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Surgical Site Infection (SSI): Getting Started Kit6205Surgical Care Safety;Infection Prevention & Control (IPAC)Toolkits & Guides7/1/2015 8:55:00 AMEffective March 14 2019, the Canadian Patient Safety Institute has archived the Surgical Site Infection (SSI) intervention. Though you may continue to access the Getting Started Kit online, it will no longer be updated. ​​​​ Getting Started KitThis free resource is designed to help you successfully implement interventions in your organization. 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. Click here to download the summary of changes to the Getting Started Kit ​ ​ One-PagerThe 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 IconsUse 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.​ SSI: Getting Started Kit9/24/2020 8:12:12 AM12490https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Tools & Resources25029/18/2020 4:40:20 AMTools & ResourcesTools & Resources9/21/2020 9:19:04 AM74038https://www.patientsafetyinstitute.ca/enhtmlTrueaspx
Medication Reconciliation (Med Rec): Getting Started Kit6185Improving Medication Safety;Surgical Care SafetyToolkits & Guides7/1/2015 8:53:35 AM​Effective March 14 2019, the Canadian Patient Safety Institute has archived the Medication Reconciliation (MedRec) intervention. Though you may continue to access the Getting Started Kit online, it will no longer be updated. ​​ Getting Started Kit This free resource is designed to help you successfully implement interventions in your organization. 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 Acute Care Getting Started Kit. Click here to download the Long Term Care Getting Started Kit. Click here to download the Home Care 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 Acute Care One-Pager. Click here to download the Long Term Care One-Pager. Click here to download the Home Care 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 Acute Care intervention icon with text. Click here to download the black and white Acute Care intervention icon with text. Click here to download the full-colour Long Term Care intervention icon with text. Click here to download the black and white Long Term Care intervention icon with text. Click here to download the full-colour Home Care intervention icon with text. Click here to download the black and white Home Care intervention icon with text Medication Reconciliation (Med Rec): Getting Started Kit9/24/2020 8:10:39 AM13882https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Hand Hygiene Observation Tools6158Infection Prevention & Control (IPAC)Toolkits & Guides6/3/2015 4:47:24 PMMeasurement is a vital part of the quality improvement process. Auditing hand hygiene compliance by health care providers provides a benchmark for improvement. The results of observation audits will help identify the most appropriate interventions for hand hygiene education, training and promotion. Results should be shared with front-line healthcare providers, management and hospital boards. To support organizations in doing direct observation, CPSI has an observation tool based on the 4 Moments for Hand Hygiene. CPSI has also adapted a Patient Family Observation Tool that will allow patient and family partners to observe and share information about how healthcare workers participate in optimal hand hygiene. Direct observation of hand hygiene practices should be performed by trained observers using a standardized and validated audit tool. Need training on how to conduct Hand Hygiene observations? Here are some training resources to help you. (link to content below) CPSI Hand Hygiene Observation Tool (Paper Tool) This paper tool is for Acute Care only. CPSI Hand Hygiene Observation Tool Instructions for Using the Observation Analysis Tool Observation Analysis Tool - Excel workbook (ZIP) Training on how to conduct Hand Hygiene observations Hand Hygiene Education Module (IPAC Canada) Monitoring and Observation (Auditing) for ACUTE Monitoring and Observation (Auditing) for LTC Measurement is a vital part of the quality improvement process. Auditing hand hygiene compliance by health care providers provides a benchmark for4/19/2021 7:47:19 PM18345https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Advocacy and support for use of a Surgical Safety Checklist2607Surgical Care SafetyPosition Statements2/5/2019 7:55:32 PMPosition 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. Download Advocacy and support for use of a Surgical Safety ChecklistPosition Statement A Surgical Safety Checklist is smart for patients and smart for providers. It's use in Canadian healthcare facilities9/24/2020 8:13:01 AM2460https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Measures: Ventilator-Associated Pneumonia (VAP)10529Infection Prevention & Control (IPAC)Toolkits & Guides7/1/2015 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 Measure Goal 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 Worksheets9/24/2020 8:15:22 AM11045https://www.patientsafetyinstitute.ca/en/toolsResources/psm/Pages/Forms/UpdateData.aspxhtmlFalseaspx
Glossary of Terms99062/24/2010 6:21:45 PM Adverse event An event that results in unintended harm to the patient, and is related to the care and/or services provided to the patient rather than to the patient’s underlying medical condition. Close call An event that did not reach the patient because of timely intervention or good fortune. (The term is often equated to a near miss or near hit.) Disclosure The process by which an adverse event is communicated to the patient by healthcare providers. Initial disclosure The first communication made with the patient as soon as reasonably possible after an adverse event, focusing on the known facts and the provision of further clinical care. Post-analysis disclosure Subsequent communications with the patient about known facts related to the reasons for the harm after an appropriate analysis of the adverse event. Harm An outcome that negatively affects the patient’s health and/or quality of life. Just culture of safety A healthcare approach in which the provision of safe care is a core value of the organization. The culture encourages and develops the knowledge, skills, and commitment of all leaders, management, healthcare providers, staff, and patients for the provision of safe patient care. Opportunities to proactively improve the safety of care are constantly identified and acted on. Providers and patients are appropriately and adequately supported in the pursuit of safe care. The culture encourages learning from adverse events and close calls to strengthen the system, and where appropriate, supports and educates healthcare providers and patients to help prevent similar events in the future. There is a shared commitment across the organization to implement improvements and to share the lessons learned. Justice is an important element. All are aware of what is expected, and when analyzing adverse events, any professional accountability of health care providers is determined fairly. The interests of both patients and providers are protected. Patient safety The pursuit of the reduction and mitigation of unsafe acts within the healthcare system, as well as the use of best practices shown to lead to optimal patient outcomes. Patient safety is the reduction of risk of unnecessary harm associated with healthcare to an acceptable minimum. An acceptable minimum refers to the collective notions of given current knowledge, resources available, and the context in which care was delivered weighed against the risk of non-treatment or other treatment. Quality The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Quality Improvement Review The analysis by healthcare organizations (usually by a quality improvement committee) of patient outcomes, clinical practices, and systems of care in order to recommend improvements. Quality improvement committees, as part of an ongoing program to improve patient care, should be structured under the relevant provincial/territorial legislation and include formal terms of reference. Quality improvement committees, depending on the province or territory, may have different titles, for example, Quality of Care, Critical Incident Review, or Risk Management. Reporting The communication of information about an adverse event or close call by healthcare providers through appropriate channels inside or outside of healthcare organizations for the purpose of reducing the risk of adverse events in the future. Root cause analysis An analytic tool that can be used to perform a comprehensive, system-based review of critical incidents. It includes the identification of the root and contributory factors, identification of risk reduction strategies, and development of action plans along with measurement strategies, to evaluate the effectiveness of the plans. This glossary is not intended to be an exhaustive list of terms, but rather a concise list of key terms used throughout the tool kit. For more information, use these references World Health Organization’s (WHO) International Classification for Patient Safety Key Concepts and Preferred Terms Canadian Disclosure Guidelines The Safety Competencies Learning from adverse events Fostering a just culture of safety in Canadian hospitals and health care institutionsGlossary of Terms7/7/2015 4:01:16 PM5672https://www.patientsafetyinstitute.ca/en/toolsResources/GovernancePatientSafety/Pages/Forms/AllItems.aspxhtmlFalseaspx
Canadian Quality and Patient Safety Framework for Health Services2639General Patient Safety;Policy;Government Relations;Improving Culture;Partnering with Patients;Patient & Family ResourcesFrameworks;Patient and Family Resource;Position Statements;Reports & Publications3/27/2019 7:47:40 PM The need for a national patient safety and quality framework Health services across Canada are comprehensive, complex, and at times complicated. Every person in Canada deserves safe, high-quality healthcare when and where they need it. For the most part, this is our experience. But we don't always get it right. People may be inadvertently harmed by the services intended to help them. The reality is that unintended harm occurs in a Canadian hospital or home care setting every 1 minute and 18 seconds Every 13 minutes and 14 seconds, someone dies Patient safety incidents are the third leading cause of death in Canada Even more, there are significant variations in care by age, gender, race/ethnicity, geography and socio-economic status. Access to quality health services is more challenging for Indigenous peoples, (including First Nations, Inuit and Métis), Black people, LQBTQ2S+ identities (including Lesbian, Gay, Bisexual, Transgender, Queer or Questioning and Two-Spirit), immigrants, visible minorities, and many more diverse peoples that comprise our country. While some jurisdictions have quality and safety plans or frameworks in place, people continue to experience healthcare differently across the country. These considerations, when added to the heightened need for consistency and coordination in healthcare due to the COVID-19 pandemic, prompt us to ask How can we focus and align quality and safety improvement throughout the country, regardless of jurisdiction? The Canadian Quality and Patient Safety Framework for Health Services is the first of its kind in Canada. We can all work together to accelerate quality and patient safety across Canadian health systems by focusing all stakeholders across Canada on five goals for safe, quality care. This people-centred framework defines five goal areas designed to drive improvement and to align Canadian legislation, regulations, standards, organizational policies, and public engagement on patient safety and quality improvement. It includes action guides and resources customized for each stakeholder group to support you in putting the goals into practice. Download the Framework How to use the Framework Be sure to take full advantage of all the communications tools and resources in this package Download the Communication Toolkit Mapping Tool A mapping tool was developed to help you map your organization's current quality and patient safety improvement initiatives to the goals, objectives, and outcomes of the Framework. This exercise will help demonstrate your organization's strengths in aligning with the Framework and uncover opportunities to work toward these key goals for safe, high-quality care. Framework Mapping Tool For any questions, comments or to share your experience using the Framework, please contact qualityservicesforall@healthstandards.org. Contact us Why does Canada need a National Quality and Patient Safety Framework for Health Services?The need for a national patient safety and quality framework Health services across Canada are comprehensive, complex, and at times complicated.1/14/2021 5:58:58 PM22564https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Education to support mandatory ADR and MDI reporting (Vanessa’s Law)2645General Patient Safety;Government Relations;Healthcare HarmReports & Publications;Patient and Family Resource;Toolkits & Guides3/4/2019 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 info@ismpcanada.ca HSO https//healthstandards.org/ CPSI info@cpsi-icsp.ca ​If you have questions about Vanessa's Law and the mandatory reporting requirements, please contact hc.canada.vigilance.sc@canada.ca. 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 HospitalsThe Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, is intended to9/24/2020 8:13:31 AM166178https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Research Results: Patient Safety in Primary Care 36875General Patient Safety;Healthcare HarmReports & Publications7/1/2015 2:01:49 AM​​​Full Report Patient Safety in Primary Care Deliverables Pa​tient Safety in Primary Care - Data Abstraction Tables Team Lead Egon Jonsson, PhD Professor, University of Alberta and University of Calgary Executive Director & CEO, Institute of Health Economics ejonsson@ihe.ca Team Members Dr. JoAnn Kingston-Riechers, Institute of Health Economics Dr. Logan McLeod, University of Alberta, Institute of Health Economics Mr. Paul Childs, Institute of Health Economics Ms. Maria Ospina, Institute of Health Economics Ms. Liz Dennett, Institute of Health Economics This project was made possible through the cash and in-kind contributions of the Canadian Patient Safety Institute BC Patient Safety & Quality Council Centennial College Sunnybrook Health Sciences Library Patient Safety in Primary Care Research Paper9/24/2020 8:16:12 AM4744https://www.patientsafetyinstitute.ca/en/toolsResources/Research/commissionedResearch/primaryCare/Pages/Forms/AllItems.aspxhtmlFalseaspx
S.A.F.E. Toolkit Video Series6202Community Based Care;General Patient Safety;Improving Medication Safety;Surgical Care SafetyReports & Publications;Toolkits & Guides;Social Media/Social Share8/2/2017 3:58:40 PM Understanding that the healthcare system is complex and intimidating, the Manitoba Institute for Patient Safety created the Self Advocacy For Everyone (S. A. F. E) Toolkit to provide tips and resources to ease the minds of those who want to properly speak up about how they feel when it comes to healthcare. To bolster the toolkit, the Manitoba Institute for Patient Safety has created and is pleased to share their new, leading-edge resource. Establishing new ways to encourage people to be more involved in discussions about healthcare is challenging. Therefore, MIPS has come up with the S.A.F.E Toolkit Video series. Based off topics covered in their S.A.F.E Toolkit, the DVD's are made up of eight short three to five minute videos that are supplement the toolkit, and will include the "5 Questions" resource in three of the videos. These videos can be viewed by going to the websites listed below or by accessing YouTube Learn More The S.A.F.E Toolkit Series Playlist We strongly encourage patients, their families and healthcare providers share these resources. Understanding that the healthcare system is complex and intimidating, the Manitoba Institute for Patient Safety created the Self9/24/2020 8:12:42 AM2606https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit6149Infection Prevention & Control (IPAC);Surgical Care SafetyToolkits & Guides7/1/2015 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 Kit9/24/2020 8:10:31 AM10629https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Indigenous Perspectives on Patient Safety6172General Patient SafetyPatient and Family Resource;Webinars10/3/2019 7:42:46 PM Archive A webinar designed with Indigenous leaders and patient partners The goal of this virtual discussion is to expand our understanding how people from Indigenous communities experience patient safety. After hearing the perspectives of patients, providers and leaders from Indigenous communities on how they perceive safety and what solutions are/ can be implemented, we will leave the session with at least one practical idea for engaging all patients, families and/or the public in improving patient safety. Download Speakers Marilyn Shingoose – Elder Samaria Nancy Cardinal - Patients for Patient Safety Canada Dr. Alika Lafontaine – Anesthesiologist, Grande Prairie, Alberta Gina Gaspard – British Columbia First Nations Health Authority Resources Coyote's Food Medicines (FNHA, Doctors of BC, with guidance from Secwepemc Elders, 2019) How much is too much when it comes to medication? (FNHA, 2016) Engaging Patients in Patient Safety – a Canadian Guide (Patient Engagement Action Team, Guide, 2018) Diversity Learning Exchange (Canadian Foundation for Healthcare Improvement, Event Proceedings, 2019) Recruiting for Diversity (Health Quality Ontario, Guide, 2017) EVERY Patient Should Experience Safe Care (Patients for Patient Safety Canada, Webinar Proceedings, 2018) How Safe is the Care We Receive? (Patients for Patient Safety Canada, Webinar Proceedings, 2019) Designed with Indigenous leaders and patient partners, this interactive webinar is offered by Patients for Patient Safety Canada. The session is designed to allow for conversation among participants, so be prepared to contribute to the dialogue. The webinar recording and slides (in English) will be publicly available after the session here. For more information or to share your experience, a resource, or feedback, please contact us at patients@cpsi-icsp.ca. Archive A webinar designed with Indigenous leaders and patient partners The goal of this virtual discussion is to expand our9/24/2020 8:12:31 AM3559https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
About the Framework10413Government Relations;Improving Culture;Partnering with Patients;Patient & Family Resources;PolicyFrameworks;Patient and Family Resource;Position Statements;Reports & Publications10/22/2020 7:26:52 PM Why a Framework?  To truly align Canada's efforts toward better and safer care we must prioritize coordinated action. Collective action across Canadian jurisdictions is needed now more than ever before with the current pandemic. This Framework is the roadmap that can align the country as we work to safely enhance health services. It is already being used in many jurisdictions at different levels. Developed with Broad Consultation, Including Patients and Families  The Framework was developed in consultation with members of the public, health leaders, policy makers, board members, and health teams (including patients and families). The processes also included numerous committee meetings, international and national environmental scans, key stakeholder interviews, a national public consultation, and further targeted consultations with key stakeholder groups. This comprehensive approach was prioritized to ensure the Framework package reflects both current and emerging trends and the realities of health systems across Canada, regardless of jurisdiction. The accompanying action guides, resources, and indicators are curated implementation tools to support all stakeholders with using and implementing the Framework package, regardless of their role or care. Download the Framework Five Goals for Safe, Quality Care   Together, we can create positive change by working towards the Framework’s five overarching goals Goal 1 | People-Centred Care People using health services are equal partners in planning, developing, and monitoring care to make sure it meets their needs and to achieve the best outcomes. Goal 2 | Safe Care Health services are safe and free from preventable harm. Goal 3 | Accessible Care People have timely and equitable access to quality health services. Goal 4 | Appropriate Care Care is evidence-based and people-centred. Goal 5 | Integrated Care Health services are continuous and well-coordinated, promoting smooth transitions. For any questions, comments or to share your experience using the Framework, please contact qualityservicesforall@healthstandards.org. Contact us Wh y a Framework?  To truly align Canada's efforts toward better and safer care we must prioritize coordinated action. Collective11/3/2020 5:12:12 PM2660https://www.patientsafetyinstitute.ca/en/toolsResources/Canadian-Quality-and-Patient-Safety-Framework-for-Health-and-Social-Services/Pages/Forms/AllItems.aspxhtmlFalseaspx
TeamSTEPPS Canada(TM) Essentials microlearning course launched through Canada’s Patient Safety Online Learning Centre14177Education;General Patient SafetyNews9/14/2020 3:34:10 PM9/14/2020 6:00:00 AM 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. Are 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 AM1595https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspxhtmlFalseaspx
Medication Reconciliation (Med Rec): Presentations & Posters 6186Improving Medication SafetyWebinars7/1/2015 8:53:35 AM ​​​​​​​​​​​​​​​These free resources are designed to help you successfully implement interventions in your organization. Presentations & Posters ​ Medication Communicat​ion Failures Impact Everyone Click here to download Risk Points for MedRec in Home Care Click here to download The MedRec Process in Home Care Click here to download Top 10 Practical Tips - How to Obtain an Efficient Comprehensive and Accurate Best Possible Medication History (BPMH) Click here to download Medication Reconciliation In Home Care Pilot Project Click here to download Med Rec (Acute Care): Presentations & Posters 9/24/2020 8:10:41 AM6349https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Five Questions to Ask about your Medications2629Improving Medication Safety;General Patient Safety;Community Based Care;Mental HealthPatient and Family Resource;Toolkits & Guides2/25/2016 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 medrec@ismp-canada.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 can9/24/2020 8:13:47 AM24082https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Surgical Safety Checklist: Download6207Surgical Care Safety;General Patient SafetyToolkits & Guides7/1/2015 8:56:47 AM​​Getting Ready for Implementation Adapt the checklist to your organization using human factors principles Download How-To Guide for implementing the Surgical Safety Checklist A Detailed Explanation of the Checklist Items An Information, Rationale, and Frequently Asked Questions document Surgical Safety Checklist - Canadian Version The checklists below are Word documents with identical content. They are provided in portrait and landscape versions for easier integration into patient files or postings. If your organization is interested in measuring compliance, use the versions with a scorecard. We encourage you to adapt them for use in your organization. Surgical Safety Checklists - Scorecard Portrait Version Landscape Version Surgical Safety Checklists - No Scorecard Portrait version Landscape version LinksWorld Health Organization Safe Surgery Saves Lives WHO Patient Safety Safe Surgery Saves Lives - the second global patient safety challenge Instructional VideosThese videos are intended to teach potential users how to and how not to perform the checklist in a real-world environment. How to use the checklist How NOT to use the checklist How to use the checklist, complex caseReference Articles Impact of using the checklist at the eight WHO pilot sites Haynes AB, Weiser TG, Berry WB, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. New England Journal of Medicine. 2009 Jan 14; [Epub ahead of print]. Retrieved from http//content.nejm.org/cgi/content/full/NEJMsa0810119 The Canadian Adverse Events Study Baker GR, Norton P, Flintoft V, et al. The Canadian adverse events study the incidence of adverse events among hospital patients in Canada. CMAJ. 2004; 170 (11) 1678 - 1686. Retrieved from http//www.cmaj.ca/cgi/content/full/170/11/1678 Team behavior (information sharing during preoperative phases, briefing and information sharing during handoff) impacts the rate of surgical complications and death. Mazzocco K, Petitti D, Fong K, et al. Surgical team behaviors and patient outcomes. The American Journal of Surgery. 2009, Volume 197, Issue 5, Pages 678-685. Preoperative briefings have the potential to increase OR efficiency and thereby improve quality of care and reduce cost. Nundy S, Mukherjee A, Sexton BJ, et al. Impact of preoperative briefings on operating room delays a preliminary report . Arch Surg. 2008 Nov;143(11)1068-72. Team debriefings best practices and tips Salas E, Klein C, King H, et al. Debriefing medical teams 12 evidence-based best practices and tips. The Joint Commission Journal on Quality and Patient Safety. 2008 Sep;34(9)518-27. Adapting the surgical checklist – requirements and implementation tips Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, Dankelman J. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009, 23 715-726 Prototype surgical checklist development and validation (the Netherlands) De Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical Patient Safety Sustem (SURPASS) Checklist. Qual Saf Health Care. 2009, 18 121-126 Interprofessional checklist briefings reduce the number of communication failures, promote proactive and collaborative team communication, and identifies patient safety problems. Lingard L, Regehr G, Orser B, et al. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures in Communication. Arch Surg. 2008;143(1)12-17. Large and sustained reduction of the catheter-related infections through an intervention program using a checklist Pronovost P, Needham D, Berenholtz S, et al. An Intervention to Decrease Catheter-Related Bloodstream Infections in the ICU. N Engl J Med 2006 355 2725-2732.​​​​Implementation Resources9/24/2020 8:10:32 AM17479https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Buprenorphine/Naloxone for Opioid Use Disorder37814Improving Medication SafetyTip Sheets;Toolkits & Guides3/24/2021 8:22:00 PM Buprenorphine/naloxone contains an opioid used to treat opioid dependence. Unlike other opioids, it lasts longer in the body to help prevent cravings and discomfort of withdrawal. The risk of overdose is lower than with methadone, but buprenorphine/naloxone must still be taken properly to ensure patient safety. Seeking help for your opioid dependence is a wise and important step in your road to recovery. There are people who can help you to develop goals and who can support you along the way. Learn more information here. 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. Buprenorphine/Naloxone for Opioid Use DisorderBuprenorphine/naloxone contains an opioid used to treat opioid dependence. Unlike other opioids, it lasts longer in the body to help prevent cravings3/24/2021 8:26:57 PM166https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Measures: Venous Thromboembolism (VTE)10530Surgical Care SafetyToolkits & Guides7/1/2015 8:58:09 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.Measurement Worksheets (Measures) and Data Collection Forms (DCF) Measures DCFs Aggregate data (monthly) De-identified Patient-level data (daily) Numerator and Denominator Multiple data elements ​ Roll-up to Measurement Worksheets VTE Audit The tool is designed for use in Acute Care, and was developed to allow organizations to assess the quality of their venous thromboembolism prevention practices and determine the areas requiring quality improvement(s). DCF (Audit) Question Roll-up to Measures A. Preprinted order used on admission or after surgery VTE 4 B. Type of thromboprophylaxis VTE 2 C. Receiving appropriate thromboprophylaxis VTE 1 D. Reason recommended thromboprophylaxis not used VTE 3 VTE Audit DCF VTE Audit Score Template VTE Measures Measure Goal Type VTE 1 - Percent of Patients Receiving Appropriate Venous Thromboembolism Prophylaxis 100% Outcome VTE 2 - Type of Thromboprophylaxis Delivered (Optional Measure) 100% Information VTE 3 - Reasons that Recommended Thromboprophylaxis was NOT Used (Optional Measure) 0% Information VTE 4 - Percent Appropriate Use of Order Sets for Thromboembolism Prophylaxis 100% 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. VTE: Measurement Worksheets9/24/2020 8:15:21 AM7098https://www.patientsafetyinstitute.ca/en/toolsResources/psm/Pages/Forms/UpdateData.aspxhtmlFalseaspx
Getting ahead of harm before it happens: A guide about proactive analysis for improving surgical care safety6156Surgical Care Safety;Healthcare HarmReports & Publications8/30/2017 6:59:45 PM The Surgical Care Safety Summit brought together over 30 individuals representing professional associations, quality councils, provincial ministries, health authorities and a patients' group. The subsequent Surgical Care Safety Action Plan identified a goal of preventing surgical harm through enhancing the use of both retrospective and proactive analyses. This guide is the culmination of the work of the Proactive Analysis for Surgical Care Safety Action Team. Surgical Safety in Canada A 10-year review of CMPA and HIROC medico-legal data, the retrospective analysis, is also available. In healthcare, when patients are harmed or nearly harmed, reactive investigations are conducted. While these are important, they usually focus only on one patient, although occasionally the care of a group of patients may be reviewed. In a way, these investigations are too late- some patients will have come to harm from hazards in the healthcare system. From a safety point of view, being able to find those hazards before patients are harmed is better for patients, their care providers and the entire healthcare system. This kind of investigation - proactive analysis - is rarely used in healthcare. This guide, although not a 'how to' document, will help you and your colleagues to learn more about proactive analyses and prepare to undertake them. Download The Surgical Care Safety Summit brought together over 30 individuals representing professional associations, quality councils, provincial ministries,9/24/2020 8:12:43 AM2041https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspxhtmlFalseaspx
Enhanced Recovery Canada™ - Enhanced Recovery After Surgery2656Surgical Care Safety;General Patient SafetySocial Media/Social Share7/13/2016 2:57:58 AM What is Enhanced Recovery After Surgery? Enhanced Recovery Canada is a project of the Canadian Patient Safety Institute leading the drive to improve surgical safety across the country and is based on Enhanced Recovery After Surgery – ERAS surgical best practices. These evidence-based principles support better outcomes for surgical patients including an improved patient experience, reduced length of stay, decreased complication rates and fewer hospital readmissions. In partnership with Enhanced Recovery Canada endorses six core ERAS principles to shift the surgical care paradigm Patient and family engagement Nutrition management Perioperative fluid and hydration management Multi-modal opioid sparing analgesia Perioperative best practices Mobilization Anesthetic Challenges to Achieve Same Day Discharge Hip & Knee Arthroplasty Resources for Colorectal Surgeries Industry Partners Enhanced Recovery Canada™ gratefully acknowledges the support from the following industry partners in the development of ERC tools and resources and contributing to the dissemination and implementation of these surgical best practices. The ERC Pathways and other resources have been developed based exclusively on unbiased clinical evidence. Gold Level Silver Level Bronze Level For more information, contact us at info@cpsi-icsp.ca. Enhanced Recovery Canada™What is Enhanced Recovery After Surgery ? Enhanced Recovery Canada is a project of the Canadian Patient Safety Institute leading the drive to5/11/2021 2:11:00 PM29635https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Engaging Patients in Patient Safety – a Canadian Guide2615General Patient SafetyToolkits & Guides;Reports & Publications4/25/2017 3:01:50 PM In recent decades, evidence has emerged that demonstrates when healthcare providers work closely with patients and their families, the healthcare system is safer, and patients have better experiences and health outcomes. Engagement with patients and families includes program and service design and delivery as well as monitoring, evaluating, policy and priority setting, and governance. Engagement work is not easy and often may be uncomfortable at first. Providers may need to let go of control, change behaviours to actively listen to what patients are saying, and take additional time to understand the patient perspective. It may require more effective ways to brainstorm ideas together, build trust, and incorporate many different perspectives. Patients may need to participate more actively in decisions about their care. Leaders must support all this work by revising practices to embed patient engagement in their procedures, policies, and structures. Finding innovative ways to work together will benefit everyone. We invite you to join us in advancing engagement by making healthcare safer. Our deep belief in the power of partnership is inspired by the publication, Engaging Patients in Patient Safety – a Canadian Guide. It is written by patients, providers and leaders for patients, providers and leaders. We trust that you will find the information in this guide useful. It demonstrates our joint commitment to achieving safe and quality healthcare in Canada. Download Better yet, bookmark this page. This resource is updated regularly. To ensure you are accessing the most up-to-date version, we recommend that you bookmark this page for future reference. Who is this guide for? The guide is for anyone involved with patient safety and interested in engagement, including Patients and families interested in how to partner in their own care to ensure safety Patient partners interested in how to help improve patient safety Providers interested in creating collaborative care relationships with patients and families Managers and leaders responsible for patient engagement, patient safety, and/or quality improvement Anyone else interested in partnering with patients to develop care programs and systems While the guide focuses primarily on patient safety, many engagement practices apply to other areas, including quality, research, and education. The guide is designed to support patient engagement across the healthcare sector. What is the purpose of the guide? The purpose of the guide is to help patients and families, providers and leaders work more effectively together to improve patient safety. The guide is an extensive resource that is based on evidence and leading practices. What is included in the guide? Evidence-based guidance Practical patient engagement practices Consolidated information, resources, and tools Supporting evidence and examples from across Canada Experiences from patients and families, providers, and leaders Probing questions about how to strengthen current approaches Strategies and policies to meet standards and organizational practice requirements Click here to learn how and why was the guide developed. ​ ​ ​ CitationPatient Engagement Action Team. 2017. Engaging Patients in Patient Safety – a Canadian Guide. Canadian Patient Safety Institute. Last modified December 2019. Available at www.patientsafetyinstitute.ca/engagingpatients Engaging Patients in Patient Safety – a Canadian GuideIn recent decades, evidence has emerged that demonstrates when healthcare providers work closely with patients and their families, the healthcare10/8/2020 8:27:08 PM26442https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Hand Hygiene Fact Sheets2654Infection Prevention & Control (IPAC)Toolkits & Guides;Tip Sheets4/1/2020 2:15:32 PMVisit the new home for hand hygiene resources on the Healthcare Excellence Canada website. Check it out Hand Hygiene Fact SheetsVisit the new home for hand hygiene resources on the Healthcare Excellence Canada website. Check it out5/14/2021 3:21:23 PM17060https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
World Patient Safety Day: September 17, 20202588General Patient SafetyEvents8/31/2020 8:43:30 PM Premiere of Building a Safer System Thank you for joining us for World Patient Safety Day! 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. The CPSI Legacy Celebration On September 17th, former staff members, colleagues, and supporters of CPSI gathered to re-connect and celebrate the organization on the Remo conferences platform. 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 below to view the recording of the panel discussion and the closing keynote remarks 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 Theme Health Worker Safety A Priority for Patient Safety Slogan Safe health workers, Safe patients Call for action Speak up for health worker safety! World Patient Safety Day information Sponsored by With special thanks to our generous sponsors – together we are making positive and lasting change. Platinum Gold (in alphabetical order) Watch on Demand: World Patient Safety Day: September 17, 2020 Premiere of Building a Safer System   Thank you for joining us for World Patient Safety Day! Thank you for joining us for the live10/8/2020 7:45:18 PM16585https://www.patientsafetyinstitute.ca/en/EventshtmlTrueaspx
Canadian Patient Safety Week (CPSW)2590General Patient SafetyEvents12/8/2009 9:50:43 PM Virtual Care is New to Us #ConquerSilence Thank you to everyone who participated in Canadian Patient Safety Week from October 26 to 30, 2020. Let’s Keep the Momentum Going The theme of Canadian Patient Safety Week 2020 was Virtual Care is New to Us. Only 10% of Canadians have experience with virtual care1, but 41% would like to have virtual visits with their healthcare providers2. The way to ensure that healthcare providers and patients make the most of virtual appointments is to use tried and true basics – encourage patients to ask questions and to bring an advocate with them to appointments. Although Canadian Patient Safety Week 2020 has passed, virtual care is here to stay! Please continue to access and share the virtual care resources below.Virtual Care Resources – ConquerSilence.ca Access valuable resources for you, your colleagues, and your patients to improve virtual care appointments. We worked with the Canadian Medical Association to develop a WEBside manner infographic for healthcare providers, plus two virtual care checklists and a how to make the most of your virtual visit infographic for patients. Access Now PATIENT Podcast Series Listen to season 4 of our award-winning PATIENT podcast! Listen Here Are your patients ready for Virtual care? Share our free online quiz with your patients Virtual care Quiz About Canadian Patient Safety Week is a national, annual campaign that started in 2005 to inspire extraordinary improvement in patient safety and quality. As the momentum for promoting best practices in patient safety has grown, so has the participation in Canadian Patient Safety Week. Canadian Patient Safety week is relevant to anyone who engages with our healthcare system providers, patients, and citizens. Working together, thousands help spread the message to Conquer Silence. Partners Sponsorship If your organization is interested in sponsoring a portion of CPSW 2020, please contact sponsorshipsmail@cpsi-icsp.ca. We have many opportunities available. Virtual Care Definition Virtual care has been defined as any interaction between patients and/or members of their circle of care, occurring remotely, using any forms of communication or information technologies with the aim of facilitating or maximizing the quality and effectiveness of patient care. (CMA definition) Do you have any questions or suggestions? Contact CPSI Communications Email CPSW@cpsi-icsp.ca Join the conversation at #ConquerSilence 1https//www.cma.ca/sites/default/files/pdf/virtual-care/ReportoftheVirtualCareTaskForce.pdf 2https//www.cma.ca/sites/default/files/pdf/virtual-care/ReportoftheVirtualCareTaskForce.pdf; https//actt.albertadoctors.org/file/VirtualVisitsLitSummary2020.pdf Canadian Patient Safety WeekCanadian Patient Safety Week (CPSW)1/12/2021 8:32:59 PM116432https://www.patientsafetyinstitute.ca/en/EventshtmlTrueaspx
Clean Your Hands Day2592Infection Prevention & Control (IPAC)Events6/3/2015 4:46:05 PM Visit Clean Your Hands Day new home page on the Healthcare Excellence Canada website. Check it out Clean Your Hands DayVisit Clean Your Hands Day new home page on the Healthcare Excellence Canada website. Check it out5/14/2021 3:20:35 PM94014https://www.patientsafetyinstitute.ca/en/EventshtmlTrueaspx
Patient Safety and Incident Management Toolkit2606General Patient Safety;Improving Medication Safety;Healthcare HarmToolkits & Guides12/18/2014 8:28:40 PMPrevent Patient Safety Incidents and Minimize Harm When They Do Occur When a patient's safety is compromised, or even if someone just comes close to having an incident, you need to know you are taking the right measures to address it, now and in the future. CPSI provides you with practical strategies and resources to manage incidents effectively and keep your patients safe. This integrated toolkit considers the needs and concerns of patients and their families, and how to properly engage them throughout the process. Drawn from the best available evidence and expert advice, this newly designed toolkit is for those responsible for managing patient safety, quality improvement, risk management, and staff training in any healthcare setting. Patient Safety Management Incident Management System Factors For more information, contact us at info@cpsi-icsp.ca.Toolkit Focus and Components The toolkit focuses on patient safety and incident management; it touches on ideas and resources for exploring the broader aspects of quality improvement and risk management. There are three sections to the toolkit Incident management—the actions that follow patient safety incidents (including near misses) Patient safety management—the actions that help to proactively anticipate patient safety incidents and prevent them from occurring System factors—the factors that shape and are shaped by patient safety and incident management (legislation, policies, culture, people, processes and resources). Visual representation of the toolkit. Incident management Resources to guide the immediate and ongoing actions following a patient safety incident (including near misses). We emphasize immediate response, disclosure, how to prepare for analysis, the analysis process, follow-through, how to close the loop and share learning. Patient safety management Resources to guide action before the incident (e.g., plan, anticipate, and monitor to respond to expected and unexpected safety issues) so care is safer today and in the future. We promote a patient safety culture and reporting and learning system. System factors Understanding the factors that shape both patient safety and incident management and identify actions to respond, align, and leverage them is crucial to patient safety. The factors come from different system levels (inside and outside the organization) and include legislation, policies, culture, people, processes and resources.Implementing Patient Safety and Incident Management Processes Consider the following guiding principles when applying the practical strategies and resources. Patient- and family-centred care. The patient and family are at the centre of all patient safety and incident management activities. Engage with patients and families throughout their care processes, as they are an equal partner and essential to the design, implementation, and evaluation of care and services. Safety culture. Culture refers to shared values (what is important) and beliefs (what is held to be true) that interact with a system's structures and control mechanisms to produce behavioural norms. An organization with a safety culture avoids, prevents, and mitigates patient safety risks at all levels. This includes a reporting and learning culture. System perspective. Keep patients safe by understanding and addressing the factors that contribute to an incident at all system levels, redesigning systems, and applying human factor principles. Develop the capability and capacity for effectively assessing the complex system to accurately identify weaknesses and strengths for preventing future incidents. Shared responsibilities. Teamwork is necessary for safe patient care, particularly at transitions in care. It is the best defence against system failures and should be actively fostered by all team members, including patients and families. In a functional teamwork environment, everyone is valued, empowered, and responsible for taking action to prevent patient safety incidents, including speaking up when they see practices that endanger safety.Resources to Support Patient Safety and Incident Management CPSI's toolkit resources are practical tools for patient safety and incident management, compiled with input from experts and contributing organizations. You may not require all of them when managing an incident, so please use your discretion in selecting the tools most appropriate for your needs.Toolkit Development and Maintenance CPSI accessed a variety of qualified experts and organizations to compile this practical and evidence-based toolkit. The process included Assigning a CPSI team with support from a writer with experience in the field Seeking advice from an expert faculty that included patient and family representatives Basing the content on the Canadian Incident Analysis Framework Engaging key stakeholders via focus groups and collecting evidence from peer-reviewed journals and publicly available literature The toolkit will be updated every year to keep it relevant. We welcome feedback on what is helpful, what can be improved, and content enhancements at info@cpsi-icsp.ca.Patient Safety and Incident Management ToolkitPrevent Patient Safety Incidents and Minimize Harm When They Do Occur When a patient's safety is compromised, or even if someone just comes close to10/8/2020 7:03:53 PM22799https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
The Safety Competencies Framework2609General Patient Safety;Healthcare HarmReports & Publications;Frameworks4/14/2009 11:53:32 PMSafety Competencies Framework Educating healthcare providers about patient safety and enabling them to use the tools and knowledge to build and maintain a safe system is fundamental to creating a culture of safety across the spectrum of care. The 2020 Safety Competencies Framework (2nd Edition) is a simple, powerful and flexible framework that includes enabling competencies that can be adopted and adapted by diverse healthcare programs to design curricula to teach safety and quality for any sector or healthcare program. It can also be a valuable resource to policy makers, regulators and accreditors to guide system change. The Six Domains support moving patient safety evidence into action and has strengthened its content with advancements in collective knowledge that include patient/family partnership, leadership, quality improvement and cultural competency concepts. Safety Competencies Framework Domains Domain 1 Patient Safety Culture Patient safety culture improvement involves recognizing the importance of ongoing collaboration and the commitment to advocate for change. Domain 2 Teamwork High-performing interprofessional teams demonstrate capabilities and competencies that are essential to efficient, effective, and safe collaborative practice. Domain 3 Communication Effective communication is beneficial to patients and healthcare providers, builds trust, and is a precondition of obtaining patient consent. Domain 4 Safety, Risk, and Quality Improvement Healthcare providers collect and monitor performance data to assess risk and improve outcomes. Domain 5 Optimize Human and System Factors Optimizing the human and environmental factors that support the achievement of best human performance is an essential safety competency for all healthcare providers. Domain 6 Recognize, Respond to and Disclose Patient Safety Incidents Open, honest, and empathetic disclosure and appropriate apologies benefit patients and families, health providers, and their organizations. The Safety CompetenciesThe Safety Competencies: Message from the CEO12/3/2020 4:19:06 PM46974https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx
Suicide Risk2610Mental Health;Healthcare HarmToolkits & Guides;Reports & Publications4/21/2011 4:02:20 AMThe 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 GuideThe Canadian Patient Safety Institute (CPSI) has partnered with the Mental Health Commission of Canada (MHCC) to help healthcare workers and2/4/2021 5:47:10 PM13584https://www.patientsafetyinstitute.ca/en/toolsResourceshtmlTrueaspx