or medication reaction, the website provides a quick and easy way to provide valuable insight that contributes to patient safety improvement.
||Mederror.ca||Medication errors cause harm to Canadians. Preventing such harm requires an understanding of where and why the medication safety system has failed,||11/3/2020 3:46:35 PM||1982||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Medication Safety at Care Transitions Safety Improvement Project Learning Collaborative||3053||Improving Medication Safety||Toolkits ＆ Guides||1/15/2019 9:35:30 PM||What is Medication Safety? Medications are the most common treatment intervention used in healthcare around the world. When used safely and appropriately, they contribute to significant improvements in the health and well-being of patients. Medication safety is defined as freedom from preventable harm with medication use (ISMP Canada, 2007). Medication safety issues can impact health outcomes, length of stay in a healthcare facility, readmission rates, and overall costs to Canada's healthcare system. Medication Safety at Care Transitions Safety Improvement Project – An 18-month learning collaborative The Canadian Patient Safety Institute launched its Medication Safety- Safety Improvement Project in April 2019. This learning collaborative approach was delivered by expert faculty and coaches, with mentoring provided over 18 months. Participating teams learned and applied strategies to decrease readmissions related to medication safety issues at discharge among frail patients. Participant Learned To identify Frail clients who are at risk for medication safety issues, How to apply new processes for medication management at discharge, How to utilize Knowledge Translation and Implementation Science techniques to successfully implement and sustain new evidence-based practices for medication safety at transitions, To share key learnings and challenges, and networking with colleagues across Canada, Accessing, sharing and adopting advanced patient safety knowledge, tools, and resources within a learning network, Improving the team's approach to patient safety while taking action to deliver safer care. If you didn't have an opportunity to participate in the implementation collaborative, you can still access free resources below Get Started Kit 5 Questions to Ask About Your Medications Medication Reconciliation Measures Medication Reconciliation Resources||Medication Safety at Care Transitions: Safety Improvement Project||What is Medication Safety? Medications are the most common treatment intervention used in healthcare around the world. When used safely and||2/10/2021 8:16:16 PM||5973||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Safety Improvement Projects||3054||General Patient Safety;Improving Medication Safety;Community Based Care;Healthcare Harm||Frameworks||9/14/2018 2:50:29 PM||
The Canadian Patient Safety Institute (CPSI) held 4 Safety Improvement Projects in 2018/2019. Thirty teams from across Canada participated in the Safety Improvement Project Learning Collaborative with a lifecycle of 18 months. A brief description of each project is provided below Teamwork and Communication focused on improving patient safety culture and positive patient outcomes. Medication Safety at Care Transitions focused on improving medication safety at discharge for frail, elderly patients with poly-morbidity. Enhanced Recovery Canada focused on improving outcomes and system efficiencies for colorectal surgery patients. Measurement and Monitoring of Safety focused on creating a culture of safety and reducing harm in organizations. The Safety Improvement Projects concluded with a virtual congress on October 28th and 29th 2020. Please see the short Highlights video (422). If you have any questions, please email SafetyImprovementProjects@cpsi-icsp.ca ||Safety Improvement Projects ||The Canadian Patient Safety Institute (CPSI) held 4 Safety Improvement Projects in 2018/2019. Thirty teams from across Canada participated in the||2/11/2021 5:55:44 PM||7850||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Awareness of the Patient Safety Crisis in Canada||3055||General Patient Safety;Healthcare Harm||Patient and Family Resource;Reports ＆ Publications||4/23/2019 2:52:28 PM||4/23/2019 3:00:00 PM||Awareness of the Patient Safety Crisis in Canada
We are facing a patient harm crisis of epidemic proportions.
The Canadian public knows almost nothing about it.
As soon as they learn, the public urgently prioritizes safer healthcare.
Canadians should have an expectation that their healthcare is safe, and in most cases it is.However, every resident of Canada must learn that there are risks in our healthcare system, despite the efforts of thousands of dedicated healthcare providers across Canada.
In our healthcare system, there is a death from patient harm every 13 minutes and 14 seconds. It is the third leading cause of death in Canada. One out of 18 hospital visits results in preventable harm. These incidents generate an additional $2.75 billion in healthcare treatment costs every year.This level of harm is simply unacceptable.
Patient Safety Survey THE SURVEY In 2018, the Canadian Patient Safety Institute (CPSI) commissioned Ipsos Public Affairs to survey Canadians about their awareness of the rates of patient harm in our healthcare system. We sought a baseline read of Canadians' understanding of patient safety, with the main objectives of Assessing knowledge of patient safety and patient safety incidents in Canada; Understanding how Canadians prioritize patient safety; Determining how Canadians would like to receive information about patient safety, if at all; and, Assessing experience with patient safety incidents. Ipsos Public Affairs surveyed 1003 Canadian adults, weighted by gender, age, region and income. The credibility interval was +/- 3.5%. Ipsos found that while 44% of respondents identified as caregivers at some point in their lives, 30% stated they had a chronic disease or illness themselves. Out of the 199 respondents who identified as parents, 13% said that they have a child with a chronic illness. KEY FINDINGS Canadians show limited knowledge of patient harm. One third of Canadians rank patient safety in their top three healthcare priorities, with just under one in ten ranking it first. About one in ten correctly say that patient safety incidents are the third leading cause of death in Canada. Only one in ten Canadians believe that someone dies from a patient safety incident every 15 minutes in Canada. Six in ten say the $2.75 billion cost of patient safety incidents in Canada is higher than they expected. Despite the limited knowledge of the patient safety crisis in Canada, one in three Canadians has experienced a patient safety incident. One in three Canadians stated that they either personally experienced a patient safety incident (12%) or have a loved one who did (24%). Misdiagnosis, falls, infections and mistakes during treatment are the most common types of patient safety incidents. Those who have experienced a patient safety incident most commonly cite distracted or overworked health care providers as the largest contributing factors that led to the incident. Once informed about the scale of the problem, Canadians demonstrated far more concern about patient harm and wanted more information. Three‐quarters of Canadians are concerned about experiencing a patient safety incident, ranking it in their top three (compared to originally 1 in 3), including 1 in 4 ranking patient safety incidents as their top priority. Three in four Canadians are interested in learning how to keep safe in healthcare, Eighty per cent say they'd like to receive this information delivered via (in order of preference) healthcare provider; print, digital and in-person. This knowledge should be provided in real time (when patients go to the hospital for surgery and upon a new diagnosis of a serious health problem), but some also believe it should be general knowledge.
We are facing a patient harm crisis of epidemic proportions.
The Canadian public knows almost nothing about it.
As soon as they learn, the public urgently prioritizes safer healthcare.
Canadians should have an expectation that their healthcare is safe, and in most cases it is. Every resident of Canada must learn that there are risks in our healthcare system, despite the efforts of thousands of dedicated healthcare providers across Canada.Healthcare providers, healthcare systems, and the Canadian Patient Safety Institute must empower residents of Canada with information and tools to ask good questions, connect with the right people, and learn as much as they can to keep them or a family member safe while receiving healthcare.
Patient experience in the healthcare system should be characterized by clear, honest, two-way communication.WHAT CAN YOU DO?Ask us about patient experiences of harm in Canada's healthcare system. We invite you to
read some of the stories shared by members of Patients for Patient Safety Canada, and the changes they have championed in our healthcare system to keep patients safer.Ask us what you can do to keep yourself and your loved ones safe in the healthcare system. The Canadian Patient Safety Institute designs and collects resources designed to help patients navigate the healthcare system by asking questions and being informed.
Five Questions to Ask About Your Medications
Tips and Tools for Talking to your Healthcare Team
Tips to identify Deteriorating Patient Condition
Shift to Safety tools and resource to keep you safe
Share what you have learned. We have discovered that, as soon as we learn about the scale of the public healthcare crisis, we become far more concerned. Post your experiences on social media and use the hashtag #PatientSafetyRightNow – with your help, we will inform anyone who uses our healthcare system about the crisis and teach them how to keep themselves and their loved ones safe.ABOUT USThe Canadian Patient Safety Institute (CPSI) is the only national organization solely dedicated to reducing preventable harm, improving the safety of the healthcare system, and engaging patients and families as partners in safe care.
Patients for Patient Safety Canada (PFPSC) is the patient-led program of CPSI and the Canadian arm of the World Health Organization's PFPS program. As patient partners, these volunteer members harmed by healthcare contribute to patient safety improvements at all system levels.
CPSI and PFPSC are committed to working together with the public, patients, healthcare providers, and healthcare leaders to make Canadian healthcare safer.
2018 Ipsos Patient Safety Survey
Risk Analytica 2017 The Case for Investing in Patient Safety in Canada
Ipsos 2016 National Health Leadership Conference Survey
Canadian Patient Engagement Guide
||Awareness of the Patient Safety Crisis in Canada||Awareness of the Patient Safety Crisis in Canada
We are facing a patient harm crisis of epidemic proportions.
||9/24/2020 8:13:06 AM||5520||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Effective Governance for Quality and Patient Safety||3057||General Patient Safety;Policy||Toolkits ＆ Guides||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.
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 include Principles 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. The Effective Governance for Quality and Patient Safety Toolkit was revised in 2015. ||Effective Governance for Quality and Patient Safety||Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders||1/13/2022 9:10:10 PM||18393||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|A Policy Framework for Patient Safety in Canada||3058||General Patient Safety;Government Relations;Policy||Frameworks;Reports ＆ Publications||11/29/2019 5:15:21 PM|| Patient Safety Right Now, the Canadian Patient Safety Institute’s (CPSI) 2018-2023 strategy defines a vision that “Canada has the safest healthcare in the world.” CPSI’s mission is “to inspire and advance a culture committed to sustained improvement for safer healthcare.” CPSI develops system-wide strategies to ensure safe healthcare in two ways by demonstrating what works to improve safe care in Canada, and by strengthening commitment to patient safety priorities among all healthcare stakeholders. It has, however, become clear that not only are more robust commitments required to advance patient safety in Canada, but health systems need additional evidence and support to complete end-to-end patient safety improvements and to measure and sustain results. To this end, CPSI drafted the Strengthening Commitment for Improvement Together A Policy Framework for Patient Safety (Figure 1) to stimulate conversation and action on the following policy levers
organizational policies and
Figure 1 Policy Framework for Patient Safety in Canada Moving the needle on patient safety in Canada requires an overall shift in culture, values and expectations at all levels of the health system and the active engagement of various policy actors. CPSI recommends that the Policy Framework be used as a conceptual guide to implement and evaluate the policy levers and to systematically share what we have learned with others. The next steps in Canada are clear. People in Canada need policies that support patient safety, be it at the level of health care organizations, or by governments. These policies must incorporate patient safety competencies and adhere to accreditation standards that promote safe care. Whether you are a policy maker, healthcare leader, administrator, provider, or member of the public, you can help us achieve our goal.
Download Executive Summary
||A Policy Framework for Patient Safety in Canada||Patient Safety Right Now, the Canadian Patient Safety Institute’s (CPSI) 2018-2023 strategy defines a vision that “Canada has the safest healthcare||9/29/2020 6:20:02 PM||5533||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|The Measurement and Monitoring of Safety||3060||General Patient Safety;Healthcare Harm;Improving Culture||Toolkits ＆ Guides;Reports ＆ Publications;Frameworks||7/12/2016 5:25:21 PM||
Rewiring your thinking on measuring and monitoring of patient safety. Patient safety refers to more than just looking at harm that has occurred in the past. Understanding the difference between the absence of harm and the presence of safety is essential and requires a broader view of safety. The Measurement and Monitoring Safety Framework, created by Professor Charles Vincent and colleagues from the Health Foundation, consists of five dimensions that organizations, units, or individuals including leaders, providers, patients and families can use to understand, guide and improve patient safety. This new approach assesses and evaluates safety from "ward to board" by providing a comprehensive and accurate real-time view of patient safety. The Framework helps users move from "assurance" to "inquiry" by shifting away from a focus on past cases of harm towards current performance, future risks and organizational resiliency.
"The MMS Framework shifted safety for us from a policy perspective to a day-to-day care-provider and patient interaction. It led to ownership, engagement and passion." Dr. Jan Sommers, Nova Scotia Health Authority
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? For more information, contact us at
email@example.com. "We started out in the safety world really worrying about past harm and I think that was really important because it raised peoples' understanding about the magnitude of the safety issues. But it is insufficient because people don't go to work thinking about past incidents; they go to work thinking about the patients they are going to see today. So that is part of the shift now is that we are putting safety into a much more relevant context for the staff on their units doing their daily jobs. I think we can still build on that. We can build a broader sense of how units function and how units interact with other units." Dr. G. Ross Baker, PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto Table of Contents Why Measurement and Monitoring of Safety Framework? Measurement and Monitoring of Safety in Canada Learning Collaborative Evaluation Research of Measurement and Monitoring of Safety Framework Collaborative Testimonials Learn more about MMSF in Canada "How Safe is Your Care?" Measurement and Monitoring of Safety Through the Eyes of Patients and their Caregivers - Research Project Other Resources ||The Measurement and Monitoring of Safety||Rewiring your thinking on measuring and monitoring of patient safety. Patient safety refers to more than just looking at harm that has||11/17/2020 6:52:38 PM||14665||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Fall Prevention Tip Sheets||3061||Community Based Care;Healthcare Harm||Tip Sheets;Patient and Family Resource||2/3/2020 6:40:35 PM||Falls and injuries from falls are significant health concerns in Canada and critical issues in healthcare safety.1 Falls account for up to 40% of inpatient incidents.40 to 60% of residents in long-term care facilities fall at least once a year.2
Falls can result in longer lengths of stay, increased health care cost and staff workload, and staff and family distress. Approximately 50% of patients sustaining an in-hospital hip fracture die within one year of the fracture.3 Direct health care costs for falls in Canada are estimated at $2 billion annually.4
The Canadian Patient Safety Institute has a variety of tools to help healthcare providers deliver safer care and support members of the public to partner with their providers to create safer care.
1 Accreditation Canada, Canadian Institute of Health Information, & Canadian Patient Safety Institute. (2014). Preventing Falls From Evidence to Improvement in Canadian Health Care. Ottawa, ON Canadian Institute for Health Information.
2 Feldman, F., Flintoft, V., & Freund-Heritage, R. (2015, February 26). April 2015 is Falls Quality Audit Month What you Need to Know to Participate. Canadian Patient Safety Institute & Registered Nurses’ Association of Ontario.
3 Feldman, F., Flintoft, V., & Freund-Heritage, R. (2015, February 26). April 2015 is Falls Quality Audit Month What you Need to Know to Participate. Canadian Patient Safety Institute & Registered Nurses’ Association of Ontario.
4 Accreditation Canada, Canadian Institute of Health Information, & Canadian Patient Safety Institute. (2014). Preventing Falls From Evidence to Improvement in Canadian Health Care. Ottawa, ON Canadian Institute for Health Information.
https//www.patientsafetyinstitute.ca/en/toolsResources/Documents/Interventions/Reducing%20Falls%20and%20Injury%20from%20Falls/FallsJointReport_2014_EN.pdf ||Fall Prevention Tip Sheets||Falls and injuries from falls are significant health concerns in Canada and critical issues in healthcare safety. 1 Falls account for up||9/24/2020 2:49:48 PM||2196||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Five Questions to Ask about your Medications||3062||Improving Medication Safety;General Patient Safety;Community Based Care;Mental Health||Patient and Family Resource;Toolkits ＆ Guides||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 pharmacist Leaving the hospital to go home Visited by home care services
Are you a provider? Please share this valuable resource with your patients!
Visit ISMP Canada for additional resources and endorsements
Click here for Additional resources
Click 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||9/24/2020 8:13:47 AM||26368||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Never Events for Hospital Care in Canada||3063||General Patient Safety;Healthcare Harm||Reports ＆ Publications||7/25/2015 2:52:36 AM||
Patients rightfully expect safe care, and health care providers work to provide care that results in better health and safe outcomes for patients. Unfortunately, events that harm patients do occur while care is being provided or as a result of that care. Many of these events that cause harm are preventable using current knowledge and practices. "Never events" are patient safety incidents that result in serious patient harm or death, and are preventable using organizational checks and balances.
Download An Action Team from the
National Patient Safety Consortium has sought consensus on the top priorities for Canadian never events in health care. The current focus is on events that can occur while a patient is admitted in a health care facility, where care providers have a high amount of control over care. The Never Events Action Team includes the following experts, and patient representatives Atlantic Health Quality and Patient Safety Collaborative British Columbia Patient Safety and Quality Council Canadian Patient Safety Institute Health Quality Council of Alberta Health Quality Ontario Manitoba Institute for Patient Safety New Brunswick Health Council Newfoundland and Labrador Provincial Safety and Quality Committee
Patients for Patient Safety Canada (a patient led program of the Canadian Patient Safety Institute) Our work aims to provide some areas and targets for continually improving patient safety. We believe various strategies can be effective in identifying and reducing never events, including cultural changes, reporting and learning systems, identification of opportunities for improvement and continuous improvement supported by measurement and evaluation. The
Incident Management Toolkit is an available tool from the Canadian Patient Safety Institute and designed to help healthcare organizations prevent patient safety incidents and minimize harm when incidents do occur.
Click here to access the final report on Never Events for Hospital Care in Canada.||Never Events for Hospital Care in Canada||
Patients rightfully expect safe care, and health care providers work to provide care that results in better health and safe outcomes||9/24/2020 8:14:53 AM||15379||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Ask the Right Questions about Your Medications for Kids||3065||Improving Medication Safety||Tip Sheets||5/12/2021 8:45:15 PM|| A new medication safety resource has been created to help children and youth learn what questions they should ask when they receive medication from their health team. To be an active partner in your health, you need the right information to use your medications safely. The Canadian Patient Safety Institute (CPSI) has teamed up with the Institute for Safe Medication Practices Canada (ISMP), and Patients for Patient Safety Canada (PFPSC), co-designed by children, caregivers, and providers to create a list of top questions to help children and their caregivers have a conversation about medications with their health team. Use these five questions when you're Attending a doctor's appointment (e.g., family physician or specialist, dentist, optometrist) Interacting with a community pharmacist Leaving the hospital to go home Visited by home care services Are you a provider? Use this implementation guide when talking to children and their caregivers and please share 5 Questions to Ask About My Medicine for kids with your patients! Visit ISMP Canada for additional resources and endorsements Click here for Additional resources For more information, contact email@example.com. ||Ask the Right Questions about Your Medications for Kids||A new medication safety resource has been created to help children and youth learn what questions they should ask when they receive medication from||5/13/2021 2:05:37 PM||290||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Concern Resolution Process||3067||General Patient Safety;Partnering with Patients||Toolkits ＆ Guides;Patient and Family Resource||4/19/2011 6:12:38 PM||Every patient experience should be safe.
Patients, residents, clients, and their families can be active partners in safe care. Help ensure a safe patient experience with information, tools, tips, and resources for patients and their families.
Patient Concern Resolution Process
If you have a question or a concern about the healthcare services you have received, there are several options that may be available. You may be able to resolve the problem simply by talking to your healthcare provider—a physician, a nurse, someone else directly involved in your care, or the appropriate supervisor. Your healthcare provider is in the best position to address your questions and concerns.
If your questions or concerns are still not fully addressed, you can
Talk to the healthcare organization or regional health authority that provided the care. Some have a patient relations officer, client representative, or patient advocate to assist you with the process.
If you have specific concerns about the conduct of a healthcare provider, comments should be directed to the appropriate professional regulatory body, such as the College of Physicians and Surgeons, the Registered Nurses Association, or other health professions’ regulatory authorities. Regulatory bodies generally have their own concern-handling bylaws, policies, or procedures, and they can assist you. You may be asked to put your concern in writing and identify yourself so that the issue can be thoroughly investigated.
If none of the above options results in the resolution of your question or concern, you may wish to contact the ministry of health in the province where you received your care.
If your concerns are still not addressed, you may be able to appeal through various mechanisms including the provincial/territorial ombudsman or a similar advocacy body.
For more information
Newfoundland and Labrador
Prince Edward Island
The Northwest Territories
Please note If you received healthcare services in the Province of Quebec and have a question or concern about those services, please refer to the following website for information regarding resolution of your concern
As it is recognized that the patient's family or another advocate may be included in the concern resolution process, the term "patient" includes family members or advocates.||Patient Concern Resolution Process||Every patient experience should be safe.
Patients, residents, clients, and their families can be active partners in safe care. Help ensure a safe||9/24/2020 8:14:56 AM||9165||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data||3068||Surgical Care Safety||Reports ＆ Publications||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||9/24/2020 8:16:29 AM||9802||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|