Patient Safety
How do we report patient safety incidents?
RL6
Risk reporting system and incident management
Who is our "voice of the patient?
Patient Experience Specialists
PEP team
What is the Good Catch Program?
Reporting near misses as an opportunity to improve quality care before harm occurs
How does BWH support a healthy work environment?
We have a Healthy Living Team
Culture of Kindness Team and initiatives
BEA awards
Support leadership training
CISM
Code Lavender
Employee engagement survey and action plans to improve
How do we meet the standards for Client Identification?
We utilize two patient identifiers
Red Rule
How do we ensure access to services in a timely and coordinated way?
Right Care in Right Service
NOW initiatives
Bed Meetings
Family meetings
Discharge Planning meetings
Tracking transfer times
Utilizing Oculys
Bullet Rounds
Coordinating flow throughout the hospital
How do we demonstrate our commitment to Patient and family centred care?
My promise to Emily
In our Strategic Priorities- Exceptional Relationships
Patient Experience is a part of our QIP
Patient Experience is on every scorecard and monitored
Patient engagement surveys
How does BWH monitor Quality Improvement?
Lean training
Kaizen events for Time to Inpatient Bed
NOW initiative
QCR Recommended actions
Risk Report incident managment
Time trials
Audits of processes- i.e. SBAR utilization at CEEH
How does BWH promote a safe work environment?
Risk Assessments done across the organization
Supports training- NVCI and GPA
Workplace Violence is on our QIP
Risk reporting system and incident management
How do we meet the standards for the safe surgery checklist?
Monitor compliance
How do we monitor patient safety across the organization?
Indicators on scorecards
Scorecards monitored at the program level, committee level and Board level
Quality Care Review reports
Recommended actions from QCR brought to QPEC and Board Quality
Risk reporting system and incident management
What are some examples of how the PEPs are utilized to demonstrate that we seek input from clients and families?
PEPs on councils, committees
PEPs rounding
PEP team meetings
PEPs review every document that the patients will receive
PEPs involved in service change focus groups- NOW initiative, kaizen event for bed management
How does BWH monitor Quality?
Quality is a standing agenda item for the Board
Imbedded in our strategic plan
Indicators related to quality on every scorecard
Scorecards monitored at every committee
Hand-hygiene audits
Monitoring P4R metrics
QIP process
How do we ensure that services we deliver are made according to the organizations values?
We have a values statement
The value statement is visible, communicated and utilized in making decisions
The value statement is reviewed by the Board
How do we meet the standards for workplace violence prevention?
WPV policy
WPV reporting system
Risk assessments
Investigation and response to incidents
Number of incidents are reported to the Quality Board
What are some quality improvements that have been made to improve patient safety?
Red Rule- Two patient identification
Blood Transfusion process
Identifying patients at risk for falls
Hand-hygiene audits
Safe Surgery Checklist
Do Not Use abbreviations list
Infusion Pump Guardrails
How do we involve patients in planning and preparing for transitions to another service?
Information collected from patient is utilized on the SBAR and communicated during transitions of care
Discharge planning meetings
Updating the patients whiteboard with information about discharge date and needs
Arranging follow up for the patient
Faxing information to the patients pharmacy on discharge
Teach back of information
Discharge documentation shared with client
What resource allocations show our commitment to Quality?
Roles managing quality - Director, Manager
Risk Reporting System and management
NOW initiative
Patient Experience Specialist
How do we plan services to meet the needs of the community?
We have an Indigenous Navigator
Shared Mental Health programs
Petrolia redevelopment planning
ALC avoidance community events
Health Quality Partners - community transitions work
We meet with our partners
We partner in services with our partners- Community Paramedic Program
Bed Management Policy
NOW initiatives
Daily bed meetings
Additional bed meetings based on levels in the hospital
Admission avoidance in the ED
Zones in the ED to increase flow
Utilizing Oculys
How do we disclose a patient safety incident?
There is a disclosure policy.
Usually involves the MRP
It is documented in the patients chart
We have a documentation tool to utilize
Follow up after QCR's includes letting the patient know about the recommended actions for improvement
Do we have a process to acknowledge concerns from the patient?
Feedback Reporting System
Commitment to acknowledge a complaint within 3-5 business days of receiving the complaint
Patient Experience Specialist
Indigenous Navigator
PEP rounding with CNE
Patient engagement survey
Based on data collected or indicators monitored, what quality improvements have you implemented in your area?
Various answers but could include
Time to Inpatient bed initiatives
Collaborative Model of Care
ED Zone Changes
Acudose medication delivery
Blood Transfusion Process
Red Rule
How does BWH make ethical decisions?
We have an Ethical Framework
Policy, pocket tool to follow
Ethics Committee reviews dilemmas brought forward
Ethicist
Board utilizes ethical framework to guide decision making and resource allocations
What are the things proactively that we do to reduce the risk of health care associated infections? (4 things)
Hand hygiene compliance
Hand hygiene education
Tracking outbreaks and sharing throughout the organization
Process for cleaning, disinfecting and sterilizing medical devices