Partnering with Patients
As global leaders, the Canadian Patient Safety Institute and its patient-led program Patients for Patient Safety Canada contribute expertise and gather evidence and best practices to inform Canadian patient safety and patient engagement initiatives, policies and practices. Our Patient Safety Right Now strategy enhances our work with Patients for Patient Safety Canada.
Patients for Patient Safety Canada: This patient-led program of the Canadian Patient Safety Institute champions the voice of the patient and brings their healthcare experiences to help improve patient safety at all levels in the health system. Partnering with health organizations and patient groups, the Canadian Patient Safety Institute’s patient-led program, Patients for Patient Safety Canada, role models successful engagement which strengthens the commitment of multiple stakeholders to partner with patients and the public to improve safety.
Maintaining the culture, reputation and sustainability of Patients for Patient Safety Canada is a significant effort that requires thoughtful discussions, revision of policy documents and succession planning. This fundamental work is key to ensuring Patients for Patient Safety Canada volunteers are effective partners in the over 100 initiatives they engage in every year.
A 2018 IPSOS Public Affairs survey was undertaken to determine Canadians’ awareness of the patient safety crisis in our healthcare system. The survey produced two notable conclusions: Canadians were largely unaware of the crisis, and once they were informed, it became one of their top healthcare priorities. The Canadian Patient Safety Institute and its patient-led program Patients for Patient Safety Canada are using these results to initiate conversations about the patient safety crisis and aim to strengthen commitment to reducing patient harm in Canada. Ultimately, these efforts will help to influence behaviour changes among the public, healthcare providers and leaders.
Patient Alliance for Patient Safety: A notable highlight this year was setting the foundation for the Patient Alliance for Patient Safety, a “network of networks” where close to 20 Canadian organizations (each represented by a patient partner and staff) joined a collective effort to improve safety. The Canadian Patient Safety Institute’s patient-led program Patients for Patient Safety Canada demonstrated the vision, leadership and collaboration in identifying a common goal for the Alliance and will continue to facilitate the implementation of collective actions in coming years. This is one example of successful engagement which strengthens the commitment of multiple stakeholders to partner with patients to improve safety.
Excellence in Patient Engagement for Patient Safety: This recognition program demonstrates what works by identifying, celebrating and disseminating leading practices in engagement for patient safety. The Canadian Patient Safety Institute, HealthCareCAN and the HSO, with support from our patient-led program Patients for Patient Safety Canada, have partnered to sponsor this annual program. Teams from 13 organizations have been formally identified and celebrated as leading practices added to HSO's Leading Practices Library. Two program recipients were selected to present their leading practices in at the 2019 National Health Leadership Conference to translate and share their knowledge and experience.
HSO/Accreditation Canada Collaborations
Through a strategic partnership with the HSO and affiliates, the Canadian Patient Safety Institute aims to directly influence patient safety practices in health delivery organizations in Canada through the development of evidence-informed Required Quality and Patient Safety Practices and related standards, and measure performance through accreditation.
A three-year agreement identifies roles and responsibilities for collaboration between the Canadian Patient Safety Institute and the HSO/Accreditation Canada. A detailed schedule and annual work plan activities for each fiscal year has been developed. Where applicable, outputs form the Canadian Patient Safety Institute’s past work and integrated Patient Safety Action Plan, together with new work – such as the co-creation of patient safety programs and resources – will be implemented and evaluated through the accreditation program.
The creation of the draft Canadian Quality and Patient Safety Framework with the HSO represents a significant early success in incorporating patient safety evidence into standards.
Canadian Quality and Patient Safety Framework: The Canadian Patient Safety Institute and HSO co-convened the Canadian Quality and Patient Safety Advisory Committee in April 2018 with the mandate to establish national quality and patient safety goals to address current and anticipated health and social service safety priorities. The Advisory Committee is comprised of patients, providers, care organizations, quality and patient safety councils/organizations, researchers and policymakers. The Advisory Committee is co-chaired by the CEOs of Canadian Patient Safety Institute and the HSO.
Hundreds of health leaders, policy makers, healthcare providers, patients and members of the public have been consulted and provided feedback on the draft Quality and Patient Safety Framework for Health and Social Services, released in February 2019. The Canadian Patient Safety Institute engaged a public relations firm (Compass Rose) to conduct a broad engagement strategy to collect and analyze feedback from all stakeholder perspectives (indigenous peoples, patients and family caregivers, the public, governments, healthcare delivery and social service organizations, healthcare providers and other interested stakeholders) through key informant interviews, online and in-person focus group consultations, and a public survey. The consultation will conclude in June 2019.
An Advisory Committee will produce a final Framework and goals in the Fall of 2019. Working Groups will develop Action Guides for five different stakeholder audiences (policy makers, health services executives and boards, managers, healthcare teams, and patient and their families) which will provide guidance on interventions, measures and indicators associated with each goal area within the Framework. This work is slated to be released in January 2020.
This engagement and consensus exercise for establishing the Framework and goals is the first step of many to inspire stakeholders across the country to take direct action and foster collaboration towards the same path for quality and safety.
Federal, Provincial and Territorial Government Patient Safety Network
The Federal, Provincial and Territorial Government Patient Safety Network is a new national alliance of senior government decision-makers that are committed to improving common patient safety challenges and promoting national alignment of healthcare systems around patient safety priorities. By convening a network of policymakers and doing proactive strategic outreach with government leaders across all regions, we will align our efforts with federal/provincial/territorial priorities to ensure patient safety is considered, and advise governments of patient safety best evidence (what works) and practices to inform policy, legislation and regulation (strengthen commitment). The Federal, Provincial and Territorial Patient Safety Network works comprehensively to address common patient safety challenges that they commit to improve in their jurisdictions.
The inaugural meeting of the Network was held in March 2019, where delegates shared common patient safety priorities and challenges, and learned about the work of the Canadian Patient Safety Institute. The Network has created a Terms of Reference and is scheduling quarterly in-person and virtual meetings. The members are committed to addressing common challenges together as a Network, each working within their own jurisdiction.
World Health Organization Collaborating Centre: As a designated WHO Collaborating Centre for Patient Safety and Patient Engagement, the Canadian Patient Safety Institute contributed to the Global Ministerial Action Summits and the draft Global Action on Patient Safety resolution presented at the 74th World Health Assembly, activities that help to increase political and public awareness of patient safety, reinforcing Canada’s commitment to improving patient safety with patients as partners.
Recognized as global leaders, the Canadian Patient Safety Institute and our patient-led program Patients for Patient Safety Canada develops international relationships, influences global policies and actions, contributes expertise and gathers evidence to inform Canadian patient safety and patient engagement initiatives, policies and practices.
As part of our commitment to the WHO Collaborating Centre for Patient Safety and Patient Engagement, Global Patient Safety Alerts information and expertise continues to advise ongoing development of the Global Knowledge Sharing Platform being led by the WHO Collaborating Centre in Human Factors (Centro Gestione Rischio Clinico e Sicurezza del Paziente) in Florence, Italy.
Global Patient Safety Challenge: The Canadian Patient Safety Institute is the Canadian coordinating body for the World Health Organization’s third Global Patient Safety Challenge, Medication Without Harm. The goal of the challenge is to improve medication safety globally by strengthening the systems for reducing medication errors and avoidable medication-related harm. Our work in medication safety contributes to the challenge through the implementation of multiple actions (tools, campaigns, webinars, etc.) in partnership with many Canadian organizations to improve medication safety.
In partnership with ISMP Canada, the Canadian Patient Safety Institute promotes knowledge translation and integration of the 5 Questions to Ask About Your Medications and collaborates on several other initiatives. In 2018-2019, work continued to integrate opioid safety tools and information for patients/families on opioids for pain after surgery and the safe storage and disposal of opioids. In addition, the Medication Safety Exchange Webinar series was well-attended by an average of 368 participants per call, from across Canada; a Medication Safety Self-Assessment: Preventing Never Events was developed and pilot tested, and will be available for use in 2019; and, we supported the Protecting Canadians from Unsafe Drugs Act with outreach, feedback and education.
The Canadian Patient Safety Institute is an active member of the International Medication Safety Network to learn and share global knowledge and practices, and contributes to the Alliance for Safe Online Pharmacies Canada, which has the aim of addressing the growing health threat of illegal online drug sellers.
During the next year, the Canadian Patient Safety Institute will continue pan-Canadian coordination and support of current initiatives with partners (5 Questions to Ask About Your Medications; Opioid Safety; Med Safety Exchange Webinar Series; Never Events Medication Safety Self Assessment) and, as a member of the Canadian Med Safety Coalition, support the development of an IV Infusion Safety initiative.
The Canadian Patient Safety Institute’s Regional Relations team provides ongoing support to, and it develops new collaborations with stakeholders and partners in all jurisdictions in Canada. Regional Relations works with Health Ministry leaders and policy analysts, Regional Health Authority leaders and patient safety teams, and health quality councils to support their priorities, build local capacity for safety improvement and ensure relevance in our programming and activities. The Canadian Patient Safety Institute engages with all provinces and territories by participating in networks, committees and initiatives to bring expertise and information about new evidence and practices, and promote Canadian Patient Safety Institute resources.
Atlantic Canada: The Atlantic Health Quality and Patient Safety Collaborative (AHQPSC) established in 2010 by the Atlantic Deputy Ministers of Health, aids in facilitation, capacity building, relationship building, and knowledge exchange, and provide advice and recommendations to the Atlantic Deputy Ministers of Health for the purpose of advancing quality improvement and patient safety across Atlantic Canada.
In collaboration with the Canadian Patient Safety Institute, the AHQPSC hosted a two-day training session on teamwork and communication in Halifax, in April 2018, with 42 participants from the four Atlantic Provinces in attendance.
With the support of the Canadian Patient Safety Institute, the AHQPSC launched a 12-month virtual Patient Engagement Collaborative in September 2018, designed to help participating teams to leverage patient engagement in improving patient safety and healthcare quality. Each of the 17 teams enrolled in the Collaborative will implement one or more changes aimed to improve patient safety and quality in partnership with patients. Since the launch, three learning sessions and eight webinars have been hosted.
Planning is underway for the Atlantic Learning Exchange, to be hosted by the AHQPSC and the Canadian Patient Safety Institute, in St. John’s, Newfoundland and Labrador, on October 8 and 9, 2019. The conference theme is Innovative and Emerging Trends in Patient Safety and Quality Improvement.
Ontario: The Canadian Patient Safety Institute supported the planning of Health Quality Ontario’s Health Quality Transformation conference held in October 2018, as a member of the abstract review committee. The Canadian Patient Safety Institute also featured two poster presentations at the Conference. The Canadian Patient Safety Institute maintains and looks to develop new collaborations and relationships with healthcare organizations in Ontario and the Northern regions.
Québec: The Canadian Patient Safety Institute participates in the La Fédération des médecins spécialistes du Québec (FMSQ) Quality and Patient Safety Committee, and the Réseau pour l'amélioration continue de la qualité (RACQ) Collaborative. In 2018-2019, the Canadian Patient Safety Institute was involved in the planning and made a presentation to the RACQ Colloque in Montreal; and updated the RACQ executive committee on the Safety Improvement Projects. The Canadian Patient Safety Institute is a member of the FMSQ Quality and Patient Safety Committee and sponsored the 2018 Journee de formation interdisciplinaire (Interdisciplinary Training Day) in Montreal.
Western Canada: To advance patient safety initiatives in Western Canada, the Canadian Patient Safety Institute provides leadership, coordination and support to regional health authorities, quality councils and regional patient safety committees in the Western provinces. These groups identify and discuss quality and patient safety priorities with an aim to learn from each other and identify opportunities for their provincial initiatives and programs. The Canadian Patient Safety Institute maintains participation at relevant strategy tables, conferences and events and continues to provide secretariat support and participate in the Western Quality and Patient Safety Representatives Group. These regional partnerships provide valuable information to the Canadian Patient Safety Institute on emerging issues at the frontline and assist in ensuring our initiatives and outputs are practical and useful to patient safety leaders in the health system.
The Canadian Patient Safety Institute maintains a close relationship and works with the ministries of Health in the Western provinces on topics such as accountability for patient safety, understanding data, transparency, and reviewing legislation as it pertains to patient safety.