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Learning from Greg’s story: inspiring change and improvement in the healthcare system694385/21/2019 9:59:54 PMSHIFT Talks<img alt="" src="/en/NewsAlerts/News/PublishingImages/2019/Teri%20Price%20_%20Gregs%20Wings.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> ​Falling Through the Cracks Greg's Story is a short film that gives a glimpse into the life of Greg Price and the healthcare journey that resulted in his unexpected and tragic death. The film premiered to a sold-out audience on May 17, 2018. In spite of Greg's sad story, the film is intended to inspire positive change and improvement in the healthcare system. In the last year the film has been screened more than 200 times, in every Canadian province, and at two international conferences. During post-film discussions, we have learned that the cracks that Greg fell through are not unique to him, to his diagnosis, or to the Alberta healthcare system. The film clearly portrays that, while everyone who was involved in Greg's care did their "job", they didn't work as a team – and Greg was not included as a member of his own team. The University of Calgary's Team Scheme framework and the use of the film with TeamSTEPPS training has provided the tools to reinforce "good teamwork", spelling out elements that are required to function as a high-performing team. The framework is a tool which outlines tangible behaviours that contribute to good teamwork. We need health systems that are structured and incentivized to enable and value teamwork. Our current "system" (including our information systems) is not set up to enable teamwork that would lead to improved safety and quality care. We need true partnerships with patients (and families) and recognition that they are critical members of the team. Patients have valuable insights and a unique understanding of the system. They are the only consistent member of a team and often have to overcome obstacles to be able to find the care that they need. Patient involvement is an incredibly important (and often untapped) resource that needs to be appreciated and utilized. When given the opportunity, we believe that many patients, families or caregivers can and will step up to contribute in a meaningful way as valuable members of the team. For those patients who can't, we need the time and resources to build a team around them that will recognize their vulnerabilities and fill any potential gaps. We need everyone on the team to know that they have a critical role to play and their unique perspective should be invited, respected and valued. In the film, the fax machine is depicted and referred to (appropriately) as the villain. There are alternative tools for transmitting information that are secure and compliant, that could effectively eliminate the fax machine. Swapping fax machines for another technology and expecting the cracks in the system to be filled will not work. We need to do more than just "Axe the Fax" – we need to look for tools that will enable sharing information with the team. We need the acknowledgement and shift in mindset that recognize information is critical and all members of the team should have access – including patients and their families. Decisions that are made about what technology to invest in should be made with this fundamental value guiding us. As a family, we are grateful for the interest in the film and for all of the people we have met in the last year. We continue to encourage positive discussion, the sharing of ideas and learning from successes. Greg loved a challenge. He believed in people, that we should aim high and always be ready to learn. With that in mind, we are (re) launching an online community called the Co-Pilot Collective. Co-Pilot will be the place to request access to the film, additional teaching scenes, and the curriculum and training materials that have been developed. It will also be a place to interact with and learn from others who have hosted screenings of the film or used it for training and education. We will also help others to share the projects that they are working on to build a network of champions, and ideally speed up the spread and scale of some of the good things that are happening. Teri Price is co-founder and a director of Greg's Wings Projects, a not-for-profit organization established in honour of her brother, Greg Price. The Co-Pilot Collective was created as a means to involve the public in enacting change in the healthcare system.5/21/2019 9:00:00 PM Falling Through the Cracks: Greg's Story is a short film that gives a glimpse into the life of Greg Price and the healthcare journey that5/21/2019 10:08:56 PM63
#SuperSHIFTER Saegis: advancing patient safety and practice management685725/15/2019 7:44:38 PMSuper SHIFTERS ​Margaret Hanlon-Bell is the Chief Executive Officer of Saegis, a wholly-owned subsidiary of the Canadian Medical Protective Association (CMPA); Dr. Tom Lloyd is Director of the Saegis Safety Institute, responsible for the planning and direction of programs for physicians, healthcare professionals and institutions. Saegis was established by the CMPA in 2017. Margaret Hanlon-Bell Dr. Tom Lloyd Why was Saegis created? Margaret Through research and data gathered by the CMPA, it was determined that there was a greater need in the healthcare space to reach out to multidisciplinary healthcare teams and to hospitals and institutions with programs that focus on reducing risk and improving outcomes for both patients and healthcare professionals. Saegis was formed to meet that need. The mission of Saegis is to make a difference in healthcare provider and patient experience through professional development, quality improvement and practice management solutions. What is unique about the programs and services you offer? Margaret We have been able to leverage some of the work that the CMPA has done with physicians over the years and provide additional, complementary programs to multidisciplinary teams. We have looked at the medical-legal risks and applied what we have learned from their outcomes to both the system and the culture, from a team perspective. Knowledge and communication are key in improving patient safety across the country. From a broad view, the core areas we focus on include teamwork and communication, changing culture, and disclosure. Our SafeOR program is unique in that it is an educational and quality improvement program designed to generate lasting improvements to the safety, efficiency and culture of hospital operating rooms (ORs). The program leverages intra-operative data and insights from the OR Black Box, developed by Dr. Teodor Grantcharov from St. Michael's Hospital. The program delivers customized and evidence-based education, coaching and other safety initiatives for operating room teams. Another area we focus on is practice management. We are helping clinics that are not within institutions, both large and small, to improve their safety for both patients and healthcare professionals. One of the first products we are launching is a cybersecurity program, as many clinics do not have the necessary infrastructure in place to deal with these types of issues. How do you determine what patient safety programs Saegis will provide? Tom What is important is that we are not trying to reinvent the wheel here. There are some great courses and interventions from around the world and also within Canada that we are leveraging. For example, we partnered with the University of Toronto on an opioid-prescribing educational session that we are moving across the country. We partnered with Outcome Engenuity, who have decades of experience in just culture, to bring that program to Canada. There is a communication program that has been running for many years in Australia, the United Kingdom (UK) and many other jurisdictions with some great results, so we partnered with the Cognitive Institute and Medical Protection Society to bring the Clinical Communication Program to Canada to fill that need. In terms of engagement, we look at trends from CMPA data, review the literature, and have thoughtful discussions with colleges and hospitals to identify the gaps. Then we put together meaningful interventions that are going to drive change. When we can get many people from different disciplines within the same organizations talking the same language, looking at barriers, and doing things together along the lines of a program, we have a much better chance of driving the cultural change. With the experience you bring to the table, can you share any key learnings or "Aha!" moments? Margaret It is very important that the focus in healthcare is on improving culture within institutions. There is a realization that this will lead to improved outcomes for all. When I look at the Saegis product offering, I see programs specifically designed to help improve communication and culture and to help reduce risk. It is very exciting. Tom I trained in surgery in the UK and have worked in the medical-legal field for about 12 years and I have seen many medical-legal and patient safety events. Whether it is here in Canada, across the UK, Ireland, South Africa or the Far East, it is basically the same issues that are causing trouble. Communications in all forms and the impact of culture are the drivers I have frequently experienced. You have an individual responsibility, but the environment that you work in also has a big impact. When I think about just culture, if you can institute that, you can make quite a difference in the way that a unit, a department, or even an organization operates. The surrounding culture is so important if you're really going to push a healthy attitude toward patient safety and make things right for both staff and patients. Where can we go to learn more and what call to action would you like to leave with us? Tom The message I would like to leave with physicians and healthcare providers is the value of teamwork, communication and culture and how that can have a significant impact on their ability to practice safely. If you can develop skills and knowledge in these areas, you can make a difference for patient safety. Margaret I would encourage people to visit our website and engage with us. Let's see what we can do to partner with you and help you achieve your goals in professional development, quality improvement and practice management. I encourage you to subscribe to our e-newsletter and sign-up to receive program updates on a regular basis. For more information, visit https// 5/15/2019 7:00:00 PM Margaret Hanlon-Bell is the Chief Executive Officer of Saegis, a wholly-owned subsidiary of the Canadian Medical Protective Association (CMPA); Dr.5/15/2019 8:28:39 PM598
Patient Safety Power Play: Awareness of the Patient Safety Crisis in Canada661425/8/2019 3:11:49 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/News%20Feed%20Icons/Chris%20Power%202016.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> In September 2017, Patients for Patient Safety Canada members set an objective to increase the public and elected official awareness about patient safety and patients as partners. CPSI contracted an IPSOS Public Affairs survey to discover Canadians' understanding of patient safety, as well as how they prioritize the issue. We also asked for their experience with patient safety incidents (PSIs), which we defined as preventable harm to patients resulting in prolonged healthcare, disability or death. We discovered that one in three Canadians have either personally experienced a PSI or have a loved one who did. However, as for patient safety, only three in ten Canadians say they know it very well or a fair amount. Five percent say they've never heard of it. When we asked Canadians to rank healthcare issues, only one third of Canadians rank patient safety in their top three priorities, with fewer than one in ten ranking it first. The next section of the survey was telling we asked about knowledge about the actual impact of patient safety on Canadians. We know that patient safety incidents are the third leading cause of death in Canada – but only one in ten knew that. Only one in ten thought that patient mortality from PSIs was anywhere close to the reality of once every 13 minutes. Finally, the 2.75-billion-dollar cost of PSIs per year was higher than expected for 60 per cent of respondents, while one in three say it was much higher. After we shared this information, we asked if that knowledge changed our respondents' healthcare priorities. After they received the facts about PSIs, there was a very significant change. Suddenly, three quarters of Canadians ranked patient safety in their top three priorities and one quarter named it the number one issue in healthcare. Three quarters were concerned about experiencing a patient safety incident, for themselves or a loved one. So, in conclusion, we know that overall awareness of patient safety and patient safety incidents is low. Even among the one third who have experienced a PSI, few Canadians are aware of the significance of the issue or how much it costs us – both financially and in human lives. However, when they are presented with the facts, Canadians overwhelmingly place a higher priority on patient safety. Increasing awareness of patient safety is key, not only the toll PSIs take both in terms of increased costs and lives lost, but how Canadians can stay safe. Canadians are not aware how serious of an issue patient safety is, and education is needed to close the gap. Together, and armed with this information, we can make a difference. You can read more about the report here, including conclusions from the report and next steps, as well as read the full report in detail. You can watch the Patients for Patient Safety Canada webinar on the subject here. I invite you to share your thoughts about the report online. Please use the hashtag #PatientSafetyRightNow in any social media you share. If you have a story about preventable patient harm, please share it with your audiences through social media – and use the hashtag. Questions? Comments? My inbox is open to you anytime at, and you can follow me on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power 5/8/2019 6:00:00 AMIn September 2017, Patients for Patient Safety Canada members set an objective to increase the public and elected official awareness about patient5/8/2019 8:06:47 PM182
Prevent healthcare-acquired infections: Share how to have Clean Care Conversations during STOP! Clean Your Hands Day430235/6/2019 2:50:36 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2019/SCHYD%202019%20infographic%202019-05-06.png?Width=140" width="140" style="BORDER&#58;0px solid;" /> 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 5/6/2019 6:00:00 AMEvery year, 220,000 Canadian patients (approximately one in nine) develop a hospital-acquired infection during their stay in hospital, and an5/6/2019 3:00:51 PM134
#SuperSHIFTER - Encourage conversations between patients and providers: 5 Questions to Ask About Your Medications114/10/2019 7:15:15 PMSuper SHIFTERS<img alt="" src="/en/NewsAlerts/News/PublishingImages/2019/Alice%20Watt%202019-04-11.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> SuperSHIFTERS Alice Watt, Medication Safety Specialist at the Institute for Safe Medication Practices Canada (ISMP Canada) and Mike Cass, Senior Project Manager at the Canadian Patient Safety Institute, were instrumental in the development and widespread dissemination of the 5 Questions to Ask About Your Medications. The 5 Questions creates a platform for patient engagement and promotes safe medication practices. What are the 5 Questions to Ask About Your Medications? The 5 Questions are a launching pad to encourage conversations between patients and healthcare providers. Patient Advocate Jill Adophe has been quoted as saying, "Patients want a dialogue, not a monologue. They want a choice and a voice." The 5 Questions tool gives patients something to think about in preparing for these conversations. ​ ​ ​ Alice Watt ​ Mike Cass How did you land on these particular questions for the 5 Questions tool? In 2014, a Medication Safety Summit concluded that a checklist would engage patients in medication safety. ISMP Canada was asked by the Canadian Patient Safety Institute to lead this opportunity, working with patients and a number of patient safety and medication specialists. Co-designed with representatives from Patients for Patient Safety Canada (PFPSC), the working group took a collaborative approach, ensuring that the patient voice guided the questions. An initial environmental scan of medication safety literature and tools produced questions for consideration. Safety tools reviewed included medication reconciliation materials that had been developed following analyses of medication incidents at transitions of care (and shared with the Canadian Medication Incident Reporting and Prevention System). Those questions were narrowed down to create the final 5 Questions that would resonate most with the target audience. What we ended up with went beyond our expectations! What do patients and providers have to say about the 5 Questions? In a recent Canadian Patient Safety Week survey, 63 per cent of healthcare providers said that patients are asking more questions about their medications, and 60 per cent of patients said they are asking more questions about their medications. Healthcare providers say they are distributing the 5 Questions to patients, posting them in examination rooms and clinics, and using the tool as a guide for conversations between patients and providers. What is being done to spread the use of the 5 Questions? We conducted several surveys with patients and healthcare providers to validate the 5 Questions and people told us to make it available in multiple languages. This has been another fascinating element of the project. Today, the 5 Questions tool is available in 25 languages from Albanian to Korean and Ukrainian. Organizations are still asking us to make the 5 Questions available in more languages and we're working on that! Another feature of the 5 Questions is that healthcare organizations can add their logo to the tool, and it has been customized by more than 200 organizations to date. More than five million patients are learning about the 5 Questions through an eye-catching digital poster campaign in doctors' offices and hospital waiting rooms in Ontario, Alberta, British Columbia and Quebec. The 5 Questions tool has also been shared with organizations in other sectors through initiatives like the Home Care Collaborative and the Medications Safety at Transitions of Care Safety Improvement Project. Were there any surprises or key learnings that you can share in developing the 5 Questions? The enthusiasm of patients to promote the 5 Questions in their communities has been so rewarding. They have asked for copies and distributed them locally in grassroots efforts. There has been interest from sectors outside of acute care, including long term care, home care, primary care, and the 5 Questions have proven useful at transitions of care. We've been delighted by the international interest in the tool and the fact that it's now available in so many languages around the world. We know that working with patients and having them participate in the co-design was crucial and will continue to be important as we develop new tools. There's always room for modification, but as they were created, the 5 Questions have become a successful platform for starting a conversation. We tapped into an unmet need and the pick-up has snowballed. Have you expanded on the initial 5 Questions tool? A new 5 Questions handout has been developed with the Canadian Deprescribing Network and Choosing Wisely Canada, with the goal of reducing the use of opioids for pain after surgery. Key messages in the handout focus on safe storage and disposal of opioids. We are now looking at developing a 5 Questions tool to address the use of opioids for short-term pain and dental pain. Where can our readers go for a copy of the 5 Questions, or learn more? Click on the link to download the 5 Questions to Ask About Your Medications poster. For more information, contact or 4/11/2019 6:00:00 AMSuperSHIFTERS Alice Watt, Medication Safety Specialist at the Institute for Safe Medication Practices Canada (ISMP Canada) and Mike Cass, Senior4/10/2019 7:38:04 PM877
Patient Safety Power Play: April comes in like a lion!8494/5/2019 7:05:52 PMPatient Safety Power Plays<img alt="" src="/en/NewsAlerts/News/PublishingImages/Chris%20Power.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> My favourite quote about Spring is that March comes in like a lion but goes out like a lamb. However, since we are north of the 49th parallel, we know the old saying applies more accurately to April. With the number of projects and initiatives on the go at CPSI, we are certainly coming in to April like a lion – though we have no intention of going out like a lamb! First, I would like to announce the upcoming STOP! Clean Your Hands Day on May 6. Our national part in the World Heath Organization's global SAVE LIVES Clean Your Hands campaign recognizes the importance of hand hygiene in stopping healthcare-acquired infections. Cleaning our hands is the easiest way to prevent the spread of infection. Our theme this year is Clean Care Conversations, and we are developing tips and tools everyone can use to start discussions about hand hygiene. You can register for updates here to be notified when new tools or activities are announced. Next, I want to recognize the work that we are doing through our Policy, Legal and Regulatory Affairs (PLRA) Advisory Committee. Made up of healthcare and regulatory members from across Canada, the group met to provide guidance for CPSI on next steps to influence legislation and policy related to mandatory incident reporting in Canada. They offered feedback on the newest draft of CPSI's Policy Influence Framework, consulted on the Canadian Quality and Patient Safety Framework, and provided strategic advice on CPSI's broad and increasing involvement in new and emerging policy issues. Our next in-person advisory committee meeting is planned for this fall, and I promise to keep you updated. We held another important meeting recently, the first ever for the Federal, Provincial, and Territorial Government Patient Safety Network. This network, comprised of Health Canada members and Assistant Deputy Ministers from provinces and territories across Canada, met to share their common priorities and to align priorities around patient safety in their jurisdictions. Several themes emerged from the discussion, including each jurisdiction's desire to Learn about other jurisdictions' policies and legislation; Focus on not only patient safety but also health care provider safety; Create a transparent and just culture; Learn about reporting, learning and sharing data from adverse events; Improve patient and public engagement; Thread cultural safety throughout policies; and Acknowledge the impact of the social determinants of health. The enthusiasm from the group to keep collaborating is just what we need to help meet CPSI's goals of strengthening commitment. Finally, I have to offer my most sincere congratulations to the Safety Improvement Project teams who have spent the first few months of the year promoting our brand new 18-month learning collaboratives. Thanks to their diligent efforts and the overwhelming response from healthcare organizations across the country, all three will begin this month with full enrolment! I invite you to share news online about STOP! Clean Your Hands Day, our successful outreach efforts, and if your group is participating in the upcoming learning collaboratives. Please use the hashtag #PatientSafetyRightNow in any social media you share. If you have a story about preventable patient harm, please share it with your audiences through social media – and use the hashtag. Questions? Comments? My inbox is open to you anytime at, and you can follow me on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power 4/5/2019 7:00:00 PMMy favourite quote about Spring is that March comes in like a lion but goes out like a lamb. However, since we are north of the 49 th parallel, we4/5/2019 7:24:09 PM298
#SHIFTtalks - Reducing abuse and neglect with BCPSLS re:act8464/4/2019 7:21:36 PMSHIFT Talks<img alt="" src="/en/NewsAlerts/News/PublishingImages/2019/shifttalks%202019-04.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> The British Columbia Patient Safety & Learning System (BCPSLS) has developed an online tool to assist regional health authorities in identifying cases, supporting investigations, and tracking outcomes of adult abuse, neglect, and self-neglect. BCPSLS is the web-based system used by healthcare professionals across BC to report and learn from adverse events, near misses, and hazards. Its mission is to make healthcare safer by fostering a culture of safety, shared learning, and continuous system improvement. Left to right Tammy Simpson (Provincial Coordinator, BCPSLS), Amanda Brown (Director, ReAct Adult Protection Program, VCH) and Sherry Lin (Analyst/Assistant, ReAct Adult Protection Program, VCH) The online tool used to support vulnerable adults is called BCPSLS react. It was first launched in 2011 as a partnership between BCPSLS and Vancouver Coastal Health (VCH) to support VCH's ReAct Adult Protection Program. In 2017 the tool was revised, streamlined, and made available to regional health authorities across the province. So, what have we learned so far? First, we've learned that BCPSLS react is a leading practice in Canada. In 2018, the Canadian Patient Safety Institute, HealthCareCAN, and Health Standards Organization, with support from Patients for Patient Safety Canada, awarded BCPSLS react a Leading Practice within their Excellence in Patient Engagement for Patient Safety recognition program. Second, we've learned that the type of adult abuse and neglect most frequently reported is self-neglect. Signs of self-neglect can include poor personal hygiene, a home environment in disarray, multiple interactions with ambulance services within a short period of time, or an unexpected change in a client's ability to self-manage a chronic condition such as diabetes. A client in this situation may require additional supports such as a revised care plan, further monitoring, or admission to hospital. Another big issue facing BC's vulnerable adult population is financial mismanagement. Although it's not identified as frequently as self-neglect, it can have an enormous impact. In addition to financial losses, it can affect the adult's access to basic necessities, use of healthcare resources, and individual freedom and rights to decision-making when an assessment is needed to determine the adult's incapability. But the most important thing we've learned about BCPSLS react is the positive difference it can make in people's lives. Use of the tool encourages healthcare professionals to put on their "adult guardianship hats", become familiar with identifying cases, and take action to help people who are suffering. One example of this took place last year at an emergency department in BC. A clinician noticed signs of abuse and immediately connected with a designated responder. The designated responder was able to review records in BCPSLS react and identify a long-standing abusive situation. Investigators were then able to complete their investigation and protect the adult from further abuse. Without a resource like react, this patient may not have received the support they needed. According to Susan Barr, Specialist, Vulnerable and Incapable Adults at Island Health, if people receive interventions early, they can stay safe and require fewer services down the road. "Adult guardianship is a holistic view of a patient," explains Susan. "Rather than focusing solely on an ailment, such as a broken hip, it helps identify other supports for patients who have difficulty getting help for themselves. When designated responders become involved, a different lens is applied that can help prioritize patient needs and inform discharge planning." One of the most valuable aspects of BCPSLS react is its ability to capture reports from all levels of healthcare in one secure repository. Records remain centrally located while they are accessed, reviewed, and updated by designated responders across programs and facilities. In addition, users can upload documentation, such as care plans, that can be shared and updated by investigators as needed. Meghan McMenamie is the Site Leader, Social Work, for Mount Saint Joseph and Holy Family hospitals within Providence Health Care (PHC). She believes BCPSLS react is particularly important for PHC because it facilitates communication between its hospital-based services and the community. "React provides a forum for us to pass information back and forth with the community," explains Meghan. "For our high-risk adult protection cases, it's hugely beneficial for us to be able to tag our partners within community services so the patients and their information don't get lost." BCPSLS react also helps provide clients with dignity and person-centred care, as designated responders are able to engage appropriate programs across the continuum to ensure that care providers are on the same page. "Continuity and consistency are so important," adds Meghan. "Healthcare is at its weakest at transitions, so anything we can do to mitigate risk helps us to provide better care to our patients." As use of BCPSLS react spreads through the province, it's exciting to see how health authorities in BC are using the tool to support their adult protection programs. Congratulations, again, to everyone who has helped make BCPSLS react a success in supporting vulnerable adults! 4/4/2019 6:00:00 AMThe British Columbia Patient Safety & Learning System (BCPSLS) has developed an online tool to assist regional health authorities in identifying4/4/2019 7:28:40 PM657
Patients for Patient Safety Canada recognized as world leader in patient engagement647134/2/2019 5:33:58 PMPatient Safety News<img alt="" src="/en/NewsAlerts/News/PublishingImages/2019/Lisbon%20meeting%20full%202019-04.jpg?Width=140" width="140" style="BORDER&#58;0px solid;" /> ​The World Health Organization (WHO) made patient engagement a priority in 2005 by creating the Patients for Patient Safety (PFPS) Programme and launching a global network of PFPS Champions committed to the vision and pledge for partnership described in the London Declaration "to make care as safe as possible as soon as possible". Patients for Patient Safety Canada (PFPSC) is the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the WHO PFPS network. Since 2006, PFPSC members have partnered in hundreds of patient safety initiatives across Canada at international, national, provincial and local levels. Sharon Nettleton, one of PFPSC's founding members and a past Co-Chair of the volunteer network, has seen great changes in patient engagement making care safer since PFPSC was formed more than a decade ago. "Our impact is seen here in Canada and around the world too," says Sharon. "Many things we first envisioned when PFPSC began have come true – we've played a major role in developing and improving policies and practices, and in education and communication by bringing our perspectives and experiences forward. We've changed hearts and minds by role modeling patient engagement and demonstrating how successfully it can work. Instead of being seen as 'individuals driven by anger or grief', we are now viewed as 'needed partners' who want to be part of 'needed improvements.' Our work empowers us to continue and also encourages others to engage and contribute as patient partners." In April 2017, the Canadian Patient Safety Institute was designated as a WHO Collaborating Centre for Patient Safety and Patient Engagement. To date, the Canadian Patient Safety Institute is the only Collaborating Centre in the world to receive the patient engagement designation. "Patients for Patient Safety Canada is a valued contributor to decisions and actions of the WHO PFPS Advisory Group and are regularly called upon to present at high level meetings and to varied audiences," says Dr. Neelam Dhingra-Kumar, WHO's Coordinator for Patient Safety and Risk Management. "PFPSC members have shared their experiences and mentored similar programs in Ireland, Malaysia, Australia and Mexico. As volunteers, they generously contribute their expertise, playing an instrumental role in shaping the global PFPS Programme and community." In February 2019, the WHO's PFPS Advisory Group invited the Canadian Patient Safety Institute to help guide the global effort to enhance patient and family engagement for the provision of safer health care. Attendees acknowledged the extraordinary success of the Canadian Patient Safety Institute and PFPSC partnership in Canada, considering it an exemplary model that should be replicated in other countries. Attendees at the February 2019 WHO expert consultation meeting. Left to right Dr. Neelam Dhingra-Kumar (WHO), Ioana Popescu (CPSI), Sir Liam Donaldson (WHO), Katthyana Aparicio (WHO), and Sandi Kossey (CPSI) At the meeting, the group discussed the recent WHO Executive Board Global Action on Patient Safety resolution (February 1, 2019) which urges member countries to recognize patient safety as a key priority. It recommends several actions to improve safety, including engaging patients/patient groups as partners. The WHO Director General was asked to submit a progress report on the status of implementation of this resolution in 2021; therefore, this resolution presents an extraordinary opportunity for the WHO PFPS program and global community. "Patient safety is a critical element and the foundation for delivering quality health care," says Sir Liam Donaldson, WHO Envoy for Patient Safety. "The input from the Canadian Patient Safety Institute and PFPSC, as key international experts, will aid in defining a new global vision, strategic directions, and priority interventions and deliverables at international, national and local levels. Over the last 15 years the PFPS Programme achieved much of what we imagined, and, in this journey, we confirmed that we need to partner with patients for patient safety now more than ever." In Canada, PFPSC regularly reviews and revises its goals and priorities to ensure they advance safe care. The group is confident their current priorities are well aligned with the recommendations in the 2019 WHO resolution. These include medication safety, engaging the public and elected officials in advancing safe care, and partnering with other patient groups to advance common patient safety goals. "Over the last decade, PFPSC has progressed from being asked to share their experiences, to now increasingly being asked to contribute as full members of committees, boards, faculty and teams. It has been a real culture shift to help improve safety," says Linda Hughes, PFPSC Co-Chair. "We have championed not only our patient safety cause but also how to effectively engage and empower patients. We have developed a very credible and influential community of patient and family partners across Canada. We are committed to the long-term journey ahead where patients and families are seen as true partners as common practice in every interaction, every setting, and every health system level." Patients for Patient Safety Canada welcome questions, input and ideas at For more information, visit and https// 4/3/2019 6:00:00 AMThe World Health Organization (WHO) made patient engagement a priority in 2005 by creating the  Patients for Patient Safety (PFPS) Programme4/2/2019 5:45:04 PM552
Choosing Wisely Canada releases five-year report647084/2/2019 5:24:27 PMPatient Safety News ​April 2, 2019 marks five years since the Choosing Wisely Canada campaign officially launched. The campaign was established to raise awareness about the harms of unnecessary tests and treatments in health care by encouraging conversations between clinicians and patients. Five years later, Choosing Wisely Canada has grown considerably thanks to dedicated clinicians, patients, and partners from coast-to-coast. To celebrate this year’s anniversary, Choosing Wisely Canada has released a report on the campaign’s efforts to reduce overuse in health care. This report highlights what the campaign has accomplished to date, and how we can continue this momentum in the future. To read the report, please visit 4/2/2019 6:00:00 AMApril 2, 2019 marks five years since the Choosing Wisely Canada campaign officially launched. The campaign was established to raise awareness about4/2/2019 5:30:51 PM347
#SuperSHIFTERS Advocating for Patient Safety: Patients for Patient Safety Canada Government Relations Committee689963/15/2019 9:32:30 PMSuper SHIFTERS ​#SuperSHIFTERS Brian Penner, Government Relations Committee Chair, and Linda Hughes, Co-Chair of Patients for Patient Safety Canada (PFPSC), shared their insights on advocating for patient safety. The Government Relations Committee is made up of these two individuals, along with PFPSC members Judy Birdsell, Katarina Busija, Allison Kooijman, Maryanne Murray, Sharon Nettleton, and Donna Penner. This group of energetic patient safety advocates work tirelessly to elevate the profile of patient safety in Canada, to raise expectations for improvement among governments, the public and patients themselves. Why did Patients for Patients Safety Canada form a Government Relations Committee? About two years ago, we had an in-person meeting of PFPSC members, where we established our priorities over the next few years. One of those priorities was to increase public awareness of patient safety and patients as partners. A key initiative that came out of that discussion was to increase awareness with federal, provincial and territorial governments. To fully engage with politicians we needed to be organized. From that, the Government Relations Committee was formed; eight PFPSC members volunteered to sit on the Committee. Our mandate is to connect with government officials at the national, provincial and local level. What can you tell us about your Patients at Parliament campaign? On October 30, 2018, in conjunction with Canadian Patient Safety Week (CPSW), 13 patients from across Canada travelled to Ottawa to participate in Patients at Parliament, a unique campaign to raise awareness of patient safety with parliamentarians. Five teams of patient advocates met face-to-face with 31 members of Parliament and Senators in ten buildings across the parliamentary precinct over the course of eight hours. Participants spoke about their personal experience with harm and delivered medication safety messages from the CPSW campaign. Members of the Standing Committee on Health were selected as a priority and we looked for both regional and all-party representation in selecting the parliamentarians to visit. We provided copies of the Five Questions to Ask About Your Medications and asked them to share it widely. We talked about the importance of a national reporting system to report adverse events and a pharmacare program to collect and disseminate information on medication errors. We also asked them to support the Health Canada petition calling for Plain Language labelling on medications. A lot of groundwork happened to make our visits productive. We were armed with an information package prepared by the Government Relations staff at the Canadian Patient Safety Institute that provided us with background data, biographies and talking points to keep our discussions on track, and of course maps so that we did not get lost as we moved from one building to another. We were accompanied by CPSI staff who kept our meetings on track and helped us to move efficiently between the scheduled appointments. Were there any key learnings from the Patients at Parliament meetings? First and foremost, the meetings reinforced the power of the narrative story. For each meeting, one member of the team told a personal story about patient safety and how they were harmed by the healthcare system. That really resonated with the politicians and many of them had personal stories to tell us as well. Second, while we made a fairly big impact with this inaugural campaign, our work does not stop there. Some of the MP offices contacted us in the days following the meetings to ask for more information, but overall the range of awareness and understanding of patient safety as a significant issue varied. It reinforced the value of a personal connection and the importance of following up. Third, an event like this is a great way to build awareness and start to build a relationship with government officials. We took away some dos and don'ts that will provide a template that we can apply for future meetings with MPs and MLAs. What's next for the Government Relations Committee? As a follow-up to our meetings on Parliament Hill, we want to make a presentation to the Standing Committee on Health to reinforce the importance of patient safety. We want to reinforce the need for legislation and regulations on mandatory reporting of adverse events and medication errors. We made a good start in increasing awareness on the widespread and serious problem of harm in healthcare. We will continue our outreach to federal parliamentarians and expand our efforts to include provincial elected officials. We are still at an early stage of planning our provincial campaign, and are looking to hold a number of round table discussions to raise awareness of patient safety across the country. We have developed a draft guide to serve as a template for patient engagement with governments. The guide is currently being tested with PFPSC members and is expected to be made available by mid-2019. The Government Relations Committee will be working closely with the PFPSC Communications Committee to implement a major public awareness campaign. A recent IPSOS survey confirmed that once people know that patient safety incidents are the third leading cause of death in Canada, they become very concerned. We will advocate for the consolidation and dissemination of data on patient safety incidents; and push for legislation and regulations to ensure full disclosure to patients and families when a harmful event occurs. Every patient safety incident should involve the patient and family at the outset and throughout the process. How can we get more information? Direct your questions and comments to More information is available at 3/15/2019 9:00:00 PM #SuperSHIFTERS Brian Penner, Government Relations Committee Chair, and Linda Hughes, Co-Chair of Patients for Patient Safety Canada (PFPSC), shared3/28/2019 7:36:42 PM885