|Canadian Quality and Patient Safety Framework for Health Services||2639||General Patient Safety;Policy;Government Relations;Improving Culture;Partnering with Patients;Patient ＆ Family Resources||Frameworks;Patient and Family Resource;Position Statements;Reports ＆ Publications||3/27/2019 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 email@example.com.
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 PM||19441||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Measures: Ventilator-Associated Pneumonia (VAP)||10529||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||10061||https://www.patientsafetyinstitute.ca/en/toolsResources/psm/Pages/Forms/UpdateData.aspx||html||False||aspx|
|Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit||6149||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||9701||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Creating a Safe Space: Addressing the Psychological Safety of Healthcare Workers||2623||General Patient Safety;Psychological Safety for Healthcare Workers||Toolkits ＆ Guides;Healthcare provider stories;Reports ＆ Publications||1/6/2020 4:59:11 PM||
Cumulative stress, compassion fatigue and trauma due to experiences with patient safety incidents impact the mental wellness of our healthcare providers. These factors contribute to inadvertent patient care errors, mental health issues and attrition which compromise patient safety. A peer support program and other support models not only simply helps healthcare workers with their experiences with patient safety incidents but also improves the system and help make patient care safe. The Creating a Safe Space Addressing the Psychological Safety of Healthcare Workers manuscript and the Canadian Peer Support Network are intended to assist healthcare organizations support healthcare workers by creating peer-to-peer support programs (PSPs) or other models of supports to improve the emotional well-being of healthcare workers and allow them to provide the best and safest care to their patients. The Creating a Safe Space Addressing the Psychological Safety of Healthcare Workers manuscript provides a comprehensive overview of what healthcare worker support models are available in Canada and internationally. The Manuscript outlines best practice guidelines, tools, and resources that policy makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers. The Canadian Peer Support Network is intended as a forum for healthcare organizations seeking guidance in the development of their Peer Support Programs to assist providers who have experienced a patient safety incident.
Disclaimer The Canadian Peer Support Network is not intended as therapeutic support between, or amongst, members It is for informational purposes only. ||Creating a Safe Space: Psychological Safety of Healthcare Workers (Peer to Peer Support and Other Support Models)||Cumulative stress, compassion fatigue and trauma due to experiences with patient safety incidents impact the mental wellness of our healthcare||12/1/2020 4:47:37 PM||10142||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Tools & Resources||2502||9/18/2020 4:40:20 AM||Tools & Resources||Tools & Resources||9/21/2020 9:19:04 AM||70313||https://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Hand Hygiene Fact Sheets||2654||Infection Prevention ＆ Control (IPAC)||Toolkits ＆ Guides;Tip Sheets||4/1/2020 2:15:32 PM||
Hand Hygiene Resources for Healthcare Providers, Patients and Families Cleaning your hands, either with soap and water or with alcohol-based hand rub, is one of the most effective ways to contain the spread of infections. Please read, download, and share these resources to help yourself and others stay safe. Download the following Guidelines and Tip Sheets How to Hand Wash (PDF)
How to Hand Rub (PDF)Your 4 Moments (PDF)On-the-Spot Feedback (PDF)Clean Care Conversations (PDF tip sheet for public)Clean Care Conversations (PDF tip sheet for healthcare providers) Browse the following Hand Hygiene Fact Sheets The Need for Better Hand Hygiene in Healthcare
If Healthcare Provider Hands Could Talk
Proper Hand Hygiene Technique in Healthcare
Hand, Skin and Nail Care for Healthcare ProvidersPatient and Family Guide
Patient and Family FAQsAdditional Resources ||Hand Hygiene Fact Sheets||Hand Hygiene Resources for Healthcare Providers, Patients and Families Cleaning your hands, either with soap and water or with alcohol-based hand||9/24/2020 8:13:49 AM||15682||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Medication Reconciliation (Med Rec): Getting Started Kit||6185||Improving Medication Safety;Surgical Care Safety||Toolkits ＆ Guides||7/1/2015 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.
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.
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 Kit||9/24/2020 8:10:39 AM||12906||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Surgical Site Infection (SSI): Getting Started Kit||6205||Surgical Care Safety;Infection Prevention ＆ Control (IPAC)||Toolkits ＆ Guides||7/1/2015 8:55:00 AM||Effective 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 Kit||9/24/2020 8:12:12 AM||11461||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Hand Hygiene Patient and Family Guide||11027||Infection Prevention ＆ Control (IPAC)||Patient and Family Resource;Toolkits ＆ Guides||4/1/2020 7:43:24 PM|| The Canadian Patient Safety Institute has developed a Patient and Family Resource Guide.
Download This is in keeping with the World Health Organization's belief that partnerships with patients and families should be encouraged to participate in the promotion of optimal and sustained hand hygiene practices in all healthcare settings. This guide offers basic information to patients and families about hand hygiene, the issue of healthcare associated infections, and how patients, visitors, and family members can actively participate in making healthcare safer. The guide also provides ideas and cues for supporting optimal hand hygiene practices in any setting. Additional guidance on how to engage patients and patient organizations in hand hygiene initiatives can be found on the WHO Website. || The Canadian Patient Safety Institute has developed a Patient and Family Resource Guide.
Download This is in keeping||9/24/2020 8:13:52 AM||2330||https://www.patientsafetyinstitute.ca/en/toolsResources/Hand-Hygiene-Fact-Sheets/Pages/Forms/AllItems.aspx||html||False||aspx|
|Research Results: Patient Safety in Primary Care ||36875||General Patient Safety;Healthcare Harm||Reports ＆ Publications||7/1/2015 2:01:49 AM||Full Report
Patient Safety in Primary Care
Patient Safety in Primary Care - Data Abstraction Tables
Egon Jonsson, PhD Professor, University of Alberta and University of Calgary Executive Director & CEO, Institute of Health Economics firstname.lastname@example.org
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
Sunnybrook Health Sciences Library
||Patient Safety in Primary Care Research Paper||9/24/2020 8:16:12 AM||4272||https://www.patientsafetyinstitute.ca/en/toolsResources/Research/commissionedResearch/primaryCare/Pages/Forms/AllItems.aspx||html||False||aspx|
|Education to support mandatory ADR and MDI reporting (Vanessa’s Law)||2645||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 email@example.com
https//healthstandards.org/ CPSI firstname.lastname@example.org
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||164994||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Hand Hygiene Observation Tools||6158||Infection Prevention ＆ Control (IPAC)||Toolkits ＆ Guides||6/3/2015 4:47:24 PM||Measurement 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 for||9/24/2020 8:12:25 AM||17158||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|TeamSTEPPS Canada(TM) Essentials microlearning course launched through Canada’s Patient Safety Online Learning Centre||14177||Education;General Patient Safety||News||9/14/2020 3:34:10 PM||9/14/2020 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 now||9/24/2020 8:10:14 AM||1491||https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspx||html||False||aspx|
|Medication Reconciliation (Med Rec): Presentations & Posters ||6186||Improving Medication Safety||Webinars||7/1/2015 8:53:35 AM||
These free resources are designed to help you successfully implement interventions in your organization.
Presentations & Posters
Medication Communication 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 AM||5852||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Prevent healthcare-acquired infections: Share how to have Clean Care Conversations during STOP! Clean Your Hands Day||14134||Infection Prevention ＆ Control (IPAC)||News||5/6/2019 2:50:36 PM||5/6/2019 6:00:00 AM|| Every year, 220,000 Canadian patients (approximately one in nine) develop a hospital-acquired infection during their stay in hospital, and an estimated 8,000 of those patients will lose their lives. Whether you're a patient, visitor, provider, or worker in a healthcare setting – cleaning your hands is one of the best ways to prevent infection. Clean care saves lives. The Canadian Patient Safety Institute (CPSI), in partnership with the World Health Organization's SAVE LIVES Clean Your Hands campaign, is directing the annual STOP! Clean Your Hands Day on May 6, 2019, to bring attention to healthcare-acquired infections. This year, CPSI is teaching the public and healthcare providers how to have Clean Care Conversations and stop the infection crisis. We want to encourage compassionate conversations, where healthcare providers, patients and families work hand in hand to create a clean care culture. We are asking you to share the attached infographic through your social media accounts. If you wish, you can also publicize the events happening today. Clean Care Conversations Webinar, 1000 am MDT 1200 EDT The Germ Guy, Jason Tetro, will discuss Clean Care Conversations with Prince Edward Island's medical microbiologist and infectious disease consultant, Dr. Greg German, and Saskatchewan Patients for Patient Safety Canada patient partner, Carmen Stephens. Download a special new episode of our award-winning PATIENT Podcast and learn how to start a clean care conversation. Download tip sheets for public and healthcare providers on how to start Clean Care Conversations. Do you know how to have a conversation about clean care? Take the quiz, one for the public or one for healthcare providers, and see for yourself! Show us on social media how you're starting #CleanCareConversations. Share photos of #STOPCleanYourHandsDay events and activities and of you cleaning your hands. There will be a giveaway of GOJO products based on social media activity. All of these tools and resources are available at www.handhygiene.ca. ||Every year, 220,000 Canadian patients (approximately one in nine) develop a hospital-acquired infection during their stay in hospital, and an||9/24/2020 8:09:31 AM||2254||https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspx||html||False||aspx|
|S.A.F.E. Toolkit Video Series||6202||Community Based Care;General Patient Safety;Improving Medication Safety;Surgical Care Safety||Reports ＆ Publications;Toolkits ＆ Guides;Social Media/Social Share||8/2/2017 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
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
Self||9/24/2020 8:12:42 AM||2296||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Proper Hand Hygiene Technique in Healthcare||11028||Infection Prevention ＆ Control (IPAC)||Toolkits ＆ Guides||4/1/2020 5:10:49 PM|| Why? Healthcare-associated infections, or infections acquired in healthcare settings, are the most frequent adverse event in healthcare delivery worldwide.1 Hands are the most common means of microbial spread in healthcare. 2 Optimal hand hygiene is one of the most effective measures to reduce the occurrence of healthcare-associated infections (HAIs). When? There are some key moments for hand hygiene Before patient/patient environment contact Before aseptic procedure After body fluid exposure risk After patient/patient environment contact Where? The World Health Organization (WHO) recommends that hand hygiene should be performed at the point of care. How? Clean your hands by rubbing them with an alcohol-based formulation when available. Alcohol-based hand rubs are faster, more effective, and better tolerated by your hands than washing with soap and water.2 Wash your hands with soap and water only when hands are visibly soiled and whenever an alcohol-based formulation if not available.2 Washing hands with soap and water immediately before or after using an alcohol-based hand rub is not recommended as this may predispose the individual to developing contact dermatitis.2 If isolation precautions are in place, always adhere to the hand hygiene directions appropriate to those precautions. Never default to hand rubs where isolation precautions are in place unless the precautions specify that this is acceptable. The act of thorough and vigorous drying is an important measure that helps to eliminate pathogens from your hands. For more information, go to Updated 2009 WHO guidelines full version Updated 2009 WHO guidelines summary version1 World Health Organization (WHO). n.d. Healthcare-Associated Infections Fact Sheet. Retrieved March 20, 2020. 2 WHO Guidelines on Hand Hygiene in Health Care (Updated 2009) ||Why? Healthcare-associated infections, or infections acquired in healthcare settings, are the most frequent adverse event in||9/24/2020 8:13:51 AM||2281||https://www.patientsafetyinstitute.ca/en/toolsResources/Hand-Hygiene-Fact-Sheets/Pages/Forms/AllItems.aspx||html||False||aspx|
|About the Framework||10413||Government Relations;Improving Culture;Partnering with Patients;Patient ＆ Family Resources;Policy||Frameworks;Patient and Family Resource;Position Statements;Reports ＆ Publications||10/22/2020 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 email@example.com.
Contact us ||Wh y a Framework? To truly align Canada's efforts toward better and safer care we must prioritize coordinated action. Collective||11/3/2020 5:12:12 PM||2086||https://www.patientsafetyinstitute.ca/en/toolsResources/Canadian-Quality-and-Patient-Safety-Framework-for-Health-and-Social-Services/Pages/Forms/AllItems.aspx||html||False||aspx|
|A Framework for Establishing a Patient Safety Culture||2631||General Patient Safety;Healthcare Harm;Improving Culture||Frameworks||2/14/2018 4:54:19 PM||Patient Safety Culture "Bundle" for CEOs/Senior Leaders What is the Patient Safety Culture "Bundle"? Strengthening a safety culture necessitates interventions that simultaneously
enable, enact and elaborate in a way that is attuned to the existing culture. Through a literature review of more than 60 resources, a Patient Safety Culture Bundle has been created and validated through interviews with Canadian thought leaders. The Bundle is based on a set of evidence-based practices that must all be applied in order to deliver good care. All components are required to improve the patient safety culture. The
Patient Safety Culture "Bundle" for CEOs and Senior Leaders encompasses key concepts of safety science, implementation science, just culture, psychological safety, staff safety/health, patient and family engagement, disruptive behavior, high reliability/resilience, patient safety measurement, frontline leadership, physician leadership, staff engagement, teamwork/communication, and industry-wide standardization/alignment.
Download a one-pager of the Patient Safety Culture Bundle for CEOs/Senior Leaders
Why was this Bundle created? A patient safety culture is difficult to operationalize. Improving safety requires an organizational culture that enables and prioritizes patient safety. The importance of culture change needs to be brought to the forefront, rather than taking a backseat to other safety activities. The National Patient Safety Consortium Education Working Group verified the critical role senior leadership plays in ensuring patient safety is an organizational priority. A Working group of partners, led by the Canadian Patient Safety Institute, Canadian College of Health Leaders (CCHL), HealthCareCAN and the Healthcare Insurance Reciprocal of Canada (HIROC) were brought together to establish a framework and advance this work. How can I use the Patient Safety Culture Bundle? The key components required for a Patient Safety Culture are identified under three pillars
Within each pillar you will find links to valuable tools and resources to help your efforts in establishing and sustaining a patient safety culture.
(coming soon)Are you looking to establish and sustain a culture of safety? We are committed to providing a robust framework to advance a safety culture. The Bundle is a dynamic tool that will be continually updated. We invite you to check back often for more links and resources. We also need your participation and input to ensure the Bundle is current and relevant. Please forward any links or comments to
"Patient safety and healthcare quality are advanced when boards and senior leaders are committed to it and are able to show evidence of that commitment. Missing until now is a concise "how to" guide. The Patient Safety bundle for Leaders fills that gap."
Catherine Gaulton, CEO, HIROC
"Leadership is critical to developing a patient safety culture and building leadership capacity requires a vision of the knowledge, skills and behaviours necessary to achieve this. The Patient Safety Leadership Bundle provides this and will be a practical tool for health leaders across the healthcare continuum to assess their personal capabilities. It will also provide both organizations and the system, as a whole, a checklist for what's missing from our collective leadership education toolkits so that we can strategically respond to these needs. HealthCareCAN is committed to the spread of this tool across the country as part of a cultural shift to safety and a drive towards high-reliability culture."
Dale Schierbeck, Vice-President, Learning & Development, HealthCareCAN and Co-Chair, Patient Safety Education for Leaders Working ||A Framework for Establishing a Patient Safety Culture||Patient Safety Culture "Bundle" for CEOs/Senior Leaders What is the Patient Safety Culture "Bundle"? Strengthening a safety||9/24/2020 8:12:57 AM||14417||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Deteriorating Patient Condition||2617||General Patient Safety;Infection Prevention ＆ Control (IPAC);Healthcare Harm||Toolkits ＆ Guides||3/30/2017 5:19:46 PM|| Early warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical inpatient events are preceded by warning signs that occur approximately six-and-a-half hours in advance. In this section, you'll find information, tools and resources to not only help you recognize deteriorating patient condition, but what you can do to act on it as a member of the public, a healthcare provider or leader. Click any of the icons below to get started! (updated
in February 2020)
||Deteriorating Patient Condition||Early warning signs of deteriorating condition are often unrecognized, leading to devastating results. Research shows that virtually all critical||12/23/2020 8:11:28 PM||3312||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Pressure Ulcer: Clinical and System Reviews, Incident Analyses||36694||9/28/2016 5:33:15 PM|| Given the broad range of potential causes of hospital associated Pressure Ulcers, clinical and system reviews should be conducted to identify latent causes and determine appropriate recommendations. Occurrences of harm are often complex with many contributing factors. Organizations need to Measure and monitor the types and frequency of these occurrences. Use appropriate analytical methods to understand the contributing factors. Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm. Have mechanisms in place to mitigate consequences of harm when it occurs. To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for
conducting chart audits and
analysis methods are included in the
Hospital Harm Improvement Resources Introduction. If your review reveals that your cases of Pressure Ulcer/Injury are linked to specific processes or procedures, you may find these resources helpful Agency for Healthcare Research and Quality (AHRQ)
https//www.ahrq.gov/ Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K. et al. Pressure ulcer risk assessment and prevention comparative effectiveness. Rockville, MD Agency for Healthcare Research and Quality (AHRQ); 2013.
http//www.ncbi.nlm.nih.gov/books/NBK143579/ Preventing Pressure Ulcers in Hospital
https//www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html Agency for Healthcare Research and Quality. 3. What are the best practices in pressure ulcer prevention that we want to use? Preventing Pressure Ulcers in Hospitals. Published October 2014.
http//www.ahrq.gov/patient- safety/settings/hospital/resource/pressureulcer/tool/pu3.html Berlowitz D, VanDeusen Lukas C, Parker V, et al. Preventing Pressure Ulcers in Hospitals A Toolkit for Improving Quality of Care. Agency for Healthcare Research and Quality; 2011.
https//www.ahrq.gov/sites/default/files/publications/files/putoolkit.pdf British Columbia Provincial Nursing Skin and Wound Committee.
https//www.clwk.ca/communities-of-practice/skin-wound-community-of-practice/ Guideline Prevention of skin breakdown due to pressure, friction, shear, and moisture in adults & children. BC; 2016.
https//www.clwk.ca/buddydrive/file/guideline-prevention-of-skin-breakdown-2016-october/ Canadian Best Practice Guidelines for the Prevention and Management of Pressure Ulcers in People with Spinal Cord Injury A Resource Handbook for Clinicians Houghton PE, Campbell KE, CPG Panel.
Canadian Best Practice Guidelines for the Prevention and Management of Pressure Ulcers in People with Spinal Cord Injury A Resource Handbook for Clinicians. Ontario Neurotrauma Foundation; 2013.
https//onf.org/wp-content/uploads/2019/04/Pressure_Ulcers_Best_Practice_Guideline_Final_web4.pdf National Pressure Injury Advisory Panel
https//npiap.com/ Black JM, Edsberg LE, Baharestani MM, et al. Pressure ulcers Avoidable or unavoidable? Results of the National Pressure Ulcer Advisory Panel Consensus Conference.
Ostomy Wound Manage. 2011;57(2)24-37. National Pressure Injury Advisory Panel. NPIAP COVID-19 Related Resources for Pressure Injury Prevention. Published April 2, 2020.
https//cdn.ymaws.com/npiap.com/resource/resmgr/press_releases/NPIAP_COVID_Resourcesnew.pdf Munoz N, Posthauer ME, Cereda E, Schols JMGA, Haesler E. The Role of Nutrition for Pressure Injury Prevention and Healing The 2019 International Clinical Practice Guideline Recommendations.
Adv Skin Wound Care. 2020;33(3)123-136. doi10.1097/01.ASW.0000653144.90739.ad NICE National Institute for Health and Care Excellence
https//www.nice.org.uk/ National Institute for Health and Care Excellence (NICE). Pressure ulcers prevention and management.
NICE clinical guideline 179. NICE; 2014.
https//www.nice.org.uk/guidance/cg179/chapter/1-recommendations#/prevention-adults National Institute for Health and Care Excellence (NICE). Clinical audit tools.
NICE clinical guideline 179. NICE; 2014.
https//www.nice.org.uk/guidance/cg179/resources Registered Nurses Association of Ontario
www.RNAO.ca Registered Nurses' Association of Ontario (RNAO).
Assessment and Management of Pressure Injuries for the Interprofessional Team, Third Edition. RNAO
https//rnao.ca/bpg/guidelines/pressure-injuries?_ga=2.217886358.1660361549.1612547869-2064009347.1608227925 Registered Nurses' Association of Ontario (RNAO). Risk Assessment and Prevention of Pressure Ulcers. RNAO; 2011.
https//rnao.ca/bpg/guidelines/risk-assessment-and-prevention-pressure-ulcers STOP THE PRESSURE
Back to Overview
Download ||Given the broad range of potential causes of hospital associated Pressure Ulcers, clinical and system reviews should be conducted to identify latent||4/9/2021 9:21:52 PM||235||https://www.patientsafetyinstitute.ca/en/toolsResources/Hospital-Harm-Measure/Improvement-Resources/HHI-Pressure-Ulcer/Pages/Forms/AllItems.aspx||html||False||aspx|
|Enhanced Recovery Canada™ - Enhanced Recovery After Surgery||2656||Surgical Care Safety;General Patient Safety||Social Media/Social Share||7/13/2016 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.
For more information, contact us at
firstname.lastname@example.org. ||Enhanced Recovery Canada™||What is Enhanced Recovery After Surgery ?
Enhanced Recovery Canada is a project of the Canadian Patient Safety Institute leading the drive to||4/1/2021 3:06:02 PM||26706||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Safety Improvement Projects||2620||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||6533||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Canada's Virtual Forum||2587||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
email@example.com.||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||11277||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|World Patient Safety Day: September 17, 2020||2588||General Patient Safety||Events||8/31/2020 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
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 live||10/8/2020 7:45:18 PM||15819||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Canadian Patient Safety Week (CPSW)||2590||General Patient Safety||Events||12/8/2009 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
If your organization is interested in sponsoring a portion of CPSW 2020, please contact
firstname.lastname@example.org. 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
2https//www.cma.ca/sites/default/files/pdf/virtual-care/ReportoftheVirtualCareTaskForce.pdf; https//actt.albertadoctors.org/file/VirtualVisitsLitSummary2020.pdf ||Canadian Patient Safety Week||Canadian Patient Safety Week (CPSW)||1/12/2021 8:32:59 PM||110093||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|STOP! Clean Your Hands||2592||Infection Prevention ＆ Control (IPAC)||Events||6/3/2015 4:46:05 PM||
Thank you to everyone who participated in STOP! Clean Your Hands Day on May 5, 2020.
This year we saw
the best social media engagement to date! The hashtag #stopcleanyourhands had
7.822 million Twitter
of people from across Canada took the Clean Hands Self-Assessment,
pledged clean hands, and
hand hygiene resources.
Keep the Momentum Going
Although STOP! Clean Your Hands Day has passed,
hands have never mattered more!
Please continue to access and share
our free hand hygiene resources. Hand Hygiene Fact Sheets
Access and share our free hand hygiene resources to keep yourself and others safe
Hand Hygiene Resources
Clean Hands Self-Assessments Are you cleaning your hands properly? Are you protecting yourself and your loved ones from infections? Take the
Clean Hands Self-Assessments to find out!
Learn More Pledge Clean Hands Clean hands have never mattered more. Cleaning your hands, either with soap and water or with alcohol-based hand rub, is one of the best ways to avoid getting sick and spreading infections to others. Hand hygiene is easy and effective.
Pledge Clean Hands to tell the world you commit to cleaning your hands. Let’s all work together to flatten the curve!
Take the Pledge
The Importance of Hand Hygiene Whether you're a patient, visitor, provider, or worker in a healthcare setting – cleaning your hands is one of the best ways to prevent infection. Clean care saves lives. It is estimated that over the next 30 years in Canada, infections will be the biggest driver of acute care patient safety incidents, accounting for roughly 70,000 patient safety incidents per year on average – generating an additional $480 million per year on average in healthcare costs.1 Healthcare-associated infections (HAIs), or infections acquired in a healthcare setting, are the most frequently reported adverse events in healthcare delivery worldwide. Each year, hundreds of millions of patients are affected by HAIs, leading to significant morbidity, mortality, and financial cost to healthcare systems.2 World Health Organization SAVE LIVES Clean Your Hands Our STOP! Clean Your Hands campaign is hosted in conjunction with the World Health Organization’s (WHO) SAVE LIVES Clean Your Hands campaign. More information about SAVE LIVES Clean Your Hands and infection prevention is available at the
World Health Organization’s website. Sponsored by As a company dedicated to protecting public health, our operating principle is to prioritize healthcare facilities and first responders that are on the front line. We will continue to help safeguard those working so hard to keep us all healthy and safe.
1Patient Safety in Canada. Ipsos Public Affairs, 2018.
2 World Health Organization (WHO). n.d.
Healthcare-Associated Infections Fact Sheet. Retrieved March 20, 2020. ||STOP! Clean Your Hands||#STOPCleanYourHands
Thank you to everyone who participated in STOP! Clean Your Hands Day on May 5, 2020.
||9/24/2020 8:05:56 AM||91694||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Excellence in Patient Engagement for Patient Safety||2594||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||11921||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Atlantic Learning Exchange||2595||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||12912||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Home Care Safety||2604||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||5547||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|