Mark daly final cpsi course presentation w videos

A-B-C’s of Patient Safety:
Bringing Your Program to Life

Mark Daly RRT, MA (Ed.)
Patient Safety Officer
McGill University Health Centre
Montreal, Quebec


Goal

Share tools and techniques to help you
develop or improve your patient safety
program.


Deliverables
 Definition of patient safety
 Examples of national, provincial, and
organizational frameworks to help move you
and your champions forward
 Strategies to meet potential resistance


Parking Lot
Ideas for future discussion


What does the phrase
“Patient Safety”
mean to you?

Pre-work Activity 1
P
A
T
I
E
N
T
S
A
F
E
T
Y


Pre-work Activity 1: Learning Summary
1.

2.
3.

Influences
a. Years of service/experience
b. Professional affiliation
c. Job function
d. Position within the hierarchy
Teamwork

Learning environment
a. Respectful
b. Focused
c. Fun


Herding Cats


What is Patient Safety?

“…the reduction and mitigation of unsafe acts within
the healthcare system, as well as through the use
of best practices shown to lead to
optimal patient outcomes.”

The Canadian Patient Safety Dictionary, October 2003.


Josie King video


What is Sorell King asking you to do?
1.Communicate among team members
(exchange of information)
2.Listen to the patient or family member
(obligation to assess the relevance of the
information and not dismiss it)
3.Look at the patient
(not just the monitors, equipment, devices)

Frameworks
1. Accreditation Canada:
Required Organizational Practices
2. Provincial legislation:
Bill 113
3. Organizational initiatives:
The MUHC experience.


Accreditation Canada

What is Accreditation Canada?
Accreditation Canada is a national, nonprofit, independent organization whose role
is to help health services organizations,
across Canada and internationally, examine
and improve the quality of care and service
they provide to their clients.


Qmentum process Tracer Activities
REVIEW
client files and
documents

TALK and LISTEN
individual
interviews with
patients and staff/

group discussions

RECORD
what is read,
heard and
seen

OBSERVE
direct observation
and tours


What is a Required Organizational Practice?
“…pratique qui a été déterminée comme étant
essentielle et qui doit être en place dans
l’organisme pour améliorer la sécurité des
patients et pour minimiser les risques.”
“…an essential practice that organizations must
have in place to enhance patient/client safety
and minimize risk.”
Source:

15


What is a Required Organizational Practice?
 Twenty-one when introduced in 2006
 Thirty-five Required Organizational Practices related to
patient safety
 Mandatory for all organizations

 Areas include:
1. Safety Culture
2. Communication
3. Medication Use

4. Workforce/Worklife
5. Infection Control
6. Risk Assessment


What is the Essence of the ROPs?

Because we are

Relying
On you for
Patient
Safety
17


Communication/Education Strategy


Pre-work Activities 2 and 3
AC Patient Safety Area: Communication
1. Required Organizational Practice:
Inform and educate patients and/or families about their role
in patient safety, using both written and verbal
communication

2. Required Organizational Practice:
Employ effective mechanisms for transfer of information at
interface points, including shift changes; discharge; and,
patient/client movement between health care services and
sectors, and implement improvements.


Pre-work Activities 2 and 3
AC Patient Safety Area: Communication
ROP exercise
1. Who was involved in the development
of the tool?
2. Describe the major challenge the
group faced.
3. Describe the major reason the
initiative was successful.
4. How is the tool shared with the
patient/family or staff?