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Acute Myocardial Infarction (AMI)
Home Care Safety
Mental Health
Patient, Family, Caregiver
Community Based Care
Patient Safety Incident
Antimicrobial Resistance
Carbapenem-resistant Enterobacteriaceae (CRE)
Central Line Infections (CLI)
Clostridium difficile
Hand Hygiene
Healthcare Associated Infections (HAI)
Methicillin-resistant Staphylococcus aureaus
Vancomycin-resistant Enterococci (VRE)
Ventilator-Associated Pneumonia (VAP)
Best Possible Medication History
Medication Management
Medication Incident
Medication Reconciliation (MedRec)
Venous Thromboembolism (VTE)
Post procedure infections
Procedure Associated Conditions
Retained Foreign Object
Surgical Incidents
Surgical Site Infection (SSI)
Infection Prevention and Control (IPAC)
Surgical Care Safety
Medication Safety
General Patient Safety
Rapid Response Teams (RRT)
Surgical Safety Checklist
Tools & Resources
Infection Prevention and Control (IPAC): Videos
Patient and Family: Useful Links
Central Line-Associated Bloodstream Infection (CLABSI): Getting Started Kit
Surgical Safety Checklist: Resources
Resource Links to Hand Hygiene Resources Worldwide
Central Line-Associated Bloodstream Infection (CLABSI): Videos
Patient and Family Resource: Surgical Safety
Tips for partnering with patients families on committees
Patient and Family Resource: Tips on ways to share your story
Medication Reconciliation (Med Rec): Tools
Preventing Falls: From Evidence to Improvement
Surgical Site Infection (SSI): Videos
Venous Thromboembolism (VTE) Pocket Cards
Preventing Falls: From Evidence to Improvement in Canadian Health Care
Ventilator-Associated Pneumonia (VAP): Videos
Medication Reconciliation (Med Rec): Getting Started Kit
Acute Myocardial Infarction (AMI): Getting Started Kit
Prevention and Management of Delirium (Delirium): Getting Started Kit
Reducing Falls and Injury from Falls (Falls): Getting Started Kit
Reducing Falls and Injury from Falls (Falls): Videos
Medication Reconciliation (Med Rec): Videos
Medication Reconciliation (Med Rec): Presentations & Posters
How can we make the partnership with patients/families more impactful?
Medication Reconciliation (Med Rec): Reports
Infection Prevention and Control (IPAC): Getting Started Kit
Learning from the best: A webinar with the Patient Safety Champion Awards Finalists
Tips for patient engagement in patient safety and quality committees
Rapid Response Teams (RRT): Getting Started Kit
Surgical Site Infection (SSI): Getting Started Kit
Ventilator-Associated Pneumonia (VAP): Getting Started Kit
Venous Thromboembolism (VTE): Getting Started Kit
Paper to Electronic MedRec Implementation Toolkit
Additional Hand Hygiene Materials
Fact Sheets About Hand Hygiene
Hand Hygiene Observation Tools
Hand Hygiene Toolkit
Hand Hygiene Human Factors Toolkit
Hand Hygiene: Working with Patients and Families
Patient and Family Resource: Disclosure Principles
How to care for yourself when representing the patient voice
Patient and Family Resource: External Resources
Tips for patient family engagement with health authorities to improve patient safety and quality of care
Weight-Based Dosing Summary: Physician Support Tool
Trigger Tools
Reference Documents
Working Group Members
The Safety Competencies Framework
Frequently Asked Questions
Safety Competencies - Steering Committee
Safety Competencies - Working Group Members
Safety Competencies Conference
Resources and Links
Teamwork and Communication
Surgical Safety in Canada: A 10-year review of CMPA and HIROC medico-legal data
Suicide Risk
Advisory Group
Sepsis: Prevention, Early Identification and Response: Getting Started Kit Components
Section 1: Prevention, Early Identification and Response
Section 2: Pediatric Sepsis
Section 3: Maternal Sepsis
Section 4: Technical Descriptions and Data Screens
Section 5: Sample Checklists and Tools
Researcher in the Room Webinar Series
Promoting Real-time Improvements in Safety for the Elderly
Spotlight on Students
Paediatric Patient Safety
Current Competitions
2013-2014 Patient Safety Studentships
2014-2015 Patient Safety Studentships
CPSI Research Competition Results
Commissioned Research
Safety in Long-Term Care Settings
Research Results
Safety in Home Care
Research Results: Safety in Home Care: Broadening the Patient Safety Agenda to Include Home Care Services
Research Results: Lang
Research Results: Doran
Research Results : MacDonald
Safety at Home: A Pan-Canadian Home Care Study
Post-Marketing Surveillance of Drug Safety
Research Results
Patient/Client Safety in Home Care in Canada
Research Results
Patient Safety in Primary Care
Research Results: Patient Safety in Primary Care
Patient Safety in Mental Health
Research Results
Patient Safety in Emergency Medical Services
Research Results
Harm to Healing – Partnering with Patients Who Have Been Harmed
Research Results
Economics of Patient Safety
Research Results
Concise Incident Analysis Method Pilot Study
Canadian Paediatric Adverse Events Study
Canadian Patient Safety Institute Partnership Projects
Presentations : Safer Healthcare Now!
Ventilator-Associated Pneumonia - Central Line Associated Blood Stream Infections (VAP CLA-BSI) Break Through Collaborative
CLA-BSI Action Series Towards Zero Infections
Safe Surgery Saves Lives Checklist Action Series
Incident Analysis Learning Program (2012)
How the Safe Surgery Checklist is making a difference
Atlantic Region Workshop
Who's on What? Med Rec Workshop
Safer Healthcare Now! Day, 2010
Refuelling your Quality Engine: Sparking Action for Complex Problems
Atlantic Health Quality & Patient Safety Learning Exchange
Safe Surgical Care... Accepting No Less
Atlantic Health Quality and Patient Safety Learning Exchange (2013)
All Aboard the MedRec Train
Canadian Venous Thromboembolism (VTE) Audit (2014)
Atlantic Health Quality & Patient Safety Learning Exchange (2015)
Canadian VTE Audit Day - April 10, 2013
Previous Events
Canadian Falls Quality Audit: April, 2015
2016 Webcasts
Redesigning the Transition Experience: Co-ordinating Patient Focused MedRec Across All Sectors
Patients and Family as Full Partners of the Healthcare Team
Results from Canadian SSI Prevention Audit
2015 Calls
February 2015 is MedRec Quality Audit Month: What You Need to Know to Participate
Engaging with Clinicians by Creating Highly Adoptable Improvement: Relevance to Medication Reconciliation
Falls Prevention & Management: A New Tool To Help With Process Improvement (ACUTE & LONG TERM CARE)
Falls Prevention Management A New Tool To Help With Process Improvement (HOMECARE)
Supporting Safe and Seamless Care Transitions
Call to Action: Canadian Falls Prevention Audit Month April 2015
Canadian MedRec Quality Audit Month 2015 - Results
Nutrition Without Harm: Feeding the Critically Ill Patient
When Disaster Strikes: Planning the response for Home and Community Care
Your Patient Had A VTE – What Went Wrong?
When caring hurts; helping helpers heal
Increase Your SSI Data Collection Efficiency
Man vs. Machine -- A new approach to hand hygiene auditing
Beyond the Audit: Measuring MedRec Processes for Quality Improvement
Canadian Falls Prevention Audit Month 2015 - Results
Home Care Getting Started Kit Launch
Your Discharge is Someone's Admission
ICU - National Intiative 2016-2017 Topic Selection Webinar
2014 Calls
Got Med Wreck? Targeted Repairs from the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS)
Partnering with our patients - Engaging patients, families and caregivers in MedRec to achieve the best and safest care
"How is my resident falling?" - Lessons from videos capture the cause and prevention of falls in older adults long-term care
Continuing the circle of care: MedRec in the Community
Making a PDiF-ference
Safety, Sleuthing and Students: A Novel Collaborative MedRec Event
Using technology to support MedRec: Two hospitals, two approaches
Surviving Sepsis: State of the Art
Fresh from the press: Updated best practices in Surgical Site Infection Prevention
Latest Updates to the Canadian VAP Guidelines - What's New?
MedRec in Ambulatory Care: Highlights from the literature and one hospital's implementation efforts
The Surgical Safety Checklist; Rhetoric….or are we making a difference?
Infection Prevention and Control Strategies in Home Care and Long Term Care
Preventing Falls While Encouraging Mobility for Older Adults: Research at Toronto Rehab
Scaling up MedRec Measurement – Experiences from Alberta
National VTE Audit Day: Results and Feedback
2013 Calls
The Stepping Stones to MedRec Success
"aC3KTion Net" Knowledge Translation Network
Making a case for medication reconciliation in primary care
Using measurement to drive improvement: New tools to help you succeed
Learning from the Delirium Collaborative
Medication Reconciliation - Recent changes introduced by Accreditation Canada
Webinar - MedRec - A Panel Discussion with Physicians
National VTE Audit Day: Results and Feedback
Falls Prevention/Injury Reduction Getting Started Kit – 2nd Edition – What's New in Fall Best Practices?
Cuts Like a New Knife - Current Practice and Emerging Evidence in Preventing SSI
A Novel Tool to Assess the Quality of Admission MedRec Processes
Improving Efficiencies in Medication Reconciliation - The McGill Story
Canadian MedRec Quality Audit National Call
Moving From Paper To Electronic Medication Reconciliation
Innovative Approaches to Prevention of Falls - Positive Deviance and Frontline Ownership
Assessing delirium: pragmatics and confounders
The Ten Obstacles to Hand Hygiene
Canadian MedRec Quality Audit Month: Results and Future Direction
2012 Calls
A Tale of Two Facilities - MedRec in the Long Term Care Setting
Proud to be Canadian – The MedRec Story
Patient and Family-Centred Care
Development and Implementation of a MedRec e-BPMH Training Package: The Sunnybrook Health Sciences Centre Experience
Focusing on Quality MedRec Processes: Saskatoon Health Region's Approach
Training Session Patient Safety Metrics (French)
Venous Thromboembolism Prophylaxis for hospitalized patients at risk
MedRec in the Home Care Setting: Sharing Ontario's Central Community Care and Access Centre's Success Story
CLA-BSI Updates - Commentary and Controversies
Engaging Physicians in Medication Reconciliation
Falls in Long Term Care with Focus on Fracture Prevention
Falls in Long Term Care With Focus on Fracture
Nurse-Pharmacist Collaboration on Medication Reconciliation: A Novel Approach to Information Management
Patient Stories
A daughter honours her father through a teaching career in nursing
A fall changed Anne's life forever
Nurse experiences other side of healthcare during daughter's illness
'If something doesn't feel right, you have to ask the question'
Father's death fuels quest for healthcare improvement
Circumstances of baby's death revealed during healthcare collaboration with family
Fervid's legacy of care lives on through loved ones
Hospital administration changes and an apology brought meaning to Daniel's life
One woman's misfortunes show importance of patient voice
One son-in-law's pursuit to change the system
Palliative experiences of two loved ones continues Carol's inspiration to advocate for others
Family wishes disclosure guidelines used following teen's death
Martha's legacy lives on
Little Mataya gives the gift of change
Baby Sophia helped create policy change
Terri encourages others to strengthen patient and provider teamwork
Vance's passion for helping others lives on
Claire inspires change after her passing
When providing care, put the patient into perspective
Wife's death left her husband to fight for changes in primary care
Patient Safety Metrics
Measures: Prevention and Management of Delirium (Delirium)
Measures: Acute Myocardial Infarction (AMI)
Measures: Central Line-Associated Bloodstream Infection (CLABSI)
Measures: Infection Prevention and Control (IPAC)
Measures: Reducing Falls and Injury from Falls (Falls)
Measures: Surgical Site Infections (SSI)
Measures: Venous Thromboembolism (VTE)
Measures: Ventilator-Associated Pneumonia (VAP)
Measures: Rapid Response Teams (RRT)
Measures: Medication Reconciliation (MedRec)
Patient Safety and Quality Priorities for Consortium Participants: A Canadian Snapshot
Patient Safety and Incident Management Toolkit
Toolkit Faculty
Toolkit Project Team
Story: Patient Safety Incident Management Toolkit
Resources and Recommended Readings
System Factors
Tools and Recommended Readings: System Factors
Patient Safety Management
Before the Incident
Patient Safety Culture
Reporting and Learning Systems
Tools and Recommended Readings: Before the Incident
Tools and Recommended Readings: Patient Safety Culture
Tools and Recommended Readings: Reporting and Learning Systems
Story: Patient Safety Culture
Story: Reporting and Learning Systems
Incident Management
Analysis Process
Close the Loop/Share Learning
Follow Through
Immediate Response
Prepare for Analysis
Tools and Recommended Readings: Analysis Process
Tools and Recommended Readings: Close the Loop
Tools and Recommended Readings: Disclosure
Tools and Recommended Readings: Follow Through
Story: Close the Loop/Share Learning
Tools and Recommended Readings: Immediate Response
Story: Immediate Response
Tools and Recommended Readings: Prepare for Analysis
Story: Follow Through
Patient Concern Resolution Process
Alberta Patient Concern Contacts
British Columbia Patient Concern Contacts
Manitoba Patient Concern Contacts
New Brunswick Patient Concern Contacts
Newfoundland and Labrador Patient Concern Contacts
Nova Scotia Patient Concern Contacts
Nunavut Patient Concern Contacts
The Northwest Territories Patient Concern Contacts
Ontario Patient Concern Contacts
Prince Edward Island Patient Concern Contacts
Quebec Patient Concern Contacts
Saskatchewan Patient Concern Contacts
Yukon Patient Concern Contacts
Never Events for Hospital Care in Canada
Medication Bar Code System Implementation Planning – a Resource Guide
Leading Large Scale Change (Reference List)
Incident Analysis
Incident Analysis
Learning Opportunities
Incident Management Tools
Learning Opportunities
Incident Analysis Framework Train-the-Trainer Workshop
Improvement Frameworks Getting Started Kit
Hospital Harm Indicator
Resource Library
Additional Analytical Resources
General Patient Safety Quality Improvement and Measurement Resources
How to Use the Hospital Harm Indicator and Resource Library for Improvement
Venous Thromboembolism Overview
VTE: Global Patient Safety Alerts
VTE: Discharge Abstract Database
VTE: Importance to Patients and Families
VTE: Standards and Required Organizational Practices
VTE Prevention Success Stories
Resource Library: VTE References
Resource Library: VTE Resources
Pressure Ulcer Overview
Pressure Ulcer Discharge Abstract Database
Pressure Ulcer Standards and Required Organizational Practices
Pressure Ulcer: Global Patient Safety Alerts
Pressure Ulcer: Success Stories
Resource Library: Pressure Ulcer References
Resource Library: Pressure Ulcer Resources
Importance to Patients and Families
Home Care Safety
Resources for home care providers
Resources for family caregivers and clients
Resources for policy makers and academics
Healthcare Provider Stories
Dr. Francois deWet turns "physician's worst nightmare" into opportunity for improvement
Tragedy leads Dr. Doug Cochrane on mission to improve patient safety
David U fights for a blame-free culture in healthcare
Patient and Provider come together in wake of patient safety incident
Dr. Julia Trahey calls for peer support networks to assist providers following patient safety incidents
Guidelines for Informing The Media After an Adverse Event
Five Questions to Ask about your Medications
Effective Governance for Quality and Patient Safety
Message from the Co-Chairs
Message from Patients for Patient Safety Canada
What is Quality and Patient Safety?
Where Does Governance Fit In?
Glossary of Terms
How to Use this Toolkit
Skills and Role
Quality and Safety Plan
Quality and Patient Safety Culture
Key Drivers of Effective Governance for Quality & Patient Safety
Governance for Quality and Patient Safety in Canada
Effective Governance
Canadian Disclosure Guidelines
Disclosure Training Programs
The Institute for Healthcare Communication – Canada
Disclosure Training Program: The Canadian Medical Protective Association (CMPA)
News & Alerts
October 2013: Infection Prevention and Control
August 2013 Sharing for Learning
November 2013: Sharing for Learning
Volume 6 Issue 2 - February 2010
Volume 06 Issue 03 - March 2010
Volume 06 Issue 04 - April 2010
Volume 06 Issue 05 - May 2010
Volume 06 Issue 06 - June 2010
Volume 06 Issue 07 - July 2010
Volume 06 Issue 08 - September 2010
Medication Safety Leader for British Columbia
Getting Started Kits Update
Mark your calendars for upcoming National Calls
Expert advice on Getting Started
Patient Safety Metrics: Measuring to Reduce Harm New online measurement and data reporting system
Canada's Hand Hygiene Challenge
A Grass Roots Approach to Improving Patient Safety: Innovation or back to basics?
Stop the Clot – VTE Prevention Atlantic Workshops
Patient Safety Metrics Additional training on using new web-based measurement system
Atlantic Canada forging ahead: Collaboration, Alignment and Leadership
And the winners are ... Hand Hygiene video competition
National VTE Audit Day provides a snapshot of prophylaxis use
10 more Interprofessional teams trained to enhance patient safety education
1,400 hands on deck for STOP! Clean Your Hands Day
2012 Notice of Annual Business Meeting of Members
20 ways to make the most of your Canadian Patient Safety Week celebration
78.3 per cent of healthcare workers clean their hands
Achieving Excellent Care for All
Adult learning techniques help to engage your audience
Advocate applauds release of 'Patient Safety in Primary Care' research paper
A final note from Halifax 10
A framework for analyzing patient safety incidents
Alberta embraces Safe Surgery Checklist: Audit confirms 95 per cent compliance in its use
Alberta Health Services sets target for 100 per cent Hand Hygiene Compliance
Ambassadors and peer-to-peer spread help to shift the culture of patient safety
A note from CPSI staff: We got the Power
Apply now for graduate research degree in Quality Improvement and Patient Safety
Apply now for new Master's Degree in Healthcare Quality, Risk and Safety
Are you engaged? Customizing your social media experience
Are you Photohygenic? Clean Shots Photo Contest winners
Ask.Listen.Talk. Video competition winners tell all
Canada's Virtual Forum on Patient Safety and Quality Improvement: Ask Listen Talk
A spooky idea for Canadian Patient Safety Week
A Spotlight on Medication Safety: Canada's Virtual Forum Day 3 Recap
Bar coding: a National Strategy for medication safety
Become a Patient Safety Trainer conference
Bridgepoint Health recognized for leadership in patient safety education
Bridgepoint Health speaks up for patient safety
Build a strong patient safety culture in your organization
Call for Home Care Safety Expert Faculty
Canada's Virtual Forum on Patient Safety and Quality Improvement Patient Safety: What does it mean? What does it take?
Canada's Forum: a call to action for collaboration, partnerships and finding practical solutions for change
Canada's Forum: Reflections and Opportunities for Patient Safety
Canadian Armed Forces tailor Patient Safety Education Program – Canada to help strengthen their patient safety culture
Canadian Medical Protective Association CEO Blog: Hart of the Matter
Canadian Medical Protective Association: Good Practices to advance patient safety
Canadian Patient Safety Institute Annual Review - ASK.LISTEN.TALK.
Canadian Patient Safety Officer Course attracts participants from across Canada and Hong Kong
Canadian Patient Safety Officer Course New course to be offered in April 2011
Canadian Patient Safety Officer Course Vancouver and Ottawa sessions available in 2012
Canadian Patient Safety Week 2010 hits new heights
Canadian Patient Safety Week 2013 kicks off
Canadian Patient Safety Week Are you ready to celebrate?
Canadian Patient Safety Week just around the corner!
Canadian Patient Safety Week to celebrate medication safety
Canadian Patient Safety Week Webinar Series
Carolyn Canfield: 2014 Canadian Patient Safety Champion
Celebrating Heroes on the Frontline – Highlights of Day 4 of Canada's Virtual Forum
Central Health's efforts in patient safety education recognized
Chris Power successfully recruited as CPSI's new CEO
Contribute to new knowledge in patient safety
Covenant Health gets ready for Canadian Patient Safety Week
CPSI hosts Medication Safety Summit
CPSI hosts Patient Safety Education Roundtable
CPSI hosts Surgical Care Safety Summit
CPSW an eye-opening experience for Orillia Soldiers' Memorial Hospital
Curriculum review helps to understand strengths and identify gaps in safety competencies
Customized Governance program available for Ontario's primary care sector
Customized Governance program for First Nations includes traditional ceremonies
Dalhousie University to launch new nursing curriculum: Safety Competencies mapped to student learning outcomes
Delia Cooper: a pioneer in promoting patient-centred care
Developing Solutions for Patient Safety Incidents and Challenges
Development for the Assessment and Prevention of Suicide Risk
Dr. Claude Laflamme to Chair CAS Patient Safety Committee
Dress up as a Germ to promote good hand hygiene practices
Economics of Patient Safety in Acute Care – report examining the financial cost of adverse events released July 9th, 2012
Economics of Patient Safety in Acute Care – report to be released in May 2012 examines the financial cost of adverse events
Effective Governance for Quality and Patient Safety receives prestigious award
Effective Governance with a long-term care focus
Canada's Virtual Forum on Patient Safety and Quality Improvement - Engagement: Patients, families and the public
Engaging frontline staff in auditing at Capital Health
Canada's Virtual Forum on Patient Safety and Quality Improvement: Engaging hearts and minds in medication safety
Engaging Patients to Bridge the Gap from Primary Care to Home Care
Evidence-informed approaches to Governance and Leadership
Evidence-Informed Healthcare Renewal Portal – Now Available!
Feeling overburdened? Learn how to succeed with quality improvement work
Five students awarded funding to develop solutions for key patient safety issues
Focusing on the patient perspective – Canada's Virtual Forum Day 5 recap and highlights
Canada's Forum on Patient Safety and Quality Improvement - Special Recap Issue
Gaining a perspective on Safety at Home: the Pan-Canadian Home Care Study
Ghost Busting in Healthcare Essay Series - Looking for Ghost writers
Global Patient Safety Alerts breaking new ground
Governance program adapted for the community sector
Have you signed up yet? The launch of the Improving Care Search Centre is fast-approaching!
HealthAchieve offers Effective Governance for Quality and Patient Safety program as pre-conference workshop
Helping medical educators advance patient safety in residency education
Help the patient voice be heard - Studentships
High Reliability Organizing with the Patient
Holland Bloorview's approach to improve reporting, increase good catches and reduce harm
Holland Bloorview implements a hospital-wide patient safety vision
Holland Bloorview's creative approach to safe medication management
Holland Bloorview speaks out about authentic partnerships
How the Winnipeg Regional Health Authority is building a patient safety culture
How to effectively apologize and say you're sorry
iDoseCheck improves accuracy of paediatric drug calculations
Improving Care Search Centre: changing the way information is shared
Incident Analysis learning opportunities and impact evaluation
Increasing patient safety for infants, children and youth
Innovation in Patient Safety Education Award – 2014 Recipients
Is healthcare safer? Inquires, reflections and progress
It's not about shaming or blaming, it's about improving healthcare
Jewish General Hospital: Quebec's expert in thrombosis prevention
Justin's story
Keeping children safe from harm - a call to action
Tools and resources now available: Key learnings from the Pan Canadian Home Care Study
Kingston General Hospital wins Patient Safety Champion Organization Award for 2014
Kudos to BC Quality Award winners
Launching Soon: Global Patient Safety Alerts
Leadership and Culture: A Call To Action
Leadership Award presented for fostering a patient safety culture
Learning together to advance board governance of quality and patient safety
Let's Celebrate Safe Care - Have you got a good story to tell?
Making a difference in care outcomes
Manitoba's approach to effective governance of quality and patient safety
Manitoba Health, Healthy Living and Seniors joins Global Patient Safety Alerts
Manitoba Institute for Patient Safety marks a decade of patient safety excellence
Manitoba Institute for Patient Safety simulation toolkit
Medication Bar-coding System in Operating Rooms receives Patient Safety award
Medication Safety: Communicating Effectively to Prevent Harm
NAIT to host patient safety trainer program and Simulation Conference in Edmonton
National healthcare organizations get on same page for patient safety
New Board Chair appointed for Canadian Patient Safety Institute
New Degree program in Quality Improvement and Patient Safety
New guidelines promote patient safety in endoscopic services
New patient safety initiatives in Manitoba
News Archive
New standards for nursing education programs promote patient safety competencies
New Strategic Plan hits the mark!
New Technology at North York General Hospital
Next generation of healthcare providers to lead patient safety research
Notes and Quotes on leadership from Canada's Virtual Forum - Day 1
Ottawa Hospital uses core competencies education to create patient safety culture
PSEP - Canada training helps teams to make positive changes at Bridgepoint Health
Participate in patient safety discussions using social media
Patient Safety Crosswalk establishes itself as a useful tool for sharing and learning
Patient and Family Advisors play key role in promoting Canadian Patient Safety Week at CKHA
Patient safety advocates join PSEP – Canada Master Facilitator team
Patient Safety and Incident Management online Toolkit launched
Patient Safety Education Program – Canada delivers to Alberta healthcare educators
Patient Safety Education Project-Canada trains interprofessional teams
Patient Safety Metrics helps northern Alberta hospitals audit MedRec
Patient Safety Metrics tool helps to facilitate quarterly VTE prophylaxis audits in Alberta
Patients for Patient Safety Canada meeting builds connections and sense of unity with members
Patients for Patient Safety Canada co-chairs win "Quality of Life Award"
Pharmacists champion National VTE audit
Prairie Mountain Health develops Quality and Patient Safety Education program
Pre-Conference helps builds momentum for safe transitions in care
Preventable patient safety incidents at $397 million
Providing input on Disclosure - New draft Guidelines available for review
PSEP – Canada adds patient safety in mental health modules to core curriculum
PSEP ‒ Canada: helping to build a culture of patient safety
Qmentum Quarterly: Practical quality improvement solutions
Recap of IPAC Summit and Patient Safety Consortium
Reducing preventable complications in hip and knee surgery
Reflections on the Future of Healthcare
Register for Canada's Virtual Forum on Patient Safety and Quality Improvement
Register now for the Canadian Patient Safety Officer Course
Renfrew Victoria Hospital's frontline approach to improving the culture of patient safety
Renfrew Victoria's efforts to foster a patient safety culture recognized
Research grant awarded to advance safety for patients with heart-related problems in emergency
Resource Manual for managing and preventing infections in Continuing Care
Revisions to the Canadian Root Cause Analysis Framework
Safety Competencies mapping
Sandra Zelinsky's patient engagement study helps to facilitate patient safety for surgery
Sayonara to infections! April is Canadian Hand Hygiene Audit month
Second victims: A landmark national conversation on providing timely psychological first aid
St. John's Rehab promote patient safety message among staff and patients
STOP! Clean Your Hands Day: Canada's creative approach to promoting hand hygiene
Take your Patient Safety Education Projects to the next level!
Taking Steps for Falls Prevention
The Capital District Health Authority promotes patients first
The clock is ticking ... register today for Canada's Virtual Forum on Patient Safety and Quality Improvement
Canada's Virtual Forum on Patient Safety and Quality Improvement: The culture and environment of work and care
The more secrets an organization tries to keep, the more suspicious people will be
The Ottawa Hospital patient safety education program helps move the bar toward a safety culture
The Power of Partnerships: Canada's Virtual Forum Day 2
The PSEP – Canada ripple effect is changing the patient safety culture at Bridgepoint Health
Think Digital Health Isn't Working For You? Think Again.
Top 10 reasons to sign up for Canada's Forum on Patient Safety and Quality Improvement and Canadian Patient Safety Week
Transitions at the Acute Care/Home Care Interface
Understanding the impact of teamwork and communication on patient safety
University educators and clinical teams certified as Patient Safety Trainers
University of Calgary offers Patient Safety and Quality Management Certificate on-line program
VTE Audit provides national snapshot: 86 per cent of hospitalized patients receiving prophylaxis
What's Your Hand in It? What's behind the winning entry?
What you did not see at Canada's Virtual Forum
When someone shows up in a lab coat, are they qualified?
"With a Little Help from My Friends" helps to reduces the stigma of mental illness
Working in partnership to make a difference CPSI and CNA sign Partnership Agreement
Your VOICE is heard at Waypoint Centre
August 2013: Medication Safety
July 2013: Meet our Contributing Organizations
September 2013: Surgical Care Safety
"You can ask me to clean my hands" buttons help to reduce healthcare infections
Amazing enthusiasm and energy at Atlantic Learning Exchange
Assessing the patient for appropriate prophylaxis
Atlantic Learning Exchange promotes leadership and change
Atlantic Quality and Patient Safety Learning Exchange- Promises 'down home flavor' for participants
A unique and successful tool to help prevent blood clots
Canadian healthcare organizations show high ROP compliance across all sectors
Celebrating STOP! Clean Your Hands Day
Collaborative helps ICU teams look at new ways to address delirium
CPSI announces Hand Hygiene Faculty
CPSI launches video contest to promote hand hygiene
Cuts like a Knife National Call sharpens knowledge of surgical teams
Don't Slip Up! helps teams to reduce falls and injury from falls
Dr. Claude LaFlamme promotes best practices to reduce surgical site infections
Dr. Guiseppe Papia improves care for more than just his patients
National Calls: "Every Patient Safe" – Tuesday, December 14, 2010 – 13:00 EST
Hand Hygiene e-learning - free module to improve infection control
Safe Surgical Care – Accepting No Less! Highlights from the March Workshop
Safe Surgical Care – Accepting No Less! Highlights from the March Workshop
Home is where the heart is! Virtual Action Series gets high marks from participants
Hôpital Montfort wins design Stick it to Hand Hygiene! competition
Hourly rounding: A new falls initiative at Deer Lodge Centre
Improvement Frameworks Getting Started Kit guides system change
Improving care for heart attack patients
Improving high alert medication delivery in paediatrics
Infection control awareness helps to reduce ARO outbreak and transmission at Grey Bruce Hospital
Informed patients can help drive change, says patient safety advocate
Join us for "STOP! Clean Your Hands Day" This is an opportunity you can't miss!
Join us for "STOP! Clean Your Hands Day" This is an opportunity you can't miss!
Learn, Share and be informed!
Let's make things happen - stopsuperbugs.com takes new approach to controlling superbugs
Mark your calendars for upcoming Safer Healthcare Now! National Calls
Medication Reconciliation in Long-Term Care – Updated English and French How-To-Guides Available
National Call highlights novel tool for acute and long term care
National Calls: January 2011
New Approach to Controlling Superbugs
News Archive
Optimizing Medication Safety at Care Transitions
Owning the problem and owning the solutions Supporting teams in controlling spread of superbugs
Owning the problem and owning the solutions Supporting teams in controlling spread of superbugs
Preventing Venous Thromboembolism – Updated resources now available!
Providers across Canada coming together to prevent surgical site infections
Quebec Node's Paule Bernier receives prestigious award
Raise your clean hands and get involved in Stop! Clean Your Hands Day
Saskatchewan Health Region achieves central-line success
Saskatoon Health Region pioneers MedRec in home care
Sharing our "dirty little secret": Infection control initiatives lead back to optimal hand hygiene
Newsletters 2009
Solving the Medication Reconciliation Mystery Saskatchewan workshop
Spreading MedRec – Collaborating to create a reliable discharge process
STOP! Clean Your Hands Day - Celebrating optimal hand hygiene
STOP THE CLOT Collaborative helps to reduce venous thromboembolism
Sustainability concepts support falls prevention and injury reduction programs
Helping others break down barriers - The role of a Positive Deviance Coach
Three teams share their approach to implementing a VTE strategy
Thunder Bay Critical Care Unit fine-tunes Medication Reconciliation processes
Trailblazer awards recognize innovative solutions Highlights of e-solutions for medication reconciliation
Videos feature the "rock stars" of hand hygiene
Volume 6 Issue 1 - January 2010
What about the Patient? Ensuring optimal hand hygiene
What's New in Falls Best Practices?
Workshop highlights pockets of excellence in MedRec
Our address may have changed, but our passion never will
Patient Safety Power Plays
Patient Safety Power Plays – May 2015
Good culture leads to good results: How CUSP is improving surgical care in BC
What you should know about a dog named "Jack", a head of cauliflower and a jump rope
The Stories
Meet the new Canadian Home Care Faculty
Horizon's regional approach for VTE prevention
Coming this October, I am in for a treat.
Patient Safety Power Plays - August 2015
Patient Safety research projects funded to advance the use of simulation
University of Ottawa Faculty of Medicine revisits safety competencies mapping
Paramedic's educational framework for patient safety
Patient Safety Power Plays – September 2015
Call for Infection Prevention and Control Expert Faculty
Funding feasibility studies that lead to improved care for frail elderly Canadians
November is Fall Prevention Month
Partnering with patients and families in making care safer
Innovations in Patient Safety Education – 2015 Award recipients
Patient Safety Power Plays – October 2015
Concordia to implement MedRec at admission, transfer and discharge by 2020
Implementing MedRec at Horizon Health Network
Thunder Bay Regional Health Sciences Centre: a model for patient and family-centred care
Keith Taylor is making a difference in patient and family-centred care
Price family receives 2015 Patient Safety Champion Individual Award
Canada's Virtual Forum on Patient Safety and Quality Improvement: Looking back, reaching forward – the new Safer Healthcare Now!
Providence Health Care recognized for work in patient and family-centred care
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Canada's Virtual Forum on Patient Safety and Quality Improvement - When Workplace Joy Thrives, Patient Safety Comes Alive!
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Patients for Patient Safety Canada celebrates 10 years of harm to healing
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10 years of partnering for patients – a message from the Patients for Patient Safety Canada Co-Chairs
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CanMEDS Consortium will promote pan-Canadian approach to physician training and evaluation
Patient Safety News
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Inspired by a shared commitment to improve patient care, the Canadian Patient Safety Institute has united with 12 other Canadian health care organizations under the new CanMEDS Consortium. Members have agreed to embed a common set of values and competencies – the CanMEDS Framework – into their respective areas of work in training and evaluating physicians in Canada. The result will be better patient care emanating from a more consistent and coordinated national approach to physician training and practice. "This collaboration is unprecedented and represents a major step forward for the profession," said Dr. Andrew Padmos, the Royal College's Chief Executive Officer. "We see the new consortium as a great way to enable use of the CanMEDS Framework for family physicians and all other specialists."Wider application of a well-known model CanMEDS is a world-renowned model for training and evaluating physicians. It identifies and describes the abilities physicians require to effectively meet the health care needs of the patients they serve. Aspects of the framework have been used for up to 25 years in Canada and abroad. In addition to articulating the medical expertise required through a physician's career, the framework organizes competencies under seven roles Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar and Professional. Every 10 years, the CanMEDS Framework is updated. Members of the national advisory committee overseeing the latest revision in 2015 recognized the importance and advantage of a single physician competency framework for all of Canada. The CanMEDS Consortium was created to facilitate that vision.Consistency in physician training Today, CanMEDS is used mainly for postgraduate medical education, while other stages of a physician's career adhere to different competency frameworks. "The CanMEDS Consortium is committed to facilitating the adoption of CanMEDS along the entire continuum of medical education and practice, including undergraduate medical education and continuing professional development," said Dr. Francine Lemire, the Executive Director and CEO of the College of Family Physicians of Canada. "This consistent approach will lead to greater efficiency for the organizations that deliver training and the physicians who participate in it." In addition, the medical regulatory authorities can use the same language as the training organizations to evaluate the professionalism and competence of licensed physicians, and in complaints processes.Improved patient care and safety "Improved patient care is at the heart of the mandates of all 13 member organizations," said Dr. Geneviève Moineau, the President and CEO of the Association of Faculties of Medicine of Canada. "Safety, quality and accountability are at the heart of CanMEDS, and medical schools are preparing doctors for the future with these intrinsic Canadian values." For example, mastery of the Communicator and Collaborator roles, which call for active listening and relationship-management skills, are essential for patient-centred care. The addition of a new key competency for patient handover was a major change in the 2015 update of the CanMEDS Framework, and many other competencies were altered or added to improve the safety of care for patients.Ongoing implementation Implementation will be an ongoing process. In the coming years, each member of the consortium will work to embed the CanMEDS Framework into its business model. At minimum, the consortium will meet twice a year to review its progress. It will share news of its successes and accomplishments as they are made. Learn more To find out more about CanMEDS and the CanMEDS Consortium, visit www.royalcollege.ca/canmeds The CanMEDS Consortium is made up of the following provincial and national health care organizationsThe Royal College of Physicians and Surgeons of Canada The College of Family Physicians of CanadaThe Association of Faculties of Medicine of CanadaThe Canadian Federation of Medical Students The Canadian Medical AssociationThe Canadian Medical Protective Association The Canadian Patient Safety Institute The Collège des médecins du QuébecThe Fédération médicale étudiante du Québec The Federation of Medical Regulatory Authorities of CanadaThe Fédération des médecins residents du QuébecThe Medical Council of CanadaThe Resident Doctors of Canada
Inspired by a shared commitment to improve patient care, the Canadian Patient Safety Institute has united with 12 other Canadian health care
Everybodys got a story to tell
Patient Safety Power Plays
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If there is one thing we've learned at the Canadian Patient Safety Institute, it's to believe in the power of the story and the human experience. Look no further than our Patient and Provider Stories. These heart breaking tales have become a staple of Canadian Patient Safety Week and are so powerful that we call upon them at events throughout the year. For this, we are incredibly grateful to the brave members of Patients for Patient Safety Canada and the healthcare providers who have come forward to share their stories with us. These are stories on a small scale. They're still very niche, but if you've heard or seen them for yourself, you know the impression they can make on a person. On a much larger scale, stories are what makes Bell's Let's Talk Day so successful. One day, each year, devoted to talking about mental health awareness. Not only is this event fueled by stories about struggles with mental health issues, but it encourages everyone to open up and share their own experiences. Bell has the kind of reach to ensure everyone knows about Let's Talk Day, but it's the stories that are the real stars of the show and that give the event its appeal. We're doing a lot of work at the moment to define the CPSI story. What's it all about? Where did we come from and where are we going? You're going to be hearing a lot from us in the coming year about the CPSI story. I firmly believe it to be an important part of our way forward. We've been at this a long time, and we need to do a better job telling our story if we're going to continue to have an impact on the healthcare system. How about you? What's your story? As always, I'm available to you either by email at email@example.com or on Twitter @ChrisPowerCPSI. Yours in patient safety, Chris Power
If there is one thing we've learned at the Canadian Patient Safety Institute, it's to believe in the power of the story and the human
Pioneer in the patient movement still dedicated to the cause
Patient & Family stories
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Anne Lyddiatt wears many hats in her volunteer efforts but the priority remains the same — getting out the message for patient safety across Canada. After her many long years and varied roles in the battle to improve patient safety in Canada, Anne Lyddiatt still somehow retains enough energy to sweat the details. Even minor problems can get her back up. She was waiting for a ride inside a back entrance of a sprawling hospital in Sherbrooke, Quebec, recently when she spotted some striking patient safety posters mounted on a nearby wall. Good, right? Wrong. The place where Lyddiatt was standing was neither a public entrance nor a high-traffic area for medical staff. "But there were those posters on a wall back in the corner, out of view, nowhere where visitors or patients and staff would normally be going," Lyddiatt says. "I felt like taking them down and walking them over to the other side of the hospital." The Ontario member of Patients for Patient Safety Canada became one of this country's first patient safety champions 10 years ago but her work for the cause stretches considerably farther, steeped in her background with VON Canada and as a longtime nurse educator. A diagnosis of inflammatory arthritis forced her to leave the nursing work force many years ago but once her disease was under control, Lyddiatt threw herself into volunteer activity and she's never slowed down since. For the past 20 years she's been the national trainer for the Patient Partners in Arthritis Program. She regularly offers the patient perspective in Strategy for Patient Oriented Research master classes, sponsored by the ON SPOR SUPPORT unit through the Canadian Institutes of Health Research. And she's just completed a three-year term on the board of the Cochrane Collaboration, which has been producing systematic reviews of primary research in human health care and health policy for the past 20 years. Lyddiatt continues to chair that organization's consumer group, where her dedication to the patient perspective remains undiminished. "It's one of those things you just keep working away at," Lyddiatt says of her patient advocacy. "If it's something that can help get out the message for patient safety, as far as I'm concerned if you're able to do it and have the time, then you just jump in and do it." Looking back, Lyddiatt says she can't point to a single dramatic safety incident that first drew her attention. "It was a series of small things that really shouldn't happen. Medication errors and things like that. To me it was, okay, this is an accident waiting to happen," she says. "By the time I got into patient safety and heard some of the stories I realized I was a little behind the times because some of those drastic things had already happened. So that made me even more convinced that this was really necessary, something that really needed feedback. Obviously we needed input from health providers but you also needed to have it patient driven as well." That conviction was only strengthened by a deeply troubling personal experience with the health care system a few years back. Lyddiatt's adult daughter, Jeri-Joann, suffered a series of adverse events in a number of health care facilities, including two debilitating bouts of C. difficile diarrhea, prior to her death in 2011. The lack of empathy and understanding that Lyddiatt and her daughter encountered at times over that period confirmed for her how crucial it is to have that perspective, whether you call them patients or clients or consumers, at the forefront of any health care strategy. "I think when you are navigating the health care system, whether it's for yourself or a family member or whomever, you need to be really clear and know what your goals are and what you want and need. You need to not be afraid to express that. And sometimes that will be different from the provider's goals and what they are aiming for but you need to somehow work out a system where you and the providers can work together." Lyddiatt says she generally keeps her nursing background under wraps on those frequent occasions when she finds herself on a site visit within a health care setting. She prefers to just stand back and observe. "If that sounds like spying on staff it's not because I realize they're fighting against obstacles too," Lyddiatt says. "Nursing has changed, there's a lot more paperwork, there are so many things that are different. But I still think that there's the element of safety in patient care that sometimes gets lost in the shuffle. There's a lack of listening to a patient and the family. Either it's 'we don't have time" or "you don't understand what we're doing,' which isn't always the case. "We know this happens in hospitals all the time. But I really am concerned and alarmed by what happens in nursing home and long term care facilities because many of those patients don't have a voice. They don't have a voice personally and many of them don't have someone to speak up for them. You know the horror stories that go on in some of these, and I'm not saying they're all bad because that's not the case, but I do think that's an area of patient safety that we haven't really tackled and we need to look at." For all the strides that have been made in patient engagement and patient safety, bringing change to medicine and health care "is really difficult and it's always slow," Lyddiatt says. "Why, I have no idea. But the standard response you get whenever you want to try something new is, well, we've always done it that way. And the other is well that's the way I was trained and it was good enough for me, so therefore it's good enough for the next guy," she says. "I can understand it, if you've been doing something for 20 or 30 years and it's always worked for you why would you want to change? But by the same token, the world has changed. I really fault the med schools. I think they do the best they can but I don't think they've changed as quickly as they could to keep up with the times." Lyddiatt takes the same measured view when assessing the general legacy of patient advocacy in Canada. One development she'd like to see is a greater emphasis on patient solutions rather than patient stories about adverse events. "I think we've come a long, long way since we first started. We've got a lot more patients involved and I they're a lot more engaged than they were originally. I don't think there's a shortage of volunteers anymore," Lyddiatt says, checking off the pluses. "The one thing we have to do is look at the issues that we regard as real patient safety problems and not only tell our stories but also come up with realistic solutions about how we can prevent this in the future."
Anne Lyddiatt wears many hats in her volunteer efforts but the priority remains the same — getting out the message for patient safety across Canada.
Help us reduce falls and make care safer: join our expert faculty
Patient Safety News
A unique opportunity is open to members of the Canadian healthcare community to contribute to the new way forward on protecting patients from falls. As part of the Canadian Patient Safety Institute's (CPSI) SHIFT to Safety initiative, CPSI and the Registered Nurses' Association of Ontario (RNAO) are putting together a team of experts in fall prevention and injury reduction to help craft the next version of the Falls Getting Started Kit. The Getting Started Kit is a free resource designed to help care providers successfully implement evidenced-based falls prevention and injury reduction strategies to keep their patients, clients or residents safe. Like all SHIFT to Safety tools, this kit empowers healthcare providers to prioritize safety when caring for their patients and to promote a safe healthcare experience for everyone. The primary role the faculty will be to assist in the revision and dissemination of the update of the Falls Getting Started Kit,contribute to knowledge transfer activities such as webinars; and offer expert knowledge to CPSI/RNAO and on occasion, to respond to inquiries from the field. If this sounds like an exciting opportunity, and you or someone you know, would like to get involved in improving safety by reducing falls, click the button below to learn more or email us at email@example.com. Learn more
A unique opportunity is open to members of the Canadian healthcare community to contribute to the new way forward on protecting patients from falls.
Project Saving Legs: New hope for Diabetics facing amputation
Patient Safety News
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Peripheral artery disease (PAD) is a build-up of plaque in the walls of the arteries, blocking the flow of blood to the limbs, most commonly the legs. This vascular disease affects as many as 800,000 Canadians and people with diabetes are two to four times more likely to be affected. Even with treatment, 40 per cent of people with severe PAD face major amputation. In Ontario alone, more than 2,000 leg amputations are performed each year. Project Saving Legs is a project, rather than a single procedure, to raise awareness and to invent and offer the most advanced treatments to eliminate amputations, and to educate and train a new generation in these advanced techniques. The project is an initiative led by Vascular Surgeons at Sunnybrook Health Sciences Centre, with an aim to open a clinic specializing in saving legs through treating diabetic foot ulcers. By promoting early detection and diagnosis of wounds, and aggressive treatments, Sunnybrook's mission is to reduce amputation rates from 40 to five per cent. In Canada, anyone with diabetes has a 15 to 25 per cent risk of developing a foot ulcer. When a patient with diabetes develops a foot ulcer, their chance of dying in the next two years is 50 per cent; and their chance of having an amputation in next two to five years is over 75 per cent. The day that a patient develops a foot ulcer is actually a worse outcome than a day when a patient is diagnosed with breast cancer, prostate cancer, or colon cancer combined. "If you are a diabetic and with a foot ulcer where the blood flow below the knee is affected, which is typically the case, you would inevitably need an amputation, but that has now changed," says Dr. Giuseppe Papia, Vascular & Endovascular Surgeon. Sunnybrook's vascular and wound care experts are working concurrently, using the toe and flow model to increase blood flow to the area, to benefit patients who develop a foot ulcer. By using the latest skills and equipment, patients can be treated quickly and in a multidisciplinary fashion. Dr. Papia, and his colleague Dr. Andrew Dueck, perform some 250 procedures annually using a minimally invasive angioplasty to clear blockages and restore blood flow to patients' legs. The procedure involves sending a balloon catheter through tiny arteries in the leg to open blood vessels leading to the foot. Patients often experience immediate relief from pain and typically return home the same day. "Sunnybrook is one of the first medical centers in Canada to treat vascular disease with angioplasty balloons that are covered in an anti-inflammatory drug," says Dr. Papia. "To angioplasty the artery open is not enough, it will scar back down. The drug minimizes scar tissue formation, which can lead to blockage of the artery. When you use an anti-inflammatory drug and deliver it to the actual spot that you need it, it will make a difference over the long-term." Sunnybrook is very unique in Canada, in that vascular surgery, cardiac surgery and cardiology are combined as one program. As a result, the procedure is done is a dedicated Cath Lab, rather than a radiology suite or an operating room with hybrid equipment. In 2008, Dr. Papia began looking at alternate treatments for vascular disease. While doing a fellowship in endovascular surgery at the Cleveland Clinic, he worked with a mentor to learn how to do the angioplasty procedure. At that time, coronary technologies and wires used in the heart were used; they did not have the right equipment and had to make the wires longer and put them together to perform the vascular procedure. Dr. Papia then learned that this type of procedure was being done in Europe and subsequently did site visits and worked with physicians there. During those site visits, he was inspired by the diabetic foot hospitals that are dedicated to aggressive and early treatment for patients with vascular problems. He found the centers in Europe incredibly organized. "They function much like a cancer center, but for diabetic foot problems," says Dr. Papia. "The patient shows up and has everything done from diagnostics to multidisciplinary visits -- medical, surgical, podiatry and wound care are all in one spot. Amputation rates are extremely low and the quality of life rates for these patients are extremely high; overall their outcomes are great." With increasing age and obesity, diabetic rates are exploding not only in the Western world, but globally. Dr. Papia says that not only is it an epidemic, but there is a tsunami coming to our health system because of this problem. Data from the Ontario government indicates that if you have a foot ulcer and are a diabetic, to treat that ulcer will cost about $6,000 to $9,000. If you have an infected foot ulcer, antibiotics and medical costs bring the cost closer to $12,000 to 13,000. If you end up having a leg amputation, the cost to the health system is closer to $65,000 to $70,000 for the same patient. "There is a tenfold increase in cost if we don't prevent these ulcers and treat them early," says Dr. Papia. "Looking forward, we have the potential to benefit patients and make a huge impact on their quality of life," says Dr. Papia. "If I had to pick an area in healthcare 2030 that would address this colossal problem, this would be one of them. It makes sense that if you have this problem that we know is very costly, and has an outcome or diagnosis that is worse than many cancers, without a dedicated center we are going to have a hard time making a difference." Dr. Papia says if you look at cancer centers for example, or trauma centers, you can't have just one. You need them everywhere if you are going to make a difference. His vision is to take this grassroots initiative provincially and nationally as a campaign for awareness, education, research and ultimately treatment. Project Saving Legs has a Twitter feed and Facebook page to help spread the word and build momentum. Tweet using #SavingLegs, or visit https//www.facebook.com/projectsavinglegs/?fref=ts. For more information, contact firstname.lastname@example.com How the angioplasty procedure worksAfter undergoing ultrasound tests (that detail blood flow and reveal narrowed arteries or blockages), a physical exam and sometimes a CT scan in the clinic, patients head to the catheterization lab for an angioplasty procedure. If the patient requires it, some mild sedation may be offered. X-rays of the groin area are then taken to determine the safest point of entry to the patient's femoral artery.After administering a local anesthetic, a small needle puncture will be made in the groin on the side opposite the problem leg. (For a right foot ulcer, Dr. Papia prefers to access the femoral artery from the left side of a patient's groin, a technique that offers him the most manoeuvrability down the blood vessel and offers the best picture of what's happening from the aorta all the way down the leg.) The artery is then punctured with a needle, and a catheter is fed up and over the middle of the femoral artery, down into the opposite leg. (This is all visible on the X-ray monitor mounted next to the operating table.) A coronary wire is fed through the catheter. Dye is injected through the catheter, allowing the surgeon to see the blood flow and vessels via moving X-ray pictures (fluoroscopy). A blood thinner is administered (catheters can sometimes block blood flow and start clotting in the artery); then the wire of choice is fed through the catheter down to the target area. The wire is used to clear the blockage, and then a tiny balloon is slid down to the site of the angioplasty. Using a small hand pump, the surgeon inflates the balloon inside the artery, leaving it in place for three minutes or so, opening up blood flow through the vessel. The balloon, wire and catheter are removed from the patient, and the wound is closed with a closure device. Patients go home four hours post-procedure and return for a diagnostic checkup in a month's time.
Peripheral artery disease (PAD) is a build-up of plaque in the walls of the arteries, blocking the flow of blood to the limbs, most commonly the
Highlights of 2016 collaboration with Atlantic Health Quality Patient Safety Collaborative: First National Incident Management Skills Development Session!
Patient Safety News
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The Canadian Patient Safety Institute (CPSI) is celebrating many successful collaborations in 2016 and wanted to share one of those highlights with you. The Atlantic Health Quality Patient Safety Collaborative (AHQPSC) prioritized incident management skills development as a key area of focus for the health professionals who serve as patient safety and quality and risk specialists across the four Atlantic Provinces. The two-day in-person training opportunity was designed to equip Health Professionals with core concepts in Patient Safety Incident Management with a focus on translating the knowledge, skills, and attitudes to effectively identify, report, and learn from patient safety incidents. On October 5 and 6, the AHQPSC and CPSI hosted the first National Patient Safety Incident Management Skills Development Session in Halifax. National partners, which included, Patients for Patient Safety Canada, Institute for Safe Medication Practices Canada, Accreditation Canada, Master Facilitators, and the Canadian Patient Safety Institute greatly contributed to the overall success of this initiative. The two-day session encompassed the fundamentals of the continuum of incident Participants were engaged in multiple activities that explored meaningful patient engagement, patient safety culture, physician engagement, various incident analysis methodologies, best practices and national accreditation standards. Final evaluation by participants revealed that 97.1% would recommend this session to others. "massive learning opportunity and sharing experience with provinces…I would recommend for more employees to attend" (session participant). As the initial pilot we are very pleased with the overall learning outcomes. As a result of this national learning opportunity Prince Edward Island has already garnered the learnings from this event and delivered a province specific skills development workshop October 27, 2016. They had over 100 participants in attendance. "Invaluable; Informative, Excellent workshop, were just some of the comments shared by attendees. The evaluation from this successful event will be integrated within a broader national needs assessment currently underway, which will aim to explore the current educational content, tools and resources for incident management across Canadian healthcare organizations and to assess the needs of Canadian organizations in relation to incident management, professional development, education and training. CPSI wishes to thank the Atlantic Health Quality Patient Safety Collaborative for their on-going commitment to patient safety and in providing this unique learning opportunity.
The Canadian Patient Safety Institute (CPSI) is celebrating many successful collaborations in 2016 and wanted to share one of those highlights with
2017: The year of the possible
Patient Safety Power Plays
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I'm always excited by possibility and really enjoy the challenge of taking something possible and making it into a reality. Never more so than when I think about patient safety for the people of Canada. We are a skilled and conscientious nation, so safety for all patients is most definitely possible. Here are some of the ways we at the Canadian Patient Safety Institute work with our partners to change possible to realShift to Safety After a huge launch in 2016, we know you expect big things from SHIFT to Safety moving forward. We have a lot planned for SHIFT to Safety this year and are excited to bring it to you. If you haven't discovered SHIFT to Safety yet, you can learn all about it here. With this program, the possibilities are endless!National Patient Safety Action Plan To date, we have nearly 70 per cent of objectives listed in the National Patient Safety Action Plan complete and with the outstanding organizations that have come to the table and taken the lead on some of this work, we're well on our way to 100 per cent. There's to much happening to list here but I encourage you to learn more.Atlantic Learning Exchange The Atlantic Provinces are small but mighty and when they come together they can accomplish great things. This will be on display this May as the 4th Atlantic Health Quality and Patient Safety Learning Exchange is held in Charlottetown, PEI. Held every two years, this event is a prime example of what makes the Atlantic Provinces special and why they lead by example when it comes to partnering for patient safety. Let's build on the successes of the past to truly make 2017 the year of the possible. I know that with the incredible support we receive from our partners, our leaders, and our fellow citizens, patient safety will be at the forefront of our Canadian healthcare system. We know it's possible, let's make it a reality together. As always, please send me your thoughts and join in the patient safety conversation email@example.com Yours in patient safety, Chris Power
I'm always excited by possibility and really enjoy the challenge of taking something possible and making it into a reality. Never more so than when I
National Consortium Quarterly Update
Patient Safety News
The National Patient Safety Consortium's fourth national gathering held on September 23, 2016 in Ottawa was the largest to date. It brought together a diverse group of 100 stakeholders, all committed to improving patient safety in Canada. Participants included representatives from nine provincial ministries and one territorial ministry of health; Health Canada, Canadian Institutes of Health Research, and the Public Health Agency of Canada for the federal health portfolio; professional associations, provincial quality and safety organizations, and many patient representatives. This year, the Consortium meeting was preceded by a full-day Leads Group meeting, the results of which helped shape the agenda and conversations at the Consortium. The two days were full of vibrant discussion and passionate engagement. Overall, meeting evaluations were positive, with 84% agreeing that that meeting objectives had been met. Highlights of the day included Patient partners celebrating patient engagement with the Consortium and urging action for safe care; Thought-provoking presentations by an esteemed International Expert Panel, bringing insights from Scotland, the United States, and Canada;Leads Groups' sharing on the progress of the Integrated Patient Safety Action Plan over the past year, with presentations and discussion on recommended priority actions to accelerate patient safety in their respective areas; andIdeas for ways to deepen collaboration and focus energies in the final 18 months of the Integrated Patient Safety Action Plan, including leveraging actions with health ministries across Canada. Throughout the two days, there was a persistent drum beat around the crucial importance of partnering with patients and families and acknowledgement of the leadership role played by Patients for Patient Safety Canada– to paraphrase international expert panelist Dr. Brian Robson, "Patients will define the future of patient safety in Canada." The Steering Committee will also be meeting in December to review the Consortium meeting and plan for 2017. As of Q2, 54% of Consortium actions are already complete, 17% are currently in progress, and 29% are scheduled to start later.
The National Patient Safety Consortium's fourth national gathering held on September 23, 2016 in Ottawa was the largest to date. It brought together
Improving Patient Safety Rounds at the IWK Health Centre
Patient Safety News
After attending the Advancing Safety for Patients in Residency Education (ASPIRE) program at the Royal College two years ago, Dr. Sarah Stevens, a paediatric anaesthesiologist at the IWK Health Centre in Halifax, Nova Scotia got to thinking that although her perioperative group were functioning well as a team, the review of morbidity and mortality might be improved if the approach to case review was more educational. "What we did was look at a couple of topics that had raised a lot of discussion," says Dr. Stevens. "One of the early topics was a review on the effect of an upper respiratory tract infection on children and why anaesthetists don't like to put babies who have an acute respiratory infection to sleep. Patient Safety Rounds provided a setting for a joint case presentation between surgery and anesthesia, discussion of outcomes and review of the literature. Rounds included the entire perioperative team (pediatric anesthesiologists, pediatric surgical specialists, OR/ PACU nurses and anesthesia assistants). Input and questions from the audience were encouraged and the format was well received. The audience was provided with evidence-based literature about the decision making process and proceeding with a pediatric elective case, or not, when faced with an acute respiratory infection. It was very instructive for the post-anaesthesia care unit nurses and nurses in the operating room, who also felt much more educated about the topic." An interdisciplinary team has been formed to plan Patient Safety Rounds quarterly. The team includes a nurse educator, Kathy MacDonald a registered nurse from the Children's Operating Room who also oversees perioperative morbidity reviews; an anesthesiologist (Dr. Stevens); and a surgeon, Dr. R. Romao, Pediatric Surgeon and Urologist. So far, six rounds have taken place with 45 minutes allocated for presentation followed by 15 minutes of active discussion. Attendance at each of the rounds has drawn between 25 to 55 healthcare professionals. Patient Safety Rounds are also being utilized as a way of providing formal education on quality improvement and patient safety to clinical fellows and residents, who are encouraged to present cases they have experienced, in a safe learning environment. When a young patient had a pulmonary embolism after surgery, the team used that case and invited the nurses from the floor to attend the Perioperative Patient Safety Rounds and learn about the patient's risks. As a result of a case a screening protocol a decision tree has been developed by a multi- disciplinary team to decide what children should receive venous thromboembolism prophylaxis and determine the type of thromboprophylaxis that should be administered. "There has been a trickle-down effect in the sense that there is education, collaboration, the ability to ask questions about the management and care of children in a forum where everyone has the opportunity to provide input," says Dr. Stevens. "We are focusing less on the morbidity and mortality, and more on the event and what we can learn from it to improve our care. The formal morbidity and mortality process still occurs at another time." During another round, data from the surgical safety checklist, central line infections, wound infections, and septic infections was presented so that the staff could see the impact of how changes in the operating room over the last five years are having a positive effect. "Our goal this year is to get our colleagues in emergency medicine and paediatrics involved," says Dr. Stevens. "Getting information back to the primary care team is really valuable. Medicine has evolved in such a way that we tend to work in silos, and getting education from other team members will give you a much more complete picture."
After attending the Advancing Safety for Patients in Residency Education (ASPIRE) program at the Royal College two years ago, Dr. Sarah Stevens, a
Patient Safety Power Plays – Looking back on 2016
Patient Safety Power Plays
Time flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I personally would like to thank everyone who touches the work we do and the broader patient safety and quality agenda for your ongoing commitment and contributions to our cause. Before we turn the page and welcome 2017, I'd like to reflect on a few milestones that made 2016 so memorable for me and many others. First and foremost is the tenth anniversary of Patients for Patient Safety Canada, whose members, driven by their own stories of loss and not wanting others to experience that grief, are giving a voice to patients and families. This amazing group continues to grow and inspire us every time we lean on them. We all benefit from the wisdom and experience they bring. Next up was the 2016 Great Canadian Healthcare Debate, held at the National Health Leadership Conference in Ottawa. CPSI's motion, "A Public Reporting of the 15 Never Events," was one of three selected for inclusion at the conference, and was expertly debated by our own Hina Laeeque. What a great opportunity to put patient safety forward for discussion on the national stage. This was followed by the hotly-anticipated launch of SHIFT to Safety – your source for everything patient safety. Whether you're a provider, leader, or a member of the public, SHIFTtoSafety.com provides you with access to tools and resources to make patient care safe, whatever your role. I'm truly excited to see where SHIFT to Safety goes next! Next was an event more than two years in the making, the launch of the Hospital Harm Measure, in partnership with the Canadian Institute for Health Information. Through this initiative, we now have a national picture of patient harm in acute care, coupled with evidenced-based improvement resources specific to the 31 types of harm captured in the measure. Finally, I'd be remiss if I didn't mention our most successful Canadian Patient Safety Week to date. From the Twitter Talk to the Questions Save Lives social media campaign, I loved seeing what felt like the entire country get involved and put patient safety in the spotlight. What was your highlight of the year? As always, my ear is yours to bend at firstname.lastname@example.com. On that note, I'd like to wish you and yours a bright and merry holiday season and all the best for a prosperous new year! Your in patient safety, Chris Power
Time flies when you're having fun. That must explain why 2016 feels like its gone by in a flash! An eventful year is coming to a close, and I
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This review is from: Intel Centrino Advanced-N 6205 Dual Band N600 PCIe adapter, External antenna
Pros: Fast
Nice Antenna
Easy Install
Cons: Causes Blue Screen of Death
Very low heat tolorance
Other Thoughts: I bought one of these about a year ago, and I was happy with it... though I did start having random BDODs at the time I didn't correlate that with this network card (made several hardware changes at the same time). A couple of months ago I bought a second one for my son's computer, and then he also started having BSOD's (this was the only hardware change). After TWC upgraded my internet speed the issues increased significantly (from 1 BSOD a week to 3 a day).
I put in an old network card in my PC and the BSOD issue stopped.
I have tried several settings, and turned down the power on the card to try and correct the issue, but so far nothing has worked. As of this review I am on the latest driver available from Intel (126.96.36.199).
This review is from: VisionTek Radeon HD 7870 GHz Edition DirectX 11 900506 2GB 256-Bit GDDR5 PCI Express 3.0 x16 HDCP Ready CrossFireX Support Video Card
Pros: The card looks beautiful. It fits well in my case.
Cons: Dead on Arrival. Of course Newegg is amazing so this is heading back via RMA. If the replacement unit works I will update this review.
Other Thoughts: Motherboard: ASRock 970 Extreme3 (Bios updated to 1.8)
CPU: AMD FX-6350 Vishera 3.9GHz x6
Power Supply: Rosewill CAPSTONE-650 650W
Bios error 5 long beeps. System boots fine with a different card.
This review is from: PNY Optima 4GB (2 x 2GB) 240-Pin DDR2 SDRAM DDR2 667 (PC2 5300) Dual Channel Kit Desktop Memory Model MD4096KD2-667
Pros: The memory was fairly priced. It worked perfectly with Win 7 x64 without problems. Worked as described.
Cons: Chip died after 3 months.. causing BSDs and random crashes. Has 'lifetime' warranty but trying to RMA through PNY has been a pain.
Other Thoughts: Replacing with other brand. Concerned about reliability issues especially after reading some other reviews.READ FULL REVIEW

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It can't be moved, but it can be removed by pressing "EXIT" or "INFO" on the remote. It sounds like the television is engaging when the DirecTV box performs channel changes, and this may happen if resolutions change or if the television detects a signal loss.
How do you turn off the box in the upper left corner which displays the source (HDMI 1, etc.), the time and the picture size? This box appears when changing channels and blocks the Directv channel description. If the box can't be turned off, can it be moved?


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Diablo Shrimp
|Dry white wine
|1⁄2 Cup (8 tbs)
|Lemon juice
|2 Tablespoon
|2 Clove (10 gm), minced
|Worcestershire sauce
|2 Teaspoon
|Dry mustard
|1 Teaspoon
|Monosodium glutamate
|1 Teaspoon
|1⁄2 Teaspoon
|Tabasco sauce
|1⁄4 Teaspoon
|Cooked cleaned jumbo shrimp
|2 Pound
|2 Tablespoon
|1⁄4 Cup (4 tbs), chopped
|Lemon/1 tablespoon lemon juice
|1⁄2 , juiced
|Lemon slices
|6 , cut in half
Blend wine and seasonings for marinade.
Pour over shrimp and marinate for several hours or overnight.
Thoroughly drain shrimp, reserving marinade.
Melt butter in blazer pan of Oster Electric Chafing Dish at high, add reserved marinade and cook, stirring occasionally, until reduced to about 2 tablespoons.
Add shrimp and heat about 2 minutes, stirring constantly to coal shrimp.
Sprinkle on parsley and lemon juice, stir lightly.
Garnish with lemon slices around inside of blazer pan.
Place over hot water bath and keep warm at MED for serving.
Recipe Summary
Rate It
Nutrition Rank
Nutrition Facts
Serving size: Complete recipe
Calories 1267 Calories from Fat 306
% Daily Value*
Total Fat 35 g53.7%
Saturated Fat 18.1 g90.4%
Trans Fat 0 g
Cholesterol 1833.7 mg611.2%
Sodium 4664.8 mg194.4%
Total Carbohydrates 20 g6.6%
Dietary Fiber 4.2 g16.8%
Sugars 3.1 g
Protein 192 g384.8%
Vitamin A 82.2% Vitamin C 187.3%
Calcium 46.9% Iron 170.1%
*Based on a 2000 Calorie diet


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If you visit Indian restaurants, you almost certainly know someone from Sylhet. The vast majority of British curry houses are run by Bengalis, and most of them come from this small area. They provide us with the rogan josh, chicken tikkas, tarka dhals and onion bhajis that have become a second national dish. For Indian restaurants are a peculiarly British institution - while Chinese cooking is available worldwide. Ask the right sort of expatriate Briton (urban, middle class) what he misses most about home and like as not he will mutter about curries. It is often said that you can get a better Indian meal in London, Birmingham or Bradford than in Delhi or Dhaka.
Indian (or rather Bangladeshi) restaurants are big business. The 10,000 curry houses in Britain turn over pounds 1.5bn between them and employ between 60,000 and 70,000 people - more than steel, coal and shipbuilding combined.
In theory, the future of the curry house is rosy. The market for ethnic food overall almost doubled between 1990 and 1994, and research shows that customers at Indian restaurants are both younger and more affluent than those at their Chinese rivals. Ever since the Seventies curry houses have been struggling to throw off their "vindaloo after closing time" image - and most have succeeded.
But the reality is somewhat different. Increased competition combined with a tight-walleted population means that curry houses are no longer the toothsome businesses they once were. A survey by the Leatherhead Food Research Association also comes up with a worrying trend: Indian food is lagging behind Chinese in popularity. More than half the respondents said they intended to eat more Chinese food, while none said they would eat more standard Indian grub. Only Balti, a relatively new variation, showed signs of life.
Mohammad Shanjab is owner and chief cook of the Curry Cabin, a small restaurant in south-east London. He came from Sylhet with his parents in 1971, when he was 15. Two years later he became a trainee cook at the Curry Cabin, then the only Indian restaurant in the area. The owner took to him and in 1978 sold him the business. Since then he has been providing a rich and consistent taste to those who like their Indian restaurants traditional - no flock wallpaper, but plenty of red plush and oriental imagery.
The good times rolled from the mid-Seventies until 1991. Then the recession and the Gulf War slammed in and flattened the market: it has yet to recover. "I haven't been able increase my prices for the last four years," Mr Shanjab complains. He has also had to start free home delivery to fight off the take-aways. "I'm surviving," he says. "But it is not as profitable as before." His problems have not been eased by the competition, which has continued to grow. The area now has eight Indian, three Thai, two Chinese, one Mexican and one French restaurant, as well as chip shops and take- aways.
Hussain Ali, the Curry Cabin's head waiter, is even more pessimistic than his boss. "People think we're in a good business, but it's very bad nowadays," he says. "It used to be busy - now it's terrible."
Ashraf Uddin, organising secretary of the Bangladesh Caterers Association, confirms that these problems are typical. "It's quite difficult to make a profit because the recession is still on," he says. His association is concerned that some curry houses have been driven to offering half- price meals. This will affect the quality of the food, it says, and "will bring a bad name to our prestigious cuisine".
The best hope for the industry lies in the enterprise of the restaurateurs and their adaptability. In the Curry Cabin's kitchen is a clay Tandoor oven, in which tikkas and naans are made. The Tandoor is not part of the Bengali cuisine - it comes from north-west India and Pakistan - but a restaurateur tried one out in the Sixties and found himself with a hit. Before long, a mass of Bangladeshi restaurants were reborn as Tandooris. Now some Tandooris are in turn becoming Baltis - selling dishes whose origins lie in Afghanistan. It is something of a con, it seems. "Baltis are not really any different from our cooking; they just change some of the spices," Mr Uddin says.
Some small chains have been built up, mainly by second-generation immigrants. But the great majority of restaurateurs are rubbing along much as they always have done - one family owning one restaurant. This fits with the Bangladeshi tradition of self-reliance that lies behind the industry's past successes.
A scattering of Indian restaurants appeared in Britain many years ago: the Salut-e-Hind, founded in 1911 in London's Holborn, is believed to be the first. But the foundations of today's industry were laid in the Forties. The people of Sylhet had strong links with the UK because of the tea trade, and many of them joined the British army or merchant marine when war broke out. Some then settled in London, and wondered what to do.
There was no great culinary tradition in Sylhet but, Mr Uddin says: "When they came here they lacked education and found English very difficult. But they were mostly self-employed at home, so they were used to running their own businesses." He believes the first Sylhet restaurant was the Greenmarks, founded by Mashraf Ali in Tottenham Court Road, London in 1943. By 1960 there were 1,000 restaurants run by people from the area - then in East Pakistan - and when the country seceded to become Bangladesh in 1971 there was another wave of immigration. The easiest business for them to enter was the Bengali-speaking restaurant industry.
Although there are different types of Indian restaurants (vegetarian from the the south, Gujarati, Punjabi), Sylhet still dominates the curry industry. A steady flow of new immigrants supplies the labour market - which is why it is rare to find a waiter who has completely fluent English.
Hussain Ali's story is typical. His father came to England in the Fifties, working first in a brewery then in a factory in the Midlands. His wife stayed in Sylhet and Mr Ali, who was born in 1967, hardly saw his dad until the whole family moved to England when he was 14. "We were very poor and I didn't have much schooling," he recalls.
He was sent to live in Kendal with a cousin; as the only Asian in a school of 500 he learned English quickly. Then
he came to London and found work as a waiter in Brick Lane, a centre for restaurants in the East End. Four years later, he was approached by a man who came from a neighbouring village in Bangladesh; he ran the Surma restaurant in south-east London, and Mr Ali left to work for him. After a while, Mr Shanjab popped in and asked him if he knew any good waiters. He was offering more money, so Mr Ali moved down the road to the Curry Cabin.
Five years ago, he was married to a girl who originally came from his home district, but who was living in England. "My auntie in Birmingham arranged it," he says.
The arranged marriage is critical to the industry because it ensures an influx of potential waiters. Mr Ali hopes that his son, four-year-old Faizzal Hussain, will not be a waiter ("the hours are so long") - and, with a British education and fluent English, it is unlikely he will be.
That means the curry houses need a steady supply of immigrants to staff them - and this is where the marriage comes in. If a Bangladeshi couple have a daughter in Britain, they will at some stage look for a partner for her. They may find one locally; more likely they will ask an aunt or friend in Sylhet to keep an eye out. The chosen young man will then travel to Britain where, with his limited English he will, like as not, have to take a job in a restaurant.
Few people would be waiters by choice. Mr Ali works a split shift, from 11am to 2.30pm, then 6pm to midnight, six days a week. He gets home to Wapping about half past midnight; his wife has his only meal of the day ready. His pay is "OK", he says, but he gets only two weeks' holiday a year. If he had the choice, he says, he would rather work in an office. "But I can't because my English is not good and I'm not educated." Finding a job as a waiter, by contrast, is not difficult - he could use his personal contacts, specialist agencies or even the Yellow Pages to seek out employers.
Indian - or rather Bangla-deshi - restaurants have improved immeasurably in quality, but they still have difficulty differentiating themselves from each other. Not having flock wallpaper was once a handy trick - now it is the norm. Baltis, once unusual, are already common. And it seems that any new gimmick that is thought up spreads so fast among the adaptable Bangladeshis that it quickly loses its profit-spinning appeal.
The restaurateurs are, in that sense, the victims of their own ability. Unless consumers are prepared to unzip their wallets, it seems that consolidation and closures are inevitable. Bad news for tikka-loving consumers; good news for Mr Shanjab and his balance sheet - but only if he emerges as one of the survivors.
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