Narrow Results Clear All
- Communication Improvement 4
- Culture of Safety 5
- Education and Training 6
- Error Reporting and Analysis 13
- Human Factors Engineering 3
- Legal and Policy Approaches 5
- Logistical Approaches 2
- Quality Improvement Strategies 9
- Research Directions 1
- Teamwork 3
- Technologic Approaches 3
- Family Members and Caregivers 3
- Health Care Executives and Administrators 23
- Health Care Providers 13
- Non-Health Care Professionals 14
- Patients 6
Search results for "Book/Report"
Canadian Patient Safety Institute and Health Standards Organization.
This draft 5-year framework aims to guide the activities in Canada to focus action, resources, and policy development on supporting care improvement. The document is structured around five goals: people-centered care, safe care, accessible care, appropriate care, and continuous care. The authors call for Canadian patients, families, clinicians, organization leaders, and policymakers to provide input on the material to ensure its applicability across the country. The deadline for submitting comments is June 30, 2019.
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508.
Information technology is prevalent in health care and is associated with both optimized processes and unintended consequences. This publication is a compilation of papers from an international conference that explored the potential of health information technology and the research needed to achieve success. Topics covered include usability, implementation, interoperability, and policy.
Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632.
Complex systems are prone to failure. This book provides a multi-industry discussion of factors that contribute to failure. The authors highlight how complexity can exacerbate problems, small glitches can manifest themselves in large-scale failure, and poorly designed safety strategies can unintentionally contribute to harm. Recommended strategies to manage risks include those utilized in patient safety work, such as multidisciplinary teamwork, process design, and systems thinking.
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
Proactive analysis can help uncover process weaknesses and ensure improvements are implemented before patients experience harm. This guide provides insights for organizations who seek to implement proactive analysis strategies. Tools and models discussed include Reason's Swiss cheese model and Systems Engineering Initiative for Patient Safety.
RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
Medical error and patient harm affect individuals and organizations around the world. This report estimates that around 400,000 annual cases of safety incidents will occur in Canada in the next 30 years, as well as the potential costs and lost productivity resulting from these events. Highlighted models for improvement include the United States Partnership for Patients initiative and efforts in the Netherlands, which has one of the lowest patient harm rates in the world.
Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance—A Handbook for Acute Care Health Professionals.
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414.
Nontechnical skill development has gained attention as a way to enhance patient safety. This publication highlights how crisis resource management can help develop nontechnical expertise to enhance team performance. Strategies covered in the text include situational awareness, team communication, decision making, and leadership in the acute care environment.
Ottawa, Ontario: Canadian Medical Protective Association; 2016.
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016.
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015.
Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180.
Ottawa, ON: Canadian Institute for Health Information; January 23, 2014.
This report compared the quality of care in Canada with 34 other countries to identify areas in which it performed well and where it needed improvement. The country has strong measures of community care such as avoidable admissions and influenza vaccinations, but is behind in efforts to reduce patient safety incidents, including trauma in obstetric care and retained foreign objects.
McIver SB, Wyndham R. Toronto, Canada: ECW Press; 2013. ISBN: 9781770411104.
This book includes stories of medical errors in Canada, shares patient and family perspectives, and discusses strategies to improve safety.
Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.
This publication describes an investigation into engaging with patients and families that have been harmed and recommends best practices for organizations to enable such collaboration.
Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012.
Performing incident analysis can help organizations understand why adverse events occur and how to prevent them. This toolkit provides a framework to help organizations gather insights from staff, patients, and family members regarding what caused the failure and why it happened and to guide efforts to prevent similar incidents.
Edmonton, AB, Canada: Canadian Patient Safety Institute; March 2011.
Explaining the importance of hand hygiene in the health care setting, this publication provides strategies for patients and families to prevent spreading health care–associated infections.
Windwick B, Aubin D, Beard P, et al; Disclosure Working Group. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2011. ISBN: 9781926541389.
These national guidelines for Canadian health care providers serve as a tool for developing and implementing disclosure policies, practices, and training methods.
Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.
This report analyzed patient safety in Canadian primary care practice to identify themes, priorities, gaps in research, and opportunities for improvement.
Calgary, Alberta, Canada: Health Quality Council of Alberta; 2010.
This report reveals key elements of quality care and explores culture strategies for improving patient safety.
Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266
This guideline provides an organizational strategy, flow charts, and a task list to improve internal and external communication following a medical error.