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Driving quality improvement in a focused area such as a clinical group requires an understanding of the foundational elements of quality improvement and measurement. Below is a list of quality improvement and measurement resources that can be used by quality improvement teams as well as resources for leaders

British Columbia Patient Safety & Quality Council

Knowledge Centre

The Knowledge Centre is a hub of resources for quality improvement including a searchable database. Although constructed by the BC Patient Safety & Quality Council to support teams undertaking quality improvement within British Columbia, this searchable database has content that can be used by quality improvement teams across Canada. The BC-generated resources are available as well as links to many other organizations.

Canadian Foundation for Healthcare Improvement

The Canadian Foundation for Healthcare Improvement (CFHI) is a not-for-profit organization funded by the Government of Canada, dedicated to accelerating healthcare improvement. CFHI supports organizations to lead, implement and spread evidence-informed, patient-centred solutions. They focus on building leadership and skill capacity, enabling patient, family and community engagement, applying improvement methodology, and creating collaboratives to spread evidence-informed improvement. The CFHI improvement collaboratives such as the Acute Care for Elders Collaborative provide coaching to improvement teams working on selected initiatives. The CFHI Executive Training Program (EXTRA) enhances the capacity of teams of existing and emerging leaders to accelerate improvement.

Canadian Patient Safety Institute

Central Measurement Team

The Central Measurement Team (CMT) offers measurement support, coaching and advice to healthcare organizations working on improvement patient safety. They work with all sectors and organizational levels to help them understand the critical importance of evaluation as part of the improvement process as well as the impact of transparent communication between leaders, providers, families and patients. The CMT offers the tools providers need to achieve the most appropriate healthcare services guided by best practices, and the inspiration and practical guidance for all those faced with the challenge of keeping patients safe. They can be contacted at measurement@cpsi-icsp.ca

Canadian Patient Safety Institute

Deteriorating Patient Condition

Early warning signs of clinical deterioration are often unrecognized, leading to devastating results. Research shows that virtually all critical inpatient events are preceded by warning signs that occur approximately six-and-a-half hours in advance.

Click here to find information, tools and resources to not only help you recognize the deteriorating patient condition, but what you can do to act on it as a member of the public, a healthcare provider or leader.

Canadian Patient Safety Institute

Engaging Patients in Patient Safety – a Canadian Guide

Patient safety is the most important aspect of care according to patients/families. Patients, providers and leaders agree that when patients participate as partners in their own care and in patient safety improvements at an organizational/system level, harm can be prevented and incidents can be better managed. This guide is an extensive resource, based on evidence and leading practices, that aims to help patients and families, providers, and leaders partner more effectively to improve patient safety.  The guide is regularly revised to include the most current evidence, resources and guidance to shape policies, practices and meet required standards.  Access the guide and its many complementary resources at: www.patientsafetyinstitute.ca/engagingpatients

Share your feedback, evidence, practices or resources with us at patients@cpsi-icsp.ca

Canadian Patient Safety Institute

Improvement Frameworks Getting Started Kit

Improvement comes from the application of knowledge. It also comes from action: from developing, testing and implementing changes which alter how work or activity is done or the make-up of a product or service. The Improvement Frameworks Getting Started Kit provides an introduction to various improvement science methodologies and provides the foundational knowledge necessary for applying the Model for Improvement to an improvement project.

Canadian Patient Safety Institute

TeamSTEPPS Canada™

Patient safety experts agree that effective teamwork skills are essential for safe, quality healthcare that prevents and mitigates harm. TeamSTEPPS® is a teamwork system developed by the United States Department of Defense and the Agency for Healthcare Research and Quality to improve safety and transform culture in healthcare through better teamwork, communication, leadership, situational awareness, and mutual support. TeamSTEPPS Canada™ has been adopted and adapted by the Canadian Patient Safety Institute (CPSI) and made available to the Canadian healthcare field. The program includes a comprehensive set of ready-to-use materials and a training curriculum to integrate teamwork principles into a variety of settings.

Click here to learn more about TeamSTEPPS Canada™

HealthCareCAN

HealthCareCAN is the national voice of healthcare organizations and hospitals across Canada. Their mission is to advance an integrated, innovative, sustainable and accountable healthcare system that provides the people of Canada with a world-leading health system by being the collective voice of Canada's healthcare organizations and by enhancing pathways to innovation, supporting service excellence across the continuum of care; and, developing the health leaders of today and tomorrow. The HealthCareCAN Integrated Quality Management program is designed to prepare leaders who can initiate and manage quality improvement in their healthcare organization.

Health Standards Organization (HSO)

Closely affiliated with Accreditation Canada, Health Standards Organization (HSO) builds standards, assessment programs, software and implementation services for accreditation bodies, governments, associations and others. Standards developed by HSO directly support patient safety improvement in organizations to foster inter-organizational learning. HSO maintains a Leading Practices Library that profiles nearly 1,000 practices recognized as being particularly innovative and effective in improving quality. The database also contains Commendable Practices, which, while not new or leading, are proven to be efficient and effective methods for improving quality.

Institute for Healthcare Improvement (IHI)

Knowledge Centre

The IHI Knowledge Center offers an extensive range of quality improvement resources. Resources include hands-on tools, IHI publications and white papers. A full explanation of the Model for Improvement is included as well as a good overview on establishing measures. Case studies and improvement stories about identified organizations are provided, and a number of audio and video clips round out a multi-media learning platform.


Additional Resources for Improvement

Many organizations provide improvement resources in the form of guidelines or standards. Some are available only to members while others are open access. 

Canadian Agency for Drugs and Technology in Health

The Canadian Agency for Drugs and Technology (CADTH) is an independent, not-for-profit organization responsible for providing healthcare decision-makers with objective evidence to help make informed decisions about the optimal use of health technologies including drugs; diagnostic tests; and, medical, dental and surgical devices and procedures. CADTH also provides advice, recommendations and tools.

Canadian Medical Protective Association

The Canadian Medical Protective Association (CMPA) mission is to protect the professional integrity of physicians and promote safe medical care in Canada. In addition to providing advice and assistance to their members when medical-legal issues arise, the CMPA provides professional development program and resources that help physicians to provide safe care, manage risk and be knowledgeable about their obligations.

Canadian Standards Association

The Canadian Standards Association Group (CSA) is an independent, not-for-profit membership association. CSA's knowledge and expertise encompass standards development; training and advisory solutions; and global testing and certification services across key business areas including hazardous locations and industrial, plumbing and construction, medical, safety and technology, appliances and gas, alternative energy, lighting and sustainability; as well as consumer product evaluation services.

Choosing Wisely Canada

Choosing Wisely Canada (CWC) is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments and make smart and effective choices to ensure high-quality care. Canadian national specialty societies participating in the campaign, representing a broad spectrum of clinicians, have been asked to develop lists of "Five Things Clinicians and Patients Should Question." These lists identify tests and treatments commonly used in each specialty, but are not supported by evidence, and/or could expose patients to unnecessary harm.

Healthcare Insurance Reciprocal of Canada

The Healthcare Insurance Reciprocal of Canada (HIROC) is an insurance reciprocal with close to 600 subscribers across a wide range of healthcare facilities and organizations in Canada. The HIROC vision is "partnering to create the safest healthcare system." In addition to meeting the liability insurance needs of subscribers, HIROC is committed to working with their subscribers and partners to develop tools and solutions that minimize risk and improve the overall efficiency and safety of Canada's healthcare system. HIROC provides members a wealth of information in the form of risk resource guides and risk reference sheets designed to assist organizations identify strategies to prevent future harm.