'Event Review' Category

Event Review: Canadian Patient Safety Week (Sept 29 – Oct 4, 2008)

Published by redgie2 on November 17, 2008 in Event Review. Closed

Theme: KNOWLEDGE IS THE BEST MEDICINE. ASK. TALK. LISTEN.

Twenty-nine Manitobans registered with the Canadian Patient Safety Institute for Canadian Patient Safety Week (CPSW) as leaders.

The Manitoba Institute for patient Safety is aware of at least 60 CPSW activities that were planned in all regional health authorities in Manitoba. Many of these activities focused on the public as being key to improving medication safety. Public service announcements, a planners’ guide, display banners, tent cards, display boards and tools such as the Institute’s newly released Medication Card, bus ads, and radio ads related to medication safety were created and disseminated.

We thank all our leaders and all participants for making the week a success!

Click here to view our Photo Gallery.

Event Review : It’s Safe to Ask Medication Card (June 2, 2008)

Published by admin on July 10, 2008 in Event Review. 1 Comment

It’s Safe to Ask Medication Card, launched June 2, 2008.

The Manitoba Institute for Patient Safety joined with a wide range of professional groups, regulatory bodies and healthcare organizations to launch the It’s Safe to Ask Medication Card on June 2, 2008.

Medication errors are a leading cause of patient harm. It is well known that adverse drug events occur with disturbing frequency, and that communication problems between settings of care are a significant factor in their occurrence. Chart reviews have revealed that over half of all hospital medication errors occur at the interfaces of care. Adverse drug events can be reduced by “reconciling” medications at transition points in care, such as at admission to an acute care or long term care facility and during home care. The key to this process is having an up-to-date list of medications. The It’s Safe to Ask Medication Card is used to generate this list.

The It’s Safe to Ask Medication Card was launched June 2, 2008. It is Phase Two of the Manitoba Institute for Patient Safety’s It’s Safe to Ask Campaign, launched in January 2007. The It’s Safe To Ask Medication Card was developed to support medication reconciliation being conducted in acute, long-term care and community settings in Manitoba as part of the Safer Healthcare Now! Campaign. The lead sponsor is Manitoba Health, and contributing sponsors are the Canadian Patient Safety Institute and Industrial Alliance Insurance and Financial Services Inc.

The It’s Safe to Ask Medication Card is being created in a format that Manitobans can carry with them to appointments and into healthcare settings. The Card will replace the medication information sheet in the Emergency Response Information Kit (E.R.I.K.). The kit is widely distributed across Manitoba and recognized by the public and providers. Partner regulatory bodies are helping raise awareness for the card and are distributing it across the province to members. This includes the Manitoba Pharmaceutical Association, the Manitoba College of Family Physicians, the College of Registered Nurses of Manitoba, the College of Licensed Practical Nurses of Manitoba, and the College of Registered Psychiatric Nurses of Manitoba.

Projects goals are to:

Raise awareness of the importance of medication safety and its affect on patients, families and the health care system,
Raise provider and public awareness of the benefits of clear communication to improving patient safety,
Improve communication between health care providers and patients/families about their medications, and
Improve patient safety and reduce harm to patients from medication errors

Partners with the Manitoba Institute for Patient Safety on these initiatives are: the Manitoba Pharmaceutical Association, the Manitoba Society of Pharmacists, the Winnipeg Regional Health Authority, and Boni-Vital Council for Seniors (E.R.I.K.).

The medication card in various formats, patient and provider videos, and related tools and information can be accessed at www.safetoask.ca.

Event Review : Patient Safety is in YOUR Hand! (May 22, 2008)

Published by admin on July 10, 2008 in Event Review. 0 Comments

Patient Safety is in YOUR Hand launched May 22, 2008

The Manitoba Institute for Patient Safety joined with a wide range of professional groups, regulatory bodies and healthcare organizations to launch Patient Safety is in Your Hand, an initiative aimed at raising greater awareness among providers of the dangers of using certain abbreviations and symbols that are known to increase the possibility of adverse events.

Medication errors are a leading cause of patient harm. It is well known that adverse drug events occur with disturbing frequency, and that communication problems between settings of care are a significant factor in their occurrence. In the Canadian Adverse Events Study (2004), drug and fluid related events were the second most common type of procedure or event to which adverse events were related. Improving medication safety through avoiding the use of abbreviations, dose designations and symbols in the medication use system will reduce preventable patient harm.

Patient Safety is in YOUR Hand was publicly announced in May 22, 2008. It builds on the Regional Policy on Medication Order Writing Standards, introduced by the Winnipeg Regional Health Authority. In addition to posters, included will be a list of error prone abbreviations, acronyms, dose designations and symbols that are being discouraged. The posters and the “Do Not Use List” form part of a tool kit for organizations to use to introduce and promote Patient Safety is in YOUR Hand. The tool kit, which includes references, implementation tips and downloadable tools can be accessed at http://mbips.ca/wp/initiatives/patient-safety-is-in-your-hand/ . Project funding sponsors are Regional Health Authorities of Manitoba and Healthcare Insurance Reciprocal of Canada.

An interprofessional launch and education evening entitled “Improving Patient Safety Through Better Communication About Medications” was hosted by the Manitoba Pharmaceutical Association on May 22, 2008.

To view the video click this link http://mbips.ca/wp/initiatives/patient-safety-is-in-your-hand/#videotape

Partners with the Manitoba Institute for Patient Safety on this initiative are: the Manitoba Pharmaceutical Association, the College of Registered Nurses of Manitoba, the College of Registered Psychiatric Nurses of Manitoba, the Institute for Safer Medication Practices Canada, and the Winnipeg Regional Health Authority.

Patient Safety Workshops: Event Review - November 2007

Published by ilse on December 11, 2007 in Education and Event Review. 1 Comment

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.

• 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.

• 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

Published by ilse on December 11, 2007 in Education and Event Review. 0 Comments

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.

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

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.

About

Latest

Categories