'Education' Category

Event Review: Medication Reconciliation: Keeping Your Ship Afloat (Sept 12, 2009)

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Highlights from the Workshop:
September 2, 2009
Winnipeg, MB

Medication Reconciliation: Keeping Your Ship Afloat

Of all the 10 SHN interventions, Medication Reconciliation (Med Rec) is the highest enrolled intervention in Manitoba. The Quality and Risk network members in Manitoba requested a face to face workshop on Med Rec but anticipated low attendance due to travel ban restrictions. We anticipated 30 participants and were very pleased to have 88 attendees (2 from BC, 2 from AB and 1 from SK). This workshop was co-hosted by the Manitoba Patient Safety Institute and the Western Node of Safer Healthcare Now!

Some exciting notables were:

  • Multidisciplinary attendance: Registrants were physicians (2); pharmacists; clinical nurse, educators, staff nurses, QI persons; home care coordinators, Cancer Clinic employees.
  • Representation across the continuum of care: One third of the attendees were from LTC, approximately 10-15 people from Home care and other clinic venues; the rest from Acute care.
  • Keen and participatory audience: Networking was a major part of the activity of the attendees.
  • Unique perspectives were shared and discussed: The attending physicians interacted with and heard “the other side” of Medication Reconciliation process from the other disciplines implementing this process at the bedside. Honest discussions occurred with the Accreditation Representative at the workshop.
  • Networking is key: Participants valued the connection with others in the “same boat”. We saw “glimpses” of how the workshop reaffirmed for participants that measurement can support and dovetail with the strategic direction of the regions in MB.

Workshop Objectives:

  • An improved understanding of the measurement process for Medication Reconciliation
  • Gained practical knowledge & tips on how to move Medication Reconciliation beyond a pilot site
  • Identified the steps for doing Medication Reconciliation at transfer and discharge
  • Identified some IT solutions for automating Medication Reconciliation
  • Gained some clarity and practical strategies for Accreditation processes in regards to Medication Reconciliation

Presentations

The presentations are all in PDF format and are posted on the Medication Reconciliation Community of Practice under “Community Documents”.

Click this link to check the presentations.

These presentations are also posted on the main SHN website under “Events and Calls” tab.

Measurement Questions

During the session the group decided to forgo the measurement exercise in favor of increased networking time. For those who had measurement questions that you would like addressed, Tanis would be happy to set up time to chat with you on the phone and assist in any way you may need. Please contact her either by phone (1-306-693-0780) or click here to email Tanis and we will be sure to get those questions/concerns answered.

Impact Stories from our Attendees:

What does it mean to come to a one day conference?For me it means a chance to spend targeted day thinking about the broader issues related to med rec. It allows me to hear, react and inquire about practices in other areas. I hope I leave a few thoughts and ideas at the table but always feel like I take many more back to our region. To paraphrase Edison ?? the meeting gives me the 1% inspiration that is required to get back to our region and deliver the 99% perspiration that is required to make project like med rec a success. Specifically we will be reviewing our measurement techniques and reconsidering our approaches to spread in our organization. Hope these short reflections are seen as helpful.

Shawn Bugden, Regional Director of Pharmacy Services,
Regional Health Authority - Central Manitoba

I think there are 3 key impacts

  1. Validation of doing “the right thing” because I hear others have already gone down that road or at least have the same questions at one point in time
  2. Inspiration that others are still doing it and survived! (I really resonated with Shawn’s opening lines from Shakespeare) Keeps the momentum going.
  3. Opportunity to share information that normally can’t be gotten any other way and bringing those pieces back to the project team. I am in the habit of asking others preconference what questions they have in mind besides my own and making sure I probe for those answers. When I return I respond to those specific questions.

Bonnie Terry, Project Leader
Medication Reconciliation Providence Health, BC


Event Pictures

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Dr. Bruce Roe in the opening plenary
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An engaged audience!
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Participants: Dan Painter & Sandra Fedirchuk, Manager of ,Manager of Quality &Accreditation WRHA
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Left to Right: Tanis Rollefstad, SIAWestern Node SHN!, Laurie Thompson, Executive Director of Manitoba Institute for Patient Safety & Margaret Colquhoun,Intervention Leader for SHN!Medication Reconciliation, ISMP Canada.

REMINDER:

For those of you who may require a certificate of attendance, we can provide that if you email Angela. Click here to email Angela.

Thank you.

Peggy Malone
Manitoba Coordinator for Safer Healthcare Now! (SHN)

102-175 Carlton Street
Winnipeg, MB R3C 3H9
Phone:(204) 999-6658 Fax (204) 779-6477
Email: p_malone@shaw.ca.
Website: www.mbips.ca
www.saferhealthcarenow.ca

Institute for Healthcare Improvement 20th Annual National Forum on Quality Improvement in Healthcare (December 10-11, 2008)

Thank you for participating in the pan-Canadian Broadcast of the 2008 IHI National Forum! Please fill out the online survey and enter for you chance to win one of four Delivering Patient Safety DVD Series.

Celebrating 20 years.  The Future of Healthcare is Ours to Imagine!

Organize and attend a webcast of The Institute for Healthcare Improvement’s 20th Annual National Forum on Quality Improvement “Celebrating 20 years: The Future of Healthcare is Yours to Imagine”!

Attend the Winnipeg Webcast

MIPS is sponsoring a webcast at the St. Boniface Research Centre, 351 Tache Avenue, Winnipeg MB, on December 10, 2008 0750 CST and Dec 11, 2008 0750 CST. No registration is required, and there is no charge for attendees.

Click here to view the program.

You are welcome to print and post widely in your facilities the Winnipeg webcast poster.

Organize a webcast in your Organization!

The webcast is accessible to any site in Manitoba free of charge, using your existing internet and computers to receive the broadcast.

To Register, go to http://www.patientsafetyinstitute.ca/events/2008IHI.html.

Sites will be responsible for organizing the event and paying for venue and other related local event costs. A poster for you to use to advertise the webcast in your organization.

Background

The Institute for Healthcare Improvement’s (IHI) Annual National Forum on Quality Improvement in Health Care is the premier “meeting place” for people committed to the mission of improving health care. This annual event draws approximately 7,000 healthcare leaders from around the world in person and an additional 15,000 via broadcast.

To view the 2008 forum brochure, click here.

The Canadian broadcast is being sponsored by the Canadian Patient Safety Institute, Medbuy and several other sponsors.

Keynote presentations:

  • Donald M. Berwick, MD, MPP, President and CEO, Institute for Healthcare Improvement
  • Susan Dentzer, Editor-in-Chief, Health Affairs, and On-Air Health Policy Analyst, The NewsHour with Jim Lehrer on PBS
  • Hippocrates Wept: An Anthology of Pathology, a multi-media and live production by famed playwright Robert Brustein and several well-known actors

This is an excellent event not to be missed!

Announcement of the Advanced/Train the Trainer Root Cause Analysis Workshop (Feb 11, 2008)

The Canadian Patient Safety Institute in collaboration with its partners, the Institute for Safe Medication Practices Canada and Saskatchewan Health, will be offering an Advanced/Train the Trainer Root Cause Analysis Workshop.

The Workshop will be offered to individuals for the purpose of building expertise and spread of the process of root cause analysis throughout their organization.

Expressions of Interest are now being accepted for the workshop and positions will be offered to individuals based on several criteria and a pre-determined regional distribution across Canada. All submissions must be received by February 11, 2008. The Workshop will be held in Toronto, Ontario from March 17 - 19, 2008.

For more information on the workshop and to download the Expression of Interest Form, please visit the Canadian Patient Safety Institute website http://www.patientsafetyinstitute.ca/

Patient Safety Workshops: Event Review - November 2007

Dr. Stavros Prineas facilitated several workshops and presentations during the week of November 18 – 26, 2007 while in Winnipeg for his keynote presentation at the Provincial Patient Safety Conference. Dr Prineas conducts workshops around the world on a variety of patient safety topics. MIPS arranged for him to be accessible to individual organizations during his time in Winnipeg. Events included:

• Workshop on Open Disclosure of Adverse Events Friday, November 23, 2007. The workshop was designed for physicians, nurses and other health care providers from any practice setting. Participants learned about open disclosure, when disclosure should take place, preparing for open disclosure, and practical steps. Thanks to Merck Frosst for their funding contribution to the event.
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• Workshop on “Teamwork and Patient Safety” Friday, November 23, 2007. The 2007 Provincial Patient Safety Conference Committee sponsored this event. Students from across health disciplines learned together about the importance of teamwork in the practice setting, barriers to team formation, and team effectiveness tools. Thanks to Merck Frosst for their funding contribution toward the event.
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• Workshop on Disclosure of Adverse Events on Tuesday, November 20, 2007, St. Boniface Research Centre and linked via telehealth across Manitoba. The Manitoba Pharmaceutical Association sponsored this event for Pharmacists on: Understanding Open Disclosure; Guidance on Reporting and Providing Open Disclosure on Medication Errors; and Responsibilities for Reporting under Bill 17

• Workshop on the Human Factors of teaching Human Factors on Thursday, November 22, 2007. The Faculty of Medicine, a MIPS member, coordinated this workshop for faculty of several health disciplines to address what extent can the key concepts of human factors relevant to patient safety - communication, teamwork, leadership and situation awareness - be reflected in methodologies used to train undergraduates and postgraduates

• Workshop on Teamwork on Monday, November 26, 2007. Health Sciences Centre sponsored this event. Participants reviewed what teams are and what they are not, and reviewed team effectiveness tools

• Workshop on Situation Awareness on Monday, November 26, 2007. South Eastman Regional Health Authority sponsored this event. Participants learned about individual and team situation awareness, and active situation awareness tools.

Provincial Patient Safety Conference: Event Review

Provincial Patient Safety Conference
November 21, 2007: Let’s Talk About it!

Conference Hand-Outs

The 2007 Provincial Patient Safety Conference took place Wednesday November 21, 2007 at the Winnipeg Convention Centre. The theme was Communication and Patient Safety. Approximately 360 people from across Manitoba registered for the conference, including 140 students from the Faculties of Medicine, Nursing and Pharmacy at the University of Manitoba (all three are MIPS’ members). The Provincial Patient Safety Conference is planned by an Organizing Committee, chaired by MIPS with participants who provide time and sponsorship funds toward the event.
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The 2007 Conference Organizing Committee:

Laurie Thompson, Manitoba Institute for Patient Safety (Chair)
Joan Blakley, College of Physicians and Surgeons of Manitoba
Sandra Fedirchuk, Winnipeg Regional Health Authority
Patti Fries, Southeastman Regional Health Authority
Susan Lessard Friesen, Manitoba Pharmaceutical Association
Kristine Hannah, Central Regional Health Authority
Dr. Brent Kvern, Family Physician
Patrick Munoz, Canadian College of Health Service Executives
Elaine Pelletier, Winnipeg Regional Health Authority
Linda Smyrski, Manitoba Health
Jo-Ann Welham, Interlake Regional Health Authority
Diane Wilson-Mate, College of Registered Nurses of Manitoba
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Our keynote speaker, Dr. Stavros Prineas, New South Wales, Australia, gave an inspiring keynote address that challenged the audience to examine ways in which providers communicate with colleagues and with patients and families. Practical tips in improving these communications were offered. Dr. Prineas bridged his messages to topics introduced in the breakout sessions following his address. Dr. Mark Fleming, Halifax Nova Scotia, provided an overview of his work with a research project addressing teamwork in a surgical program at St. Boniface General Hospital in Winnipeg. Lessons learned provided practical considerations for future work on building and enhancing teamwork in health care settings. Mr. Louis Sorin, Winnipeg Manitoba, examined the relationship between cultural safety and patient safety, and challenged participants to take a broad perspective on bridging these important concepts in the workplace. Mr. John Lewis, Hamilton Ontario, reflected on the inherent benefits of disclosure. His personal experience with his daughter Claire, who died as a result of errors in her post surgical hospitalization, provided a powerful backdrop to examining how disclosure takes place and how this experience needs to be improved for families as well as for health care providers.

Participants’ feedback to date has been extremely positive. There was an excellent mix of local, national and international leading edge examples of the importance of communicating effectively with patients, families and colleagues in the health care field. Techniques covered front line staff, managers and leaders. Below are links to the handouts from the conference, and a photo gallery of the conference.

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