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CPSI Share                                                  
9/11/2012 6:00 PM

​​The annual Canadian Health Accreditation Report – Required Organizational Practices, Emerging Risks, Focused Improvements identifies strengths and improvements to improve quality and safety. In 2011 on-site surveys were conducted by external peer surveyors with 288 Canadian healthcare organizations.

The report highlights the value of Accreditation Canada’s patient safety goals – the required organizational practices – in contributing to patient safety, reducing harm, improving client outcomes and decreasing unnecessary healthcare system costs. The findings are a useful tool for healthcare leaders, ministries of health, quality councils and national stakeholder organizations to further inform their improvement work. 

The report provides a three-year comparison of patient safety goals in safety culture, communication, medication use, worklife/workforce, infection control and risk assessment; and reports on four new required organizational practices (ROPs) – home safety risk assessment, workplace violence prevention, safe surgery checklist and venous thromboembolism (VTE) prophylaxis.

The three ROPs with the highest national compliance rates, all above 95 per cent, were infection control guidelines; client safety training and education in safe medication use, effective communication, infection prevention and control, and hand hygiene; and reporting and follow-up for sentinel events, adverse events and near misses.  Medication reconciliation showed the greatest area of improvement over the past year, with a 15 per cent increase in national compliance rates in all aspects of medication reconciliation.

The top opportunities for improvement include conducting medication reconciliation at transfer/discharge and providing venous thromboembolism prophylaxis for at-risk clients.

Click here to access a copy of the 24-page Canadian Health Accreditation Report. For more information on the accreditation survey, visit