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CPSI Share                                                  
11/4/2012 5:00 PM

​​Canada’s Virtual Forum on Patient Safety and Quality Improvement

The fifth and final session of Canada’s Virtual Forum on Patient Safety and Quality Improvement provided presentations and panel discussions focused on the question,” Is healthcare safer?”  The five-day Virtual Forum provided 20-hours of presentations that drew 4,286 unique registrants from 1,687 sites in 22 countries, saving over 668 tonnes of CO2 emissions. All presentations have been archived; click here to view or to download sessions at your convenience.

The opening presentation on day five provided an overview of the processes involved in inquiries and reviews, focusing on recent reports coming out of Alberta and British Columbia. Dr. John Cowell (CEO, Health Quality Council of Alberta) discussed the HQCA Quality Assurance Reviews and Inquiries, and Dr. Doug Cochrane (Chair and Provincial Patient Safety & Quality Officer, BC Patient Safety & Quality Council) provided detail on Investigation into Medical Imaging, Credentialing and Quality Assurance.  Based on their findings, both Dr. Cowell and Dr. Cochrane reinforced that robust quality assessment systems that monitor competence and justly address performance issues, credentialing and privileges and communicating with patients and families in ways that are timely and respectful are key to supporting quality care for patients.

As board members and healthcare executives, Maura Davies (Board Chair, Canadian Patient Safety Institute and CEO, Saskatoon Health Region) and Wendy Nicklin (former board member of CPSI and current President and CEO, Accreditation Canada) discussed the most significant patient safety improvements in Canada over the last 10 years.  They talked about their “a-ha” moments, balancing patient-centred care with fiscal restraints and opportunities to share rather than reinvent patient safety strategies. They reinforced how much we can learn from one another when it comes to the perspective of patients and families, or stealing shamelessly from other healthcare providers in order to enhance quality and patient safety initiatives.

The French presentation was provided by Ariella Lang (Research Scientist, VON Canada), who reviewed research on home care safety, and the differences between safety in this environment and current research in institutional care.

The Resources to help you succeed presentation highlighted the Canadian Incident Analysis Framework.  Key enhancements to the framework include the inclusion of the patient/family perspective, multiple methods to analyze incidents, placing analysis in the incident management continuum, innovative diagramming and a new section on developing and managing recommended actions.  Information on learning modules and upcoming information calls was also provided.

During a panel discussion to reflect on the question, “Is healthcare safer?”,  Andre Picard (Health Report, The Globe and Mail), Dr. Doug Cochrane (BC Patient Safety & Quality Council), and Donna Davis (Co-Chair, Patients for Patient Safety Canada) had a thoughtful conversation and provided perspectives on  the value of the patient’s voice and the barriers, challenges and opportunities to advance patient safety and quality.  They encouraged broader discussion with an open and honest conversation, the value of measurement and indicators to demonstrate if we have moved the bar, more training and education in patient safety, reinforcing a safety culture amongst provides, sharing knowledge and learning and to be “plan-full”, not “react-full” when designing systems.

Hugh MacLeod, CEO of Canadian Patient Safety Institute, closed the Virtual Forum thanking everyone who participated.  Particular appreciation was extended to Carol Kushner, Anne Findlay, Johanna Trimble, Judy Duchscher and Bernie Weinstein, the family members who provided the emotional patient narratives that set the stage for each day’s presentations.

MacLeod praised the 1,800 healthcare organizations that participated in Canadian Patient Safety Week and showcased some of the activities that demonstrate the commitment to patient safety and quality improvement. He summarized the essence of the Virtual Forum’s 35 sessions delivered and invited participants to continue the conversation online.  With the mantra, Ask.Listen.Talk., MacLeod reinforced that context is everything and that we have a better understanding of patient safety and quality improvement and, with a leadership commitment, we have the capacity and readiness to change; denial is our greatest threat and we need to address the gap between outcomes and experience; the value of relationships and culture that supports an open and honest dialogue; and listening to, encouraging and respecting the voice of the patient/client/resident.

The winner of the The Med Safety Goes Viral: 2012 Medication Safety Video Competition was announced.  The 14 Med Safety videos entered in the competition were profiled throughout the week and received 16,827 views on YouTube.  The overall winner was the Trillium Health Centre submission, Bring Your Own Bottle.  The Philippines Heart Centre medication safety video received the most views, with 4,553 hits. The Virtual Poster Presentations also showcased the great work in quality and patient safety that is being undertaken across the country. 

Highlights of the Virtual Forum were tweeted steadily by those in attendance or watching the video stream (#patientsafetyforum).  Participants are encouraged to share what they have learned and we want to hear your perspective! Ignite the conversation and send your thoughts, ideas and patient stories to