RL6
Electronic Incident Management System used to report and document follow-up in the three Health Authorities.
What is RL6?
An atmosphere of trust in which healthcare workers are supported and treated fairly when something goes wrong with patient care.
What is a just culture?
The NTHSSA’s policies and procedures can be found here.
What is OurNTHSSA?
Completing follow-up and implementing mitigation strategies.
What is the Manager’s responsibility?
A national week-long awareness campaign. This year’s dates are Oct 27th – Oct 31st
What is Canadian Patient Safety Week?
The five classifications relating to the degree of impact.
What are the incident severity levels?
The NTHSSA strives for a Just Culture by _____________?
What is avoiding blame?
What are person-specific identifiers?
Responsible for Patient and Staff Safety
Who is everyone (who interacts with the system)?
This person was appointed by the Minister of Health to work closely with the NTHSSA leadership.
Who is the Public Administrator (Dan Florizone)
What is a near miss?
Most patient safety incidents occur because of _________ interacting with each other, not because of provider error.
What are many system factors?
The NTHSSA Incident Management Standard Operating Procedure (SOP) states that all NTHSSA employees who witness or are involved in an incident must report the incident in RL6 within this timeframe.
What is twenty-four (24) hours?
The process of communicating or informing impacted staff of changes, or outcomes after an investigation takes place.
What is closing the feedback loop?
Performing this action is the number one evidence-based practice to prevent Hospital Acquired Infections
What is Hand Hygiene?
Any unexpected occurrence/event/circumstance not consistent with routine operation of the organization, or the safe and acceptable standards of care; an error or situation that could have or has resulted in harm to client/staff/public; and/or loss of cash/damage/asset/equipment of the NTHSSA or third party
What is an incident?
In a Just Culture, this type of error occurs when staff make an unintentional mistake, or a slip/lapse occurs.
What is Human Error?
The NTHSSA-Wide Incident Management Policy defines this as the impairment of structure or function of the body and/or damaging effect arising there from.
What is Harm?
At Minimum Weekly!
How often should Managers be logging into RL6?
-Witnessing and/or failing to prevent harm or death
-Unintentional Errors
-Transgressions of peers, or leaders that betrayed ethical beliefs or expectations
These are examples of situations that can lead to what type of injury?
What is moral injury?
Avoid referencing incident reports in this.
What is the patient’s chart?
Marx's Just Culture Framework defines this as rationalizing and taking shortcuts that lead to increased patient risk.
What is at-risk behaviour?
This multistep process begins with acknowledgement of the facts and an apology by the most appropriate staff member.
What is Disclosure?
Made up of the CEO, TMD, ED, COOs, Directors, and Territorial Manager, Quality Best Practice, this committee meets weekly to review Quality Reviews to approve or deny the recommendations put forward.
Who is the OQRMC (Organization Quality and Risk Management Committee)?
This report, released in May and led by by the NWT’s Cultural Safety Design Collaborative Project Team outlines thirteen (13) actionable ways the NTHSSA can improve the care experiences of Indigenous residents.
What is the Honouring the Voices of Indigenous Peoples report?