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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 AM13651
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 PM19761
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 AM14170
Tools & Resources25029/18/2020 4:40:20 AMTools & ResourcesTools & Resources9/21/2020 9:19:04 AM80964
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 Leading Practice How have you used the Canadian Quality and Patient Safety Framework to drive quality and safety improvements? Please email and share your experience with us for an opportunity to be profiled as a Leading Practice or a case study.Evaluation Survey How is the Canadian Quality and Patient Safety Framework helping you align with Canada on five goals for quality, safe care? Heathcare Excellence Canada and Health Standards Organization welcome your feedback (10 min survey) Take survey 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 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.6/21/2021 7:31:24 PM30747
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// 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// 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 Resources9/24/2021 3:29:49 PM21073
Creating a Safe Space: Addressing the Psychological Safety of Healthcare Workers2623General Patient Safety;Psychological Safety for Healthcare WorkersToolkits & Guides;Healthcare provider stories;Reports & Publications1/6/2020 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. Download 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 healthcare12/1/2020 4:47:37 PM12728
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 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 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 PM25463
Never Events for Hospital Care in Canada2630General Patient Safety;Healthcare HarmReports & Publications7/25/2015 2:52:36 AM ​​​ Patients rightfully expect safe care, and health care providers work to provide care that results in better health and safe outcomes for patients. Unfortunately, events that harm patients do occur while care is being provided or as a result of that care. Many of these events that cause harm are preventable using current knowledge and practices. "Never events" are patient safety incidents that result in serious patient harm or death, and are preventable using organizational checks and balances. Download An Action Team from the National Patient Safety Consortium has sought consensus on the top priorities for Canadian never events in health care. The current focus is on events that can occur while a patient is admitted in a health care facility, where care providers have a high amount of control over care. The Never Events Action Team includes the following experts, and patient representatives Atlantic Health Quality and Patient Safety Collaborative British Columbia Patient Safety and Quality Council Canadian Patient Safety Institute Health Quality Council of Alberta Health Quality Ontario Manitoba Institute for Patient Safety New Brunswick Health Council Newfoundland and Labrador Provincial Safety and Quality Committee Patients for Patient Safety Canada (a patient led program of the Canadian Patient Safety Institute) Our work aims to provide some areas and targets for continually improving patient safety. We believe various strategies can be effective in identifying and reducing never events, including cultural changes, reporting and learning systems, identification of opportunities for improvement and continuous improvement supported by measurement and evaluation. The Incident Management Toolkit is an available tool from the Canadian Patient Safety Institute and designed to help healthcare organizations prevent patient safety incidents and minimize harm when incidents do occur. Click here to access the final report on Never Events for Hospital Care in Canada.Never Events for Hospital Care in Canada Patients rightfully expect safe care, and health care providers work to provide care that results in better health and safe outcomes9/24/2020 8:14:53 AM14952
Incident Analysis2626Healthcare HarmFrameworks;Reports & Publications4/19/2011 9:12:41 PM ​​​​​​​​​​​​​​Analyze, manage, and learn from patient safety incidents in any healthcare setting with the Canadian Incident Analysis Framework. Incident analysis is a structured process for identifying what happened, how and why it happened, what can be done to reduce the risk of recurrence and make care safer, and what was learned. It is an integral activity in the incident management continuum, which represents the activities and processes that surround a patient safety incident. The framework was developed collaboratively by CPSI, the Institute for Safe Medication Practices Canada, Saskatchewan Health, Patients for Patient Safety Canada (a patient-led program of CPSI), Paula Beard, Carolyn Hoffman, and Micheline Ste-Marie and is based on the 2006 Canadian Root Cause Analysis Framework. Download To learn more about the framework and the resources available, you can click here to watch the information webinars recorded. The following resources have been carefully selected to support you in implementing the Canadian Incident Analysis Framework. To contribute a resource or to provide feedback, please email To learn more about the framework and the learning opportunities available click here. Incident AnalysisRoot Cause Analysis (RCA)9/24/2020 8:14:38 AM31723
World Patient Safety Day2588General Patient SafetyEvents8/31/2020 8:43:30 PM Visit the World Patient Safety Day new home page on the Healthcare Excellence Canada website for the 2021 campaign. Check it out Below are details from the 2020 World Patient Safety Day campaign. 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) World Patient Safety Day: September 17, 2021Visit the World Patient Safety Day new home page on the Healthcare Excellence Canada website for the 2021 campaign.  Check it9/15/2021 1:34:34 PM19149
Canadian Patient Safety Week (CPSW)2590General Patient SafetyEvents12/8/2009 9:50:43 PM The theme for this year’s Canadian Patient Safety Week will be announced soon. The campaign will be hosted on the new Healthcare Excellence Canada website. Check it out Below are details from the 2020 Canadian Patient Safety Week campaign. 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 – 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 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 Join the conversation at #ConquerSilence 1https// 2https//; https// Canadian Patient Safety WeekCanadian Patient Safety Week (CPSW)9/10/2021 8:53:37 PM128189
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 PM96786
Excellence in Patient Engagement for Patient Safety2594General Patient Safety;Improving Culture;Partnering with PatientsEvents7/24/2015 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 To learn about the practices and leaders we celebrated in previous years click here. Recognizing Excellence in Patient Engagement for Patient Safety 2016 Champion Awards9/24/2020 8:05:50 AM13667
Home Care Safety2604Community Based Care;General Patient Safety;Improving Medication Safety;Healthcare HarmReports & Publications;Toolkits & Guides6/5/2014 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 SafetyWith the release of the Safety at Home: A Pan- Canadian Home Care Study (2013) , the Canadian Patient Safety Institute (CPSI) and the9/24/2020 8:14:05 AM6893
Improvement Frameworks Getting Started Kit2605General Patient Safety;Healthcare HarmToolkits & Guides;Frameworks11/24/2011 4:21:24 PM12/2/2015 7:00:00 AM​​​​The Improvement Frameworks Getting Started Kit is intended to serve as a common document appended to the Safer Healthcare Now! Getting Started Kits. The goal is to help provide a consistent way for teams and individuals to approach the challenge of making changes that result in improvements. Download Improvement Frameworks Getting Started KitThe Improvement Frameworks Getting Started Kit is intended to serve as a common document appended to the Safer Healthcare Now! Getting Started9/24/2020 8:14:36 AM11452
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 PM55823
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 PM16374
A Guide to Patient Safety Improvement2614General Patient SafetyToolkits & Guides7/29/2020 5:15:14 PM When it comes to patient safety, a substantial body of evidence exists to demonstrate interventions (leading practices and processes) that lead to improved patient outcomes for numerous healthcare conditions. Despite available evidence, practice changes are not implemented consistently and effectively to support organizations and teams to address patient safety challenges. This resource has been designed to support teams across all healthcare sectors in using a Knowledge Translation and Quality Improvement integrated approach to change that will impact patient safety outcomes. This Guide for Patient Safety Improvement is intended to accompany current best available evidence change ideas, and tools and resources for your specific project. It includes ideal practice changes “the what” and strategies “the how” that creates the evidence-based intervention. Adaptations are expected and important considerations for implementation will be provided in this guide. Download A Guide to Patient Safety ImprovementWhen it comes to patient safety, a substantial body of evidence exists to demonstrate interventions (leading practices and processes) that lead to10/15/2020 7:33:09 PM9801
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 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 PM29187
Effective Governance for Quality and Patient Safety2624General Patient Safety;PolicyToolkits & Guides2/23/2010 10:49:46 PM ​​Effective Governance for Quality and Patient Safety A Toolkit for Healthcare Board Members and Senior Leaders Safe patient care happens when healthcare service delivery organizations are functioning at the highest levels. Governing boards and senior leaders of healthcare organizations can ensure effective governance and meet their legal responsibilities with the Effective Governance for Quality and Patient Safety Toolkit. This toolkit teaches healthcare board members, senior executives, and physician leaders across Canada about the tools available to support organizational efforts in improving quality and patient safety. Commissioned research led by Dr. G. Ross Baker (2010), Effective Governance for Quality and Patient Safety in Canadian Healthcare Organizations, identified a number of interdependent drivers that enable boards to fulfill their responsibilities for quality and patient safety. ​​ The resources in this toolkit are organized around each of the key drivers and include Principles of each driver Tools and recommended reading Stories and examples from healthcare organizations Use this toolkit to strengthen your organization’s performance and to promote and advance safer care. This symbol, used throughout the toolkit, denotes Canadian references and examples.Effective Governance for Quality and Patient SafetyEffective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders9/24/2020 8:13:33 AM17933
The Measurement and Monitoring of Safety2627General Patient Safety;Healthcare Harm;Improving CultureToolkits & Guides;Reports & Publications;Frameworks7/12/2016 5:25:21 PM Rewiring your thinking on measuring and monitoring of patient safety. Patient safety refers to more than just looking at harm that has occurred in the past. Understanding the difference between the absence of harm and the presence of safety is essential and requires a broader view of safety. The Measurement and Monitoring Safety Framework, created by Professor Charles Vincent and colleagues from the Health Foundation, consists of five dimensions that organizations, units, or individuals including leaders, providers, patients and families can use to understand, guide and improve patient safety. This new approach assesses and evaluates safety from "ward to board" by providing a comprehensive and accurate real-time view of patient safety. The Framework helps users move from "assurance" to "inquiry" by shifting away from a focus on past cases of harm towards current performance, future risks and organizational resiliency. "The MMS Framework shifted safety for us from a policy perspective to a day-to-day care-provider and patient interaction. It led to ownership, engagement and passion." Dr. Jan Sommers, Nova Scotia Health Authority Download Armed with a series of valuable questions, you can make better decisions about the safety of the care you provide. The primary questions are Has patient care been safe in the past? Are our clinical systems and processes reliable? Is our care safe now? Will our care be safe in the future? Are we responding and improving? For more information, contact us at "We started out in the safety world really worrying about past harm and I think that was really important because it raised peoples' understanding about the magnitude of the safety issues. But it is insufficient because people don't go to work thinking about past incidents; they go to work thinking about the patients they are going to see today. So that is part of the shift now is that we are putting safety into a much more relevant context for the staff on their units doing their daily jobs. I think we can still build on that. We can build a broader sense of how units function and how units interact with other units." Dr. G. Ross Baker, PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto Table of Contents Why Measurement and Monitoring of Safety Framework? Measurement and Monitoring of Safety in Canada Learning Collaborative Evaluation Research of Measurement and Monitoring of Safety Framework Collaborative Testimonials Learn more about MMSF in Canada "How Safe is Your Care?" Measurement and Monitoring of Safety Through the Eyes of Patients and their Caregivers - Research Project Other Resources The Measurement and Monitoring of SafetyRewiring your thinking on measuring and monitoring of patient safety.  Patient safety refers to more than just looking at harm that has11/17/2020 6:52:38 PM14236
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 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 AM25904
A Framework for Establishing a Patient Safety Culture2631General Patient Safety;Healthcare Harm;Improving CultureFrameworks2/14/2018 4:54:19 PMPatient 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 ENABLING ENACTING LEARNING 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 Testimonials "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 CulturePatient Safety Culture "Bundle" for CEOs/Senior Leaders What is the Patient Safety Culture "Bundle"? Strengthening a safety9/24/2020 8:12:57 AM16523
Patient Concern Resolution Process2633General Patient Safety;Partnering with PatientsToolkits & Guides;Patient and Family Resource4/19/2011 6:12:38 PM​​​Every patient experience should be safe. Patients, residents, clients, and their families can be active partners in safe care. Help ensure a safe patient experience with information, tools, tips, and resources for patients and their families. Patient Concern Resolution Process If you have a question or a concern about the healthcare services you have received, there are several options that may be available. You may be able to resolve the problem simply by talking to your healthcare provider—a physician, a nurse, someone else directly involved in your care, or the appropriate supervisor. Your healthcare provider is in the best position to address your questions and concerns. If your questions or concerns are still not fully addressed, you can Talk to the healthcare organization or regional health authority that provided the care. Some have a patient relations officer, client representative, or patient advocate to assist you with the process. If you have specific concerns about the conduct of a healthcare provider, comments should be directed to the appropriate professional regulatory body, such as the College of Physicians and Surgeons, the Registered Nurses Association, or other health professions’ regulatory authorities. Regulatory bodies generally have their own concern-handling bylaws, policies, or procedures, and they can assist you. You may be asked to put your concern in writing and identify yourself so that the issue can be thoroughly investigated. If none of the above options results in the resolution of your question or concern, you may wish to contact the ministry of health in the province where you received your care. If your concerns are still not addressed, you may be able to appeal through various mechanisms including the provincial/territorial ombudsman or a similar advocacy body. For more information Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan The Northwest Territories Yukon Please note If you received healthcare services in the Province of Quebec and have a question or concern about those services, please refer to the following website for information regarding resolution of your concern As it is recognized that the patient's family or another advocate may be included in the concern resolution process, the term "patient" includes family members or advocates.Patient Concern Resolution ProcessEvery patient experience should be safe. Patients, residents, clients, and their families can be active partners in safe care. Help ensure a safe9/24/2020 8:14:56 AM8895
Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data2634Surgical Care SafetyReports & Publications4/8/2016 8:36:50 PM More than one million surgical procedures were performed annually in Canada between 2004 and 2013. The Canadian healthcare system strives to provide safe care, but patient safety incidents still occur, with over half attributed to surgical care. Safe surgical care requires that physicians and healthcare teams use appropriate tools and contribute to system improvements within a complex professional environment. The Canadian Medical Protective Association (CMPA), which provides medical liability protection for most Canadian physicians, and the Healthcare Insurance Reciprocal of Canada (HIROC), which provides liability insurance for healthcare organizations and their employees, have collaborated to conduct a retrospective analysis of Canadian surgical safety incident data. This analysis of medico-legal data advances knowledge in patient safety concepts, and is intended to lead to system and practice improvements. This analysis was undertaken as part of the Surgical Care Safety Action Plan. A summary of the results and recommendations can be found in the summary report Surgical Safety in Canada A 10-year review of CMPA and HIROC medico-legal data. A deep dive into the methods, limitations and the results can be found in the Detailed Analysis report. Summary Detailed Analysis Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data More than one million surgical procedures were performed annually in Canada between 2004 and 2013. The Canadian healthcare system strives to provide9/24/2020 8:16:29 AM9581
Canadian Disclosure Guidelines2637General Patient SafetyToolkits & Guides;Reports & Publications4/18/2011 4:05:57 PM ​​​​​​​​​​​​The Canadian Disclosure Guidelines build on various patient safety initiatives currently under way across Canada and assist and support healthcare providers, inter-professional teams, organizations, and regulators. These guidelines symbolize a commitment to patients’ right to be informed if they are involved in a patient safety incident by promoting a clear and consistent approach to disclosure, emphasizing the importance of inter-professional teamwork, and supporting learning from patient safety incidents. The development of the Canadian Disclosure Guidelines is a significant achievement in healthcare in Canada.​ Download Canadian Disclosure Guidelines (November 2011) Backgrounder Development of the Canadian Disclosure Guidelines (2006) The Impact of Disclosure on Litigation (2007)​Canadian Disclosure Guidelines: Being open with patients and familiesThe Canadian Disclosure Guidelines build on various patient safety initiatives currently under way across Canada and assist and support healthcare9/24/2020 8:13:08 AM24387
Patient Stories26427/27/2015 12:39:48 PM ​​​​​​​​​​​​​​​​​​​​​​​​​​​Patient Stories12/9/2020 8:40:06 PM27513
Canadian Patient Engagement Network2644General Patient Safety;Community Based Care;Partnering with PatientsToolkits & Guides;News;Patient and Family Resource;Reports & Publications7/12/2016 10:02:15 PM Share, learn and help others about patient engagement Achieving safe healthcare for all Canadians requires everyone's involvement. CPSI offers patients and families, patient advisors, healthcare providers, leaders, and organizations a place to connect in real time so they can share, learn and help others. The Canadian Patient Engagement Network is designed to complement the Engaging Patients in Patient Safety – a Canadian Guide. This extensive resource, based on evidence and leading practices, helps patients and families, patient partners, providers, and leaders work together more effectively to improve patient safety. Participate via Patient and Family Centred Care (PFCC) Connect and/or Facebook. PFCC Connect Facebook Group PFCC Connect The Canadian Patient Engagement Network community of PFCC Connect  is the result of a partnership between the Institute for Patient and Family Centred Care (who hosts the platform) and the Canadian Patient Safety Institute (moderates the community). Follow the instructions to create a login and profile (can be linked with LinkedIn) then explore the many resources to help you achieve your goals. Facebook Group The Canadian Patient Engagement Network community hosted on Facebook is a public group moderated by the Canadian Patient Safety Institute.  After creating or logging into your Facebook account, you can join this online community to engage in conversation. The Canadian Patient Engagement Network emerged when several partners and patient advisors from across Canada began to discuss the needs and opportunities around a comprehensive guide for patient engagement based on evidence and best practices, as part of the National Patient Safety Consortium's Integrated Patient Safety Action Plan. For more information, contact us at Patient Engagement NetworkShare, learn and help others about patient engagement Achieving safe healthcare for all Canadians requires everyone's involvement. CPSI offers9/24/2020 8:13:14 AM66935
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 HSO https// CPSI ​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 HospitalsThe Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, is intended to9/24/2020 8:13:31 AM168677