Viewpoint published in JAMA by C-QuIPS Director, Kaveh Shojania, along with Drs Tejal Gandhi and Donald Berwick

This Viewpoint published in JAMA by C-QuIPS Director, Kaveh Shojania, along with Drs Tejal Gandhi (President of the US National Patient Safety Foundation) and Donald Berwick (Founding CEO of the Institute for Healthcare Improvement) summarizes the views of an international group of experts convened last year to review the progress in the field of patient safety and develop recommendations for moving forward.

The JAMA viewpoint outlines the 8 recommendations developed and presented in greater detail in the full NPSF report. In the 15 years since the landmark "To Err Is Human: Building a Safer Health System" report and new research that finds medical errors are the nation's third-leading cause of death, patient safety stands at a crossroads, according to a commentary published in JAMA.

The 8 recommendations necessary to achieve total systems safety include: ensuring that leaders establish and maintain a safety culture, partnering with patients, supporting the healthcare workforce, and ensuring that healthcare information technology is optimized to improve patient safety, among others.

The authors argue hospitals' boards, leaders, regulators and managers must all possess foundational education in patient safety science, with the education based on evidence-based best practices. Rather than simply discussing patient safety, leaders must zero in on specific strategies they can apply across the healthcare system.

The process of creating a safety culture must also involve practical day-to-day strategies, from formal agreements about roles and responsibilities to safety huddles to the use of patient stories in board meetings.

Don't miss the incredible opportunity to attend HQO Quality Rounds with Dr. Wendy Levinson on March 22, 2016

Health Quality Ontario hosts a monthly series of educational sessions to provide opportunities for the quality improvement community to connect, share ideas and foster knowledge exchange. These sessions, which are held all across the province, address current, pertinent issues in health quality improvement.

Don't miss this incredible opportunity to hear Dr. Wendy Levinson speak about the Choosing Wisely Canada: from national movement to local action on Tuesday, March 22, 2016 from 12 noon to 1 p.m.

Learning objectives of her presentation include:

1) Appreciate the epidemic of overuse in the healthcare system

2) Become familiar with Choosing Wisely Canada

3) Learn how you can get involved

For more information about the speaker and the location of these rounds, please click here.

C-QuIPS Associate Director, Dr. Trey Coffey shares her perspective on the state of patient safety in a short clip prepared by SickKidsInteractive

Dr. Trey Coffey, Medical Officer for Patient Safety and Medical Lead for the Caring Safely initiative gives her perspective on the state of patient safety in Canada and what this means for her and team at SickKids. In the short clip prepared by SickKidsInteractive, she talks about her team's commitment to enhancing patient safety through culture change at The Hospital for Sick Children.

Please click here to view the link>>



C-QuIPS Director, Dr. Kaveh Shojania, co-chaired an expert panel with Dr. Don Berwick Convened by the National Patient Safety Foundation

C-QuIPS Director, Dr. Kaveh Shojania, co-chaired an expert panel with Dr. Don Berwick to produce a report for the National Patient Safety Foundation looking at what we have learned in the 15 years since the IOM report “To Err is Human” and developing recommendations for accelerating progress moving forward.

The resulting report calls for the establishment of a total systems approach and a culture of safety, and calls for action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation.

The report makes eight recommendations:

  1. Ensure that leaders establish and sustain a safety culture
  2. Create centralized and coordinated oversight of patient safety
  3. Create a common set of safety metrics that reflect meaningful outcomes
  4. Increase funding for research in patient safety and implementation science
  5. Address safety across the entire care continuum
  6. Support the health care workforce
  7. Partner with patients and families for the safest care
  8. Ensure that technology is safe and optimized to improve patient safety




To read more and Download the report >>

Professor Ross Baker of U of T's Institute of Health Policy, Management and Evaluation shares the latest patient safety findings & recommendations

On Monday, November 9, the Institute of Health Policy, Management and Evaluation (IHPME), in partnership with KPMG, hosted the launch of Professor Ross Baker’s latest report on Patient Safety.



Beyond the Quick Fix: Strategies for Improving Patient Safety examines what progress has been made in the ten years since the Canadian Adverse Events Study (CAES). The CAES, authored by Professor Baker, Quality Improvement and Patient Safety (QIPS) Program Director, and colleagues, identified significant patient safety issues in Canadian hospitals. The report outlines Professor Baker's recommendations for creating sustainable improvements in patient safety.

For more information on Professor Baker's recommendations for healthcare providers, payers and policy makers on what steps are needed to make measureable, sustainable improvements in patient safety, please go to the IHPME News.