skip to Main Content

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.

Congrats to Dr. Trey Coffey, Associate Director of C-QuIPS, whose IPASS study (led by Drs. Chris Landrigan and Amy Starmer) was recently published in NEJM

Dr. Coffey led the SickKids site in the multicentre study to improve patient safety by reducing communication-related medical errors through improved provider-to-provider communication through using the I-PASS Handoff Bundle.  Implementation of the bundle was associated with a 23% decrease in the incidence of medical errors and 30% decrease in injuries due to medical errors.  Trey and the IPASS Study are featured on Global here.  Read the published article in NEJM.

RIP Rounds: Friday, Apr 4th, 2014 @ 12-1PM

Speaker: Christine Soong

Title: Reducing inappropriate urinary catheter use among general medical inpatients

Description: Responsible resource utilization is a growing area of interest among clinicians engaged in quality improvement. Highly publicized campaigns such as Choosing Wisely in Canada and the US are encouraging physicians to reduce unnecessary testing and/or procedures that may lead to harm. Urinary catheterization is a common occurrence in the inpatient setting that is associated with preventable adverse events such as nosocomial urinary tract infections. This talk provides an overview of the development of local interventions to reduce inappropriate urinary catheter use.

Christine is a Clinician in Quality and Innovation in the Division of General Internal Medicine at the University of Toronto. She is the Director of the Hospital Medicine program at UHN/MSH and Co-Chair of the Choosing Wisely Canada Committee for the Canadian Society of Internal Medicine. Her career in quality improvement began as an academic hospitalist at Johns Hopkins University and led to the completion of a Master’s of Science degree in Quality Improvement and Patient Safety at IHPME in 2013. Her research interests includes resource stewardship, and improving transitions of care for hospitalized patients.

Invited Speaker Rounds: Tuesday, Jan 28th, 2014 @ 9-10AM

Speaker: Andrea Bishop

Title: Building the Connection for Patient Safety

Description: Greater engagement of patients in their care may contribute to safer healthcare, but it is unclear what factors facilitate such engagement and how such factors differ between patient involvement in factual and challenging patient safety practices. This research used the Health Belief Model (HBM) as a framework to understand how patient and provider perceptions of benefits, threats, cues to action, and self-efficacy play a role in the likelihood of patients becoming involved in patient safety practices. Andrea C Bishop, MHSA, PhD, is a postdoctoral fellow at Saint Mary’s University, Halifax, Nova Scotia, Canada. Andrea completed her doctoral work at Dalhousie University on the topic of patient engagement in patient safety and is currently exploring patient experiences while hospitalized and how they relate to safety culture. Andrea is also a research associate with SafetyNET-Rx (www.safetynetrx), an outreach program that encourages and supports an open dialogue regarding medication errors and quality within community pharmacies in Nova Scotia.

Invited Speaker Rounds: Tuesday, Jan 14th, 2014 @ 8-9AM

Speaker: Tobias Everett

Title: Do Pediatric Operating Room Critical Event Checklists Improve Patient Safety?

Description: Adult operating room critical event checklists improve performance in adult operating room crisis simulations. What has yet to be demonstrated is that the same applies in the pediatric operating room or, more importantly, whether this is translated to improved real-life practice with a tangible impact on patient safety. There is literature to support impact of cognitive aids, but barriers to implementation means that uptake is not widespread. These issues will be discussed along with the plans for the largest in our series of international multicentre simulation studies aimed at answering some of these unknowns.

Tobias Everett is a Pediatric Anesthesiologist at the Hospital for Sick Children, Toronto, and an Assistant Professor at the University of Toronto. He graduated from University of Bristol Medical School, in the United Kingdom. He completed a Senior House Officer rotation in Emergency Medicine, Respirology, Anesthesia and Critical Care in Cornwall, UK before beginning his Specialist Registrar rotation in Anesthesia in the Severn Deanery, UK. Dr. Everett is a fellow by examination of the Royal College of Anaesthetists (UK), has subspecialty certification in regional anesthesia from the European Society of Regional Anaesthesia and is fellowship trained in pediatric anesthesia by the Hospital for Sick Children, Toronto. He is currently completing a Master of Science degree in Clinical Epidemiology from the University of London, UK. His academic interests include simulation-based medical education and medical education research. He is the principal investigator in international multicentre education research studies and has received grant funding from the Royal College of Physicians and Surgeons of Canada and the Canadian Anesthesiologists’ Society. He has recently been awarded the Canadian Anesthesiologists’ Society Award for Best Paper in Education 2013.

Back To Top