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For Healthcare Providers
BC Health Quality Matrix (links to Reports/Matrix Handbook)
Advancing Surgical Quality in BC
Advancing Surgical Quality in BC
Programs and Support
The efforts to improve quality of surgical care, including safety, have gained great momentum across the country, and our province is no exception. There is promising work and a number of opportunities to improve the safety in surgery, including the Surgical Checklist.
Programs:
- A national Safe Surgery Saves Lives conference was held in Vancouver on March 8-9, 2010. The workshop provided a rationale and ways to successfully promote the “Safe Surgery Saves Lives” initiative in your institution and practice. Participants heard about the latest knowledge to support their work, whether they are a surgeon, anaesthesiologist, OR nurse, recovery nurse, or quality professional. Click here to see the provisional agenda.
- The Safe Surgery Saves Lives Collective is a learning network of healthcare professionals working on surgical safety across Canada. The Collective plans to offer a variety of resources and programs including the Checklist Action Series. This 3 month virtual initiative is designed to assist with the effective implementation of the Checklist, and is the first program to be launched.
There has been an overwhelming interest, including participants from all across BC. The first and second waves of the Checklist Action Series have filled and a third session is being scheduled for January 2011. Please register your name with the Collective so that you will have the first opportunity to join a third wave. Click here to register.
Important: Anyone who signs onto the Collective has access to expert resources and individualized support, through the Collective’s resources and faculty office hours! Join the Collective to get more information.
The BCPSQC has been involved in the planning and development of these programs. We are committed to ensuring that BC providers and sites have access to the support they need. If you have any comments or suggestions on these programs, please contact Melanie Rathgeber, Quality Leader.
There has been great interest in understanding how similar systems can be applied across the province. BCPSQC has been working on the development of a framework for a comprehensive program for surgical quality improvement in BC. As the work and conversations with key stakeholders across the province unfold, we are excited about the opportunities. We are working to develop a comprehensive measurement and improvement program across all the quality dimensions, and across all stages of a surgical care pathway.
For more information please contact:
Melanie Rathgeber,
Quality Leader, BC Patient Safety & Quality Council
Email: mrathgeber@bcpsqc.ca
Safety Culture
A safety culture in health care has the following characteristics:
For the Organization or Health System:
- Acknowledge the risk and error prone nature of healthcare.
- Organizational structures processes and goals and rewards are aligned with improved safety.
- Based on trust, human rights and forgiveness.
- Learn from errors.
- Share stories of safety.
For Patients and Clients:
- Patient and family centered.
- Patients and clients receive comprehensive information about health issues in a form that they can understand, including facts about no treatment and risks, treatment options and their risks.
- Patients and clients will be provided with open discussion of events, expected or unanticipated which result in unintended harm to them while receiving health care, including those that result from system error or as a complication of their health care management.
- Encourages and facilitates reporting and open communication about safety concerns in a fair and just environment.
For Providers:
- Support staff to enable the highest levels of performance.
- Ensures individual and shared acceptance of accountability for the safe delivery of quality care, risk reduction, care outcomes in a systems based approach.
- Encourages and facilitates reporting and open communication about safety concerns in a fair and just environment.
(Modified from Dana Faber Cancer Institute, Culture of Safety)
Patient Safety Resources
There are many informative reports, brochures and other resources for people interested in learning more about patient safety. Below are links to a selection of these resources.
Bugs and Drugs - Antimicrobial Reference Book (4th Edition)
(2006)
Source: Capital Health, Edmonton, AB
Bugs and Drugs Handbook
www.bugsanddrugs.ca
Application of Patient Safety Indicators in Manitoba: A First Look
(June 2006)
Source: Manitoba Centre for Health Policy
This comprehensive study from Manitoba examined the incidence of events affecting patient safety and compared the incidence of such events for hospitals and regions around the province.
http://umanitoba.ca/medicine/units/mchp/
Healthcare Quarterly -- Patient Safety Papers: Special Issue on Patient Safety
(October 2005)
Source: Longwoods Publishing, Volume 8, 2005
www.longwoods.com
The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.
Author: Baker et al. 2004
Source: Canadian Medical Association Journal, Volume 170 (11), pages 1678-1685
The overall incidence rate of adverse events (AEs) of 7.5% in our study suggests that, of the almost 2.5 million annual hospital admissions in Canada similar to the type studied, about 185,000 are associated with an AE and close to 70,000 of these are potentially preventable.
www.cmaj.ca
Governance for patient safety: Lessons from non-health risk critical high-reliability industries - A Report to Health Canada.
Author: Sheps, Cardiff. 2005
Adverse events in any domain arise primarily in the context of "normal people, doing their normal work, in normal systems" and thus often arise from a "drift into failure". Therefore, the approach to patient safety must engage the whole system of care provision.
www.hc-sc.gc.ca
For more information please contact:
BC Patient Safety & Quality Council
Phone: 604-668-8210
Email: info@bcpsqc.ca
