|Hand Hygiene Toolkit||38911||Guide;Toolkits||6/3/2015 4:47:25 PM||This comprehensive Hand Hygiene Toolkit allows you to start improving hand hygiene in your organization. You can buy this toolkit here. Additional copies of some of the tools available in the Hand Hygiene Toolkit can be found below.
Hand Hygiene Toolkit resource links to scholarly literature and fact sheets can also be found in the Resources section.
Copies of the hand hygiene education PowerPoint presentations can be found in Hand Hygiene Education.
Looking for the Patient and Family Guide? You can find it plus other resources in the Patients & Their Families section.
Hand Hygiene Observation Tool
WRHA Hand Hygiene Observation Tool
WRHA Hand Hygiene Audit Instructions
On-the-Spot Feedback Tool
Hand Hygiene Surveillance Instrument
Guidebook for Use of Hand Hygiene Surveillance Instrument
Instructions for Using the Hand Hygiene Surveillance Instrument
A Simple Framework and tools for Establishing Accountability in Hand Hygiene Programs
How to Handrub
How to Handwash
4 Moments for Hand Hygiene (poster)
WHO Facility-Level Situation Analysis
WHO Template Action Plan
||This comprehensive Hand Hygiene Toolkit allows you to start improving hand hygiene in your organization. You can buy this toolkit here .||7/19/2017 8:04:47 PM||1201||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|Tools & Resources||35066||3/25/2009 3:33:37 PM|| ||Tools & Resources||Tools & Resources||3/28/2019 2:34:57 PM||9424||https://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Events||35071||Events||6/4/2015 6:09:31 AM|| ||Events||3/25/2019 5:51:33 PM||2287||https://www.patientsafetyinstitute.ca/en||html||True||aspx|
|Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit||38897||Getting Started Kit||7/1/2015 8:51:29 AM|| Effective March 14 2019, the Canadian Patient Safety Institute has archived the Central Line-Associated Bloodstream Infection (CLABSI) intervention. Though you may continue to access the Getting Started Kit online, it will no longer be updated. These free resources are designed to help you successfully implement interventions in your organization. Getting Started Getting Started Kit 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. One-Pager The 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 Icons Use 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.
||CLI: Getting Started Kit||3/25/2019 8:12:35 PM||1023||https://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Forms/NewDefaultView.aspx||html||False||aspx|
|#SHIFTtalks Supercharge your hand-hygiene education: Are you a Tough Scrubber?||49430||News||10/2/2017 4:38:32 PM||10/2/2017 6:00:00 AM||
Photo caption Occupational therapist Laura Shapiro (left) and physiotherapist Rebecca Bunston (right) helped develop Tough Scrubber at St. Michael’s Hospital.
By the St. Michael’s Hospital Heart and Vascular Program’s Quality and Safety Leader Group
Fun, fast, challenging, hilarious. Is this how your staff would describe their hand-hygiene education? Try Tough Scrubber and they just might. In the Heart and Vascular Program at St. Michael's Hospital, our traditional hand hygiene interventions were feeling a bit stale. Engagement was low – and honestly, it showed in our compliance rates. We needed more than a poster. We needed a sensation! Enter
Tough Scrubber, the brainchild of our program's Quality and Safety Leader Group. A play on the
Tough Mudder concept, front-line staff go through a fast-paced, over-the-top simulation that's tailored for their clinical area. There's a quick quiz before they start and a quick debrief after they finish… and that's it. The whole process takes 10 minutes or less. We're happy to report, it was a huge hit! This five-minute video will tell you more about how Tough Scrubber works. We've also put together a
toolkit to help hand-hygiene champions implement Tough Scrubber in their own hospitals and health-care organizations.
For us at St. Michael's, Tough Scrubber opened the door to a new way of thinking about hand hygiene. It's OK to ask questions and to give your colleagues feedback – we're all learning. Doing hand hygiene correctly can be tough, but it's much easier when we help each other out. To date, 43 Heart and Vascular staff have completed Tough Scrubber, and our hope is that you will too. All it takes is our toolkit, 4-5 hand-hygiene leaders (to run the activity and pose as patients), an empty patient room with two beds, and the everyday equipment described in the scenarios (e.g. a wheelchair, a basin). In our Heart and Vascular Units, we've improved our compliance rate for Moment 1 by 27% in three years. This is certainly the result of a combination of years of education, hard work and many different kinds of interventions. However our Tough Scrubber sessions truly felt like the tipping point. For more information on Tough Scrubber and to download the toolkit, visit
www.stmichaelshospital.com/toughscrubber. Try it, and let us know how it worked for you! If you have any questions or feedback, please contact us at
Photo caption: Occupational therapist Laura Shapiro (left) and physiotherapist Rebecca Bunston (right)||10/25/2017 2:06:55 AM||189||https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Forms/AllItems.aspx||html||False||aspx|
|STOP! Clean Your Hands Day||36689||Events||6/3/2015 4:46:05 PM||
May 6, 2019 Clean Care Conversations. #STOPCleanYourHandsDay #CleanCareConversations STOP! Clean Your Hands Day takes place on Monday, May 6, 2019. This year's theme is Clean Care Conversations. Learn how to start a compassionate clean care conversation with your healthcare provider, patient, or colleague with our activities this year. Register today to access tools, information and resources to support Clean Care Conversations.
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. 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.
Here's a run down of what we've got planned for STOP! Clean Your Hands Day 2019Clean Care Conversations Webinar
Register for our webinar on May 6 to learn how to promote clean care with your patients and colleagues. Moderated by The Germ Guy, Jason Tetro, this webinar includes Prince Edward Island's medical microbiologist and infectious disease consultant, Dr. Greg German, and Saskatchewan Patients for Patient Safety Canada patient partner, Carmen Stephens. Healthcare providers and administrators will learn how to introduce clean care conversations with patients and their families, engaging the public in ways to prevent healthcare-acquired infections.
Webinar Sign-up Special feature of PATIENT Podcast Download a special new episode of our award-winning PATIENT Podcast and learn how to start a clean care conversation. Stay tuned for the new episode!In the meantime, you can catch up on season 1 and season 2 of the PATIENT podcast.
Tip sheets for public and healthcare providers
Public Download tips on how to start a clean care conversation with your provider.
Provider Download tips on how to start a clean care conversation with your patients.
Download #CleanCareConversations Quizzes Do you know how to have a conversation about clean care? Take the quiz and see for yourself! We have two quizzes this year. One for the public and one for the healthcare providers.
Take Quiz Social media campaign Show us on social media how you're starting #CleanCareConversations. Share photos of your #STOPCleanYourHandsDay events and activities and of you cleaning your hands. There will be a giveaway of GOJO products based on social media activity. #STOPCleanYourHandsDay Facebook FrameTo add a frame to your Facebook Page's profile picture1. Log into your Facebook account 2. Follow Canadian Patient Safety Institute (CPSI) on Facebook https//www.facebook.com/PatientSafety3. Go to this link https//bit.ly/2vjY3EJ4. In the search box, type this frame name to find it #STOPCleanYourHandsDay Frame5. Choose the frame and click use as profile picture Sponsored by Partners
||STOP! Clean Your Hands Day||May 6, 2019 Clean Care Conversations. #STOPCleanYourHandsDay #CleanCareConversations STOP! Clean Your Hands Day takes place on Monday, May 6,||4/25/2019 8:06:48 PM||8228||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Canadian Patient Safety Week (CPSW)||36688||Events||12/8/2009 9:50:43 PM||
Welcome to asklistentalk.ca – your home for Canadian Patient Safety Week! Canadian Patient
Safety Week (CPSW) is happening this year on October 28, 2019 to November 1,
2019. The theme will be announced soon.2018 campaign
The Canadian Patient Safety Institute invites all Canadians – the public, providers and leaders – to become involved in making patient safety a priority. This year we are focusing on Medication Safety, with the goal of reducing medication errors across Canada. Our theme is
Not All Meds Get Along, prompting patients and healthcare professionals to seek medication reviews for at-risk populations.The medication crisis An estimated 37% of seniors in nine provinces received a prescription for a drug that should not be taken by this population. 2 out of 3 Canadians (66%) over the age of 65 take at least 5 different prescription medications – while 27% take at least 10 different prescription medications. In 2016, 1 in 143 Canadian seniors were hospitalized due to harmful effects of their medication.
Preventable medication hospitalizations cost over $140 million CAD in direct and indirect healthcare expenditures, with lost productivity, including time off work, adding $12 million in costs. Globally, the cost associated with medication errors has been estimated at over $55 billion. #NotAllMedsGetAlongShould you ask for a medication review? Are you, or is someone you know, on five or more medications? Have you, or someone you know, been recently discharged from the hospital? Are you concerned about the side effects you're experiencing or seeing in a loved one? Note that patients over the age of 65 are at higher risk from medication complications.
#NotAllMedsGetAlongWhat can you do?
Patients and caregivers can ask their doctor, nurse or pharmacist for a medication review. Use the
5 Questions to Ask About Your Medications to guide your conversation.
Healthcare providers can recommend a medication review if their patients are at risk. Three quarters of Canadians surveyed are interested in learning how to keep safe in healthcare, with 8 in 10 saying they would like to receive this information from a healthcare provider.
Healthcare leaders can support policies that result in safer medication practices. Join us in the World Health Organization's
Medication Without Harm Global Challenge
Sign up HERE to find out how you can help during Canadian Patient Safety Week, October 29 – November 2! Whether you are a member of the public, a healthcare provider, or leader, we have ways you can help prevent harm and promote medication safety.
Canadian Patient Safety Week Events New series of our award winning
PATIENT podcasts Medication Safety Webinar "Caption This" Comic Challenge with terrific prizes Medication Safety Quizzes - one for the public, one for healthcare providers! Virtual Screening & Twitter Talk Event of "Falling Through the Cracks Greg's Story"
Please explore the Canadian Patient Safety Week links for Tools & Resources, including our upcoming communications toolkit and tools for medication review. Discover stories of medication harm and our award-winning podcast series, PATIENT. We will continue to add new content remember to sign up for updates and the
information package HERE.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 Ask. Listen. Talk.Sponsorship The Canadian Patient Safety Institute invites you to join our network of Canadians – the public, healthcare providers and healthcare leaders – in making patient safety a priority.
Click here to see the promotional and branding benefits associated with sponsoring Canadian Patient Safety Week. If your organization is interested in sponsoring CPSW 2018, please contact
Do you have any questions or suggestions? Contact CPSI CommunicationsPhone (780) 409-8090 Toll free 1-866-421-6933
CPSW@cpsi-icsp.ca Join the conversation at #asklistentalk||Canadian Patient Safety Week||Canadian Patient Safety Week (CPSW)||4/24/2019 7:08:26 PM||7312||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Education to support mandatory ADR and MDI reporting (Vanessa’s Law)||614||Report;Patient and Family Resource;Guide||3/4/2019 9:27:01 PM||Welcome to the Education Pilot! Here are the five modules for your review
In English only Module 1
Overview of Vanessa’s Law and Reporting Requirements Module 2
Culture of Safety Module 3
ADR and MDI Reporting Processes Module 4
System Supports for Reporting and Learning Module 5
Health Canada’s Review and Communication of Safety Findings This pilot is now complete. If you are interested in finding out more about this pilot, please email email@example.com. Background Adverse drug reactions and medical device incidents occur in hospitals, emergency departments, and people's homes – but the events are significantly underreported. The Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, honours the memory of Vanessa Young, who died at the age of 15 due to a heart problem after being prescribed cisapride. The law increases safety in Canada by strengthening Health Canada's ability to collect information on drugs and medical devices and take quick and appropriate action when a serious health risk is identified. The law includes a requirement for mandatory reporting by hospitals of serious adverse drug reactions (ADR) and medical device incidents (MDI). This provision of the law will come into effect later this year. The Institute for Safe Medication Practices (ISMP Canada) is working in a joint venture with the Health Standards Organization (HSO) and the Canadian Patient Safety Institute (CPSI) to assist Health Canada with outreach and education to encourage ADR and MDI reporting.
After this initial pilot and revisions based on your feedback, the educational materials will be available in July 2019 for use in any setting to support Vanessa's Law.
How the education approach will work The educational materials will be provided in PowerPoint slides (as pdfs for the Pilot) that contain content about ADR and MDI reporting that can be used by healthcare leadership, healthcare providers, patients/ families and educators.
The PowerPoint slides are designed to be "building blocks" for you to integrate into your own learning or to incorporate into orientation, continuing education and other education activities.
Hospitals can include some, or all, of the PowerPoint slides in their orientation programs.
Educators can use the content in presentations or as part of a curriculum. Professional associations, colleges, and societies can use the content to create accredited courses or certification programs for continuing education. Patient and consumer organizations can use the materials to increase awareness and knowledge among their members.
One of the principles guiding this project is that the best people to communicate information about mandatory ADR and MDI reporting are those closest to their audience.How to participate in the Pilot
Anyone, including healthcare leadership, healthcare providers, patients and families, and educators can participate in this Pilot. We have invited healthcare leadership, healthcare providers, patients and families, and educators to participate in this Pilot and we would like to know if the content is helpful. You can review as many of the modules as your time permits.
In English onlyModule 1
Overview of Vanessa’s Law and Reporting RequirementsModule 2
Culture of SafetyModule 3
ADR and MDI Reporting ProcessesModule 4
System Supports for Reporting and LearningModule 5
Health Canada’s Review and Communication of Safety Findings
After looking at the modules, we would like to know if the information is helpful you now have a good understanding of what needs to be reported according to Vanessa's Law this approach will be helpful to you and others there is additional information that you think should be included. The final modules, with your feedback incorporated, will be provided in July 2019 as PowerPoint slides.
If you have questions about the Pilot, please contact
||Education to support mandatory ADR and MDI reporting (Vanessa’s Law)||Welcome to the Education Pilot! Here are the five modules for your review:
In English only Module 1:
Overview of||4/23/2019 2:31:08 PM||2358||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Advocacy and support for use of a Surgical Safety Checklist||68992||Position Statements||2/5/2019 7:55:32 PM||Position StatementA Surgical Safety Checklist is smart for patients and smart for providers. It's use in Canadian healthcare facilities is endorsed by a
Position Statement supported by many surgical interest groups. Healthcare professionals must make every reasonable effort to provide safe care to their patients. The purpose of this statement is to express the commitment of the undersigned organizations to prioritize perioperative patient safety by creating an environment conducive to the effective adoption and use of a Surgical Safety Checklist.
||Advocacy and support for use of a Surgical Safety Checklist||Position Statement A Surgical Safety Checklist is smart for patients and smart for providers. It's use in Canadian healthcare facilities||2/5/2019 8:17:32 PM||424||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Engaging Patients in Patient Safety – a Canadian Guide||36605||Guide||4/25/2017 3:01:50 PM|| During the past decade, we have seen evidence that when healthcare providers work closely with patients and their families, we can achieve great things. The healthcare system will be safer, and patients will have better experiences and health outcomes when patients, families, and the public are fully engaged in program and service design and delivery. Patient involvement is also important in monitoring, evaluating, setting policy and priorities, and governance. This work is not easy and may even be uncomfortable at first. Providers may need to let go of control, change behaviours to listen and understand patients more effectively, 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. But finding different and innovative ways to work together, even when it's challenging, benefits everyone. When patients and healthcare providers partner effectively, the results are powerful. We invite you to join us in advancing this work. We welcome diverse perspectives and beliefs to challenge the status quo. Let's explore ways to shape new behaviours, using everyone's unique perspectives and courage to make healthcare a safe and positive experience. A deep belief in the power of partnership inspired the Engaging Patients in Patient Safety - a Canadian Guide. Written by patients and providers
for patients and providers, the information 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 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 in any healthcare sector. What is the purpose of the 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. Working collaboratively, we can more proactively identify risks, better support those involved in an incident, and help prevent similar incidents from occurring in the future. Together we can shape safe, high-quality care delivery, co-design safer care systems, and continuously improve to keep patients safe.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 Outstanding questions about how to strengthen current approaches Strategies and policies to meet standards and organizational practice requirementsChapter summariesEngaging patients as partners Why partner on patient safety and quality Current state of patient engagement across Canada Evidence of patient engagement benefits and impact Challenges and enablers to patient engagement Embedding and sustaining patient engagement
Read More Partners at the point of care Partnering in patient safety Partnering in incident management
Read More Partners at organizational and system levels Preparing to partner Partnering in patient safety Partnering in incident management
Read More Evaluating patient engagement Introduction to evaluating patient engagement Evaluating patient engagement at the point of care Evaluating patient engagement at the organizational level Evaluating patient engagement integration
Click here to learn how and why was the guide developed.
Citation Patient Engagement Action Team. 2017. Engaging Patients in Patient Safety – a Canadian Guide. Canadian Patient Safety Institute. Last modified February 2018. Available at www.patientsafetyinstitute.ca/engagingpatients ||Engaging Patients in Patient Safety – a Canadian Guide||During the past decade, we have seen evidence that when healthcare providers work closely with patients and their families, we can achieve great||7/24/2018 7:34:54 PM||2821||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|A Framework for Establishing a Patient Safety Culture||36622||Framework||2/14/2018 4:54:19 PM||Patient 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
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
"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 Culture||Patient Safety Culture "Bundle" for CEOs/Senior Leaders What is the Patient Safety Culture "Bundle"? Strengthening a safety||4/4/2019 2:29:25 PM||1237||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Five Questions to Ask about your Medications||36619||Patient and Family Resource;Checklists;Toolkits||2/25/2016 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
firstname.lastname@example.org.||Five 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 can||4/5/2017 7:26:26 PM||2303||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Enhanced Recovery After Surgery||36646||Video||7/13/2016 2:57:58 AM||
What is Enhanced Recovery After Surgery? Enhanced Recovery After Surgery - ERAS is a program highlighting surgical best practices and consists of a number of evidence-based principles that support better outcomes for surgical patients including an improved patient experience, reduced length of stay, decreased complication rates and fewer hospital readmissions. As part of CPSI's Integrated Patient Safety Action Plan for Surgical Care Safety and with support from 24 partner organizations from across the country, Enhanced Recovery Canada is leading the drive to improve surgical safety across the country and help disseminate these ERAS principles.
A number of Canadian surgical care teams have already embraced the ERAS principles Alberta Health Services, Eastern Health, McGill University Health Centre, University of Toronto's Best Practices in Surgery, the Winnipeg Regional Health Authority as well as BC's Patient Safety & Quality Council and the Doctors of British Columbia.
Position Statement Application Deadline (March 1, 2019) Enhanced Recovery Canada Safety Improvement Project The Canadian Patient Safety Institute is set to launch a new Safety Improvement Project focused on surgical best practices for colorectal surgeries in January 2019.
Safety Improvement Project Video Series We trust this 6 part interview with international ERAS expert Dr. Henrik Kehlet will whet your appetite. Stay tuned for additional information regarding Enhanced Recovery Canada.
Use the YouTube playlist below to play all, or any of the six videos in the series.
Where can you learn more about ERAS in the interim?
BC's ERAS Collaborative has developed a website providing a variety of resources to support the implementation of Enhanced Surgical Recovery programs. See
Enhanced Recovery BC
The McGill University Health Center has developed a number of ERAS related
Surgery Patient Guides you may find helpful as well.
Connect with an experienced ERAS coordinatorIndustry Partners
For more information, contact us at
email@example.com.||Enhanced Recovery Canada||What is Enhanced Recovery After Surgery ? Enhanced Recovery After Surgery - ERAS is a program highlighting surgical best practices and consists of a||1/17/2019 8:59:46 PM||2266||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|The Measurement and Monitoring of Safety||36618||Metrics;Report;Framework||7/12/2016 5:25:21 PM||
Rewiring your thinking on measuring and monitoring of patient safety. To improve your organization's patient safety, you need reliable, up-to-date qualitative and quantitative information to help guide your delivery of safe healthcare. 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.
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? The Framework will be foundational to CPSI's new measurement coaching services offered by its Central Measurement Team. Stay tuned for additional details on how to access these coaching services. For more information, contact us at firstname.lastname@example.org. "The Framework helps us think differently, and have different conversations at different levels, whether it be at ward level through safety huddles and safety briefs in the morning, the hospital safety brief, or through other scheduled meetings. By doing this we can ensure everything we do every day for our patients and for our staff is focused on the same thing. We consider different components to determine if it's affected by system, process, or human factor and determine what we should do differently." -- Charlie Sinclair, Associate Director, Nursing NHS Borders||The Measurement and Monitoring of Safety||Rewiring your thinking on measuring and monitoring of patient safety. To improve your organization's patient safety, you need reliable, up-to-date||5/2/2018 7:15:51 PM||975||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Healthcare Provider Stories||36639||10/19/2015 4:42:11 PM|| ||Healthcare Provider Stories||10/26/2015 3:41:32 PM||627||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Improvement Frameworks Getting Started Kit||36595||Toolkits;Getting Started Kit;Framework||11/24/2011 4:21:24 PM||12/2/2015 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 Kit||The Improvement Frameworks Getting Started Kit is intended to serve as a common document appended to the Safer Healthcare Now! Getting Started||1/5/2016 6:18:07 PM||976||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Safety and Incident Management Toolkit||36596||Toolkits||12/18/2014 8:28:40 PM||Prevent 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
System Factors For more information, contact us at
email@example.com.Toolkit 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 firstname.lastname@example.org.||Patient Safety and Incident Management Toolkit||Prevent 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||6/19/2017 4:19:43 PM||2368||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Teamwork and Communication||36597||Publication;Framework||7/22/2009 8:44:35 PM||
Effective teamwork and communication are critical for ensuring high reliability and the safe delivery of care. Teamwork and communication techniques can improve quality and safety, decrease patient harm, promote cross-professional collaboration and the development of common goals, decrease workload issues, and improve staff and patient satisfaction.
Building effective teams and improving communication through standardized tools will move effective teamwork forward in Canada and contribute to a culture of patient safety. CPSI is developing a Canadian Framework for Teamwork and Communication to help healthcare providers and organizations integrate tools and resources into practice.
Canadian Framework for Teamwork and Communication Appendix A
Teamwork and Communication in Healthcare A Literature Review Appendix B
Consultation with Health Professionals and Administrators Regarding Teamwork and Communication Appendix C Report on Summary of Team Training Programs
||Canadian Framework for Teamwork and Communication||Effective Teamwork and Communication to Enhance Patient Safety||11/9/2016 8:44:39 PM||1330||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|The Safety Competencies Framework||36599||Publication;Framework||4/14/2009 11:53:32 PM|| Achieve safe patient care by incorporating our framework The Safety Competencies into your healthcare organization’s educational programs and professional development activities. Patient safety, defined as the reduction and mitigation of unsafe acts within the healthcare system, and the use of best practices shown to lead to optimal patient outcomes, is a critical aspect of quality healthcare.
Educating healthcare providers about patient safety and enabling them to use the tools and knowledge to build and maintain a safe system is critical to creating one of the safest health systems in the world. The Safety Competencies is a highly relevant, clear, and practical framework designed for all healthcare professionals. Created by the Canadian Patient Safety Institute (CPSI), The Safety Competencies has six core competency domains
Domain 1 Contribute to a Culture of Patient Safety – A commitment to applying core patient safety knowledge, skills, and attitudes to everyday work.
Domain 2 Work in Teams for Patient Safety – Working within interprofessional teams to optimize patient safety and quality of care..
Domain 3 Communicate Effectively for Patient Safety – Promoting patient safety through effective healthcare communication..
Domain 4 Manage Safety Risks – Anticipating, recognizing, and managing situations that place patients at risk..
Domain 5 Optimize Human and Environmental Factors – Managing the relationship between individual and environmental characteristics in order to optimize patient safety..
Domain 6 Recognize, Respond to, and Disclose Adverse Events – Recognizing the occurrence of an adverse event or close call and responding effectively to mitigate harm to the patient, ensure disclosure, and prevent recurrence.. This valuable framework includes 20 key competencies, 140 enabling competencies, 37 knowledge elements, 34 practical skills, and 23 essential attitudes that can lead to safer patient care and quality improvement. CPSI encourages its stakeholders, national, provincial, and territorial health organizations, associations, and governments; and universities and colleges to play a role in engaging stakeholders and spreading the word about this program so that healthcare professionals recognize the knowledge, skills, and attitudes needed to enhance patient safety across the spectrum of care. For further information, please email
email@example.com.||The Safety Competencies||The Safety Competencies: Message from the CEO||9/12/2017 8:43:40 PM||3902||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Effective Governance for Quality and Patient Safety||36615||Toolkits||2/23/2010 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 Safety||Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders||4/24/2018 5:35:19 PM||1741||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Incident Analysis||36617||Framework;Publication||4/19/2011 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,
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.
To learn more about the framework and the resources available, you can
click here to watch the information webinars recorded.
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
||Incident Analysis||Root Cause Analysis (RCA)||6/20/2016 3:47:55 PM||2755||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Never Events for Hospital Care in Canada||36621||Report||7/25/2015 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 outcomes||5/24/2016 4:37:34 AM||1505||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Canadian Disclosure Guidelines||36630||Guide;Publication||4/18/2011 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.
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 families||The Canadian Disclosure Guidelines build on various patient safety initiatives currently under way across Canada and assist and support healthcare||6/20/2016 8:35:25 PM||2452||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Stories||36635||7/27/2015 12:39:48 PM|| ||Patient Stories||5/19/2016 4:22:33 AM||3048||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Research||36636||Research||7/1/2015 1:56:32 AM|| The Canadian Patient Safety Institute creates new conversations through papers and commissioned research. By increasing the scope and scale of patient safety research, CPSI is building capacity for quality research that will lead to significant health system improvements across the continuum of care.
Access research results, find out what kind of student work we support, see research projects we’ve funded with our partners , and learn more about CPSI-commissioned research.
||Research||Research||10/15/2015 8:33:03 PM||1351||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Canadian Patient Engagement Network||36637||Guide;News;Patient and Family Resource;Publication||7/12/2016 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
Engaging Patients in Patient
Safety – a Canadian Guide. This extensive
helps patients and
partners, providers, and leaders
Patient and Family
Centred Care (PFCC)
Facebook Group PFCC
Connect The Canadian Patient Engagement Network
result of a partnership
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
then explore the
resources to help
Facebook Group The Canadian Patient Engagement Network
hosted on Facebook
is a public group
moderated by the Canadian Patient
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
firstname.lastname@example.org.||Canadian Patient Engagement Network||Share, learn and help others about patient engagement Achieving safe healthcare for all Canadians requires everyone's involvement. CPSI offers||1/25/2019 9:42:10 PM||13297||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Patient Safety Metrics||36638||Metrics||7/9/2015 6:19:21 AM||
The Patient Safety Metrics system is no longer available. This decision is the result of a shift in our measurement approach as we focus more on expert measurement consultation and coaching. To access and transfer your data from Patient Safety Metrics, to a location of your choice, please email the Central Measurement Team at email@example.com for information. For more information, please refer to a recording of our webinar held on this subject Measurement Now and Into the Future If you have any questions or require support, please feel free to contact us via email at firstname.lastname@example.org We would like to thank all of the teams who have contributed to Patient Safety Metrics and taken part in our quality improvement audits over the years.
Frequently Asked Questions
||Patient Safety Metrics ||Safer Healthcare Now! Enrolment & Measurement||2/16/2017 6:51:41 PM||1345||https://www.patientsafetyinstitute.ca/en/toolsResources||html||True||aspx|
|Canada's Virtual Forum||36686||Events||7/12/2011 8:55:44 PM||
Thank you to the more than 1,100 viewers from the nearly 600 sites in Canada and 6 countries around the world that made Canada's Virtual Forum on Patient Safety & Quality Improvement a huge success! If you weren't able to watch live, or if you want to watch anything again,
click here to access the archives and watch recordings of each of our sessions. Make use of these recordings during your in-services and as part of your local education sessions.
We would like to hear from you To help us plan for future events, we'd like to have your feedback. Please tell us what went well or what we could do better by
completing our survey. Questions or comments? Contact CPSI Communications at
email@example.com.||Canada’s Virtual Forum on Patient Safety and Quality Improvement||
Thank you to the more than 1,100 viewers from the nearly 600 sites in Canada and 6 countries around the world that made Canada's Virtual||5/25/2016 4:28:18 PM||1178||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Excellence in Patient Engagement for Patient Safety||36690||Events||7/24/2015 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 again in the recognition program that aims to identify, celebrate and disseminate leading practices in patient engagement for patient safety.
Two teams from the Centre for Addiction and Mental Health (CAMH) and BC Children's Hospital (an agency of the Provincial Health Services Authority) will present their leading practices in patient engagement for patient safety at the National Health Leadership Conference (NHLC) on June 5th in St. John's NL.In addition, teams from the following organizations have been formally identified and celebrated as leading practices and added to HSO's Leading Practices LibraryAlberta Health ServicesProvincial Health Services Authority (BC Patient Safety & Learning System (BCPSLS))Health Quality Council, SaskatchewanKidney Health, Saskatchewan Health AuthorityBC Children's Hospital (an agency of PHSA)Eastern Health NewfoundlandHolland BloorviewMontfort HospitalMcMaster Children's Hospital Hamilton Health SciencesBC Autism Assessment Network, Sunny Hill Health Centre for Children, BC Children's HospitalSunnybrook Health Sciences CentreHealth Quality OntarioFraser Health
Read More We welcome your questions and suggestions at
firstname.lastname@example.org. ||Excellence in Patient Engagement for Patient Safety||2016 Champion Awards||3/27/2019 3:09:33 PM||1069||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|
|Atlantic Learning Exchange||36691||Events||9/20/2016 6:01:00 PM||
Get Updates ||Atlantic Quality and Patient Safety Learning Exchange||Get Updates||4/1/2019 5:58:42 PM||957||https://www.patientsafetyinstitute.ca/en/Events||html||True||aspx|