Holland Bloorview Kids Rehabilitation Hospital (Holland Bloorview) in Toronto lives and breathes a culture where patient safety is everyone’s responsibility. Their patient safety strategy is anchored in and aligned with organizational priorities. Patients and families are part of Holland Bloorview’s DNA and engaged as partners in the organization’s patient safety journey.
Having the patient and family perspective is what has helped to cement the Holland Bloorview patient safety strategy. “Our strategy has always been to ensure a cross-sectional representation of leadership in learning opportunities – including our family leaders – to ensure cross pollination and understanding that everyone has a role and responsibility in safety,” says Sonia Pagura Senior Director of Quality, Safety and Performance (Holland Bloorview).
The journey began in 2010, identifying key leading agencies that could provide training to build knowledge, increase capacity and function as organizational agents of change as it relates to safety. In 2012, five Leaders in Collaborative Practice and Risk and Safety attended the Canadian Patient Safety Institute Patient Safety Officer Course. Senior Leadership within Holland Bloorview further committed to patient safety by supporting additional training to build organizational capacity. In the Fall of 2012, a cohort of 13 leaders which spanned clinical programs, pharmacy, patient safety, risk, collaborative practice, clinical educators, client and family relations and families attended the Patient Safety Education Program – Canada (PSEP – Canada). “The PSEP program provided an evidence-based framework,” says Sonia Pagura. “We bridge and anchor everything we do in evidence, leveraging PSEP – Canada as the vehicle to build organizational knowledge around patient safety.”
As Holland Bloorview was approaching Accreditation in 2013, the newly formed cohort agreed that the PSEP – Canada framework would be ideal in delivering education around patient safety. The 13 PSEP – Canada trained staff delivered 27 educational sessions in culture, systems failure and human factors. The sessions are married with real-life examples from day-to-day practice and outline what is needed from staff. There have been multiple opportunities for participation; 59 per cent of staff and 100 per cent of leadership have attended the sessions. Evaluation indicates that and 83.3 per cent found the sessions very useful to their practice and 70 per cent wanted more sessions to help further enhance an environment of patient safety. Efforts are now being made to build physician leadership capacity and to create a pediatric rehabilitation module for system use and to contribute to the pan-Canadian effort, which tends to be acute-care focused.
The PSEP – Canada training has also helped to increase awareness around their Patient Safety Culture Survey—an Accreditation Canada requirement. An outstanding 89 per cent response rate was achieved, with an over 30 per cent increase from the previous survey. In addition, an authenticity tool around client satisfaction confirms that families feel that they are partnered with, engaged and respected in their relationship with the organization. “When you include key stakeholders and capitalize on what they can offer and contribute, it creates an evolution of partnership and collaboration across all areas,” says Sonia Pagura.