Southeastman RHA
Contact: Patti Fries (204) 424-6042
Email: pfries@sehealth.mb.ca
- Written Strategic Priority with action plan developed to address.
- Executive Walkabouts conducted quarterly
- Patient Safety week celebrated with various activities
- Good Catch contest held
- Quarterly Patient Safety scorecards/reports to the Board
- Critical Incident Reporting/Occurrence Reporting policies
- Disclosure policy and CIRC committee in place
- Conducted one FMEA exercise on new sterilization process and plan to do another in Mental Health shortly
- Launched “It’s Safe to Ask” at all acute care sites, will roll out to the LTC sites and community this fall.
- Developing protocol to ensure effective transfer of information at all interface points, including “safety briefings”
- Critical Test Results policy developed
- Surgical Check lists revised
- Concentrated electrolytes double locked and removed from general stock
- Pharmacy and Therapeutics Committee have standardized the number of drug concentrations and drugs.
- Patient Safety education delivered to Regional Management Team, Quality Team leaders, and all CRNs.
- Patient Safety education part of general orientation to all new staff.
- “Patient Safety 101” presented in each district in June.
- Preventative Maintenance program for medical equipment, devices in place, as well as ongoing Fire Drill monitoring.
Infection Control
- Hand Hygiene education program in place with sessions delivered in all districts, and large part of Patient Safety Week.
- Ongoing Hand Hygiene education and linked with education for Pandemic Planning.
- Infection Control reports quarterly to all units
- Adhere to all provincial/national infection control standards with Infection Control manual available on all units.
- SSI Team in place, working to reduce surgical site infections. Good results with prophylactic antibiotics being administered in a timely way.
Prevention of Adverse Drug Events
- Medication Reconciliation Team in place with roll out soon to next acute care sties. Pilot site established several months ago.
- Participated in the Western Node Collaborative, and have currently joined the new Western Collaborative.
- Occurrence reporting data management program to track and trend all occurrence reports, include adverse drug events in order to make improvements.
- Hired summer student to study occurrence reports with respect to the category of “other” to better understand incident reporting and opportunities for improvement.
Other
- All 21 ROPs (CCHSA) have been assigned and are currently underway to establish some very worthwhile patient safety processes and ongoing monitoring. These are not just something to check off, but require actual change in process/culture. Working on 10 High Risk Meds as well as patient safety framework to assess patient safety issues throughout organization and carry out improvements.
- Have signed up for the AMI and Med Rec Home Care initiatives, and subsequently formed 2 new SHN teams in August 2007.