Domain 1: Contribute to a Culture of Patient Safety

Last modified by Lisa Stromquist on 2012/11/23 15:30

KEY COMPETENCIES
ELEMENTS
RECOMMENDED ACTIONS

KEY COMPETENCIES

- Commit to patient and provider safety through safe and competent, high quality practice -

- Describe the fundamental elements of patient safety -

- Maintain and enhance patient safety practices through ongoing learning -

- Demonstrate a questioning attitude as a fundamental aspect of professional practice and patient care -

ELEMENTS

Knowledge

Healthcare Professionals who contribute to a culture of patient safety understand:

Key patient safety concepts, , such as adverse events, close calls, no-harm events and just culture
Key patient safety processes, including the reporting of adverse events, methods of analyzing how an adverse event occurred, system improvement processes, and the institution of structures to ensure accountability within a system
The creation, application dissemination and translation of patient safety principles, practices, behaviours attitudes and knowledge
The potential risks presented by one’s own daily practice, and ways to minimize those risks
Types of organizational cultures, as well as the characteristics of high reliability organizations and how they relate to health care
The contribution of system failures and provider performance to adverse events and close calls
Systems-based approaches to reducing system failures

Skills

Recognize and respond appropriately to potential and actual unsafe clinical situations
Work within their own limitations

Attitudes

Commitment to patient safety as a key professional value and an essential component of daily practice
Value professional learning as a life-long process requiring self-assessment and self-directed education
Demonstrate a questioning attitude in routine and non-routine activities

RECOMMENDED ACTIONS

RECOMMENDED ACTION	KEY PRACTICES	LINKS TO REFERENCES
Policy statements support safe competent practice: disclosure incident reporting infection control medication safety consent transmission of information	Standards of care are developed to include safety standards. All paediatric staff are familiar and accountable to them Review and update policies and procedures every 3 to 5 years based on new learnings
Patient Safety articulated as a key strategic directions	Development of a Patient Safety Strategy Map Safety is an item on key agendas, Board, Board Quality, Unit level teams, Partnership Councils Patient Safety Leadership Rounds Town Hall or Break Time with Senior leaders Patient Safety Accountabilities
Process to assess the safety culture in the organization	Safety climate surveys conducted and assessed on a regular basis
Develop clear position descriptions that address patient and provider safety	Patient safety language built into all position descriptions: professional, non union,
Opportunities for participation in external knowledge exchange activities and continued patient safety training and education	Participate in Patient Safety symposiums, Canadian Patient Safety Week, poster fairs, etc Provide access to safety tools and resources Focused education campaigns
Develop resources and create opportunities for experts to support and advise on patient safety practices	Create roles for Medical Director for Patient Safety, Medical Director for Quality & System Improvement, Director of Quality and Patient Safety Official representation from Patient Safety team in discussions regarding models of care and service delivery Patient safety leadership rounds Patient safety acountabilities Focus on compliance with ROP's for accreditation LEAN principles informed the layout and flow in our Laboratory redesign LEAN system improvement methodologies: used to enhance patient safety improvement efforts. Using LEAN involves clarifying team roles, improvement communication and using data for decision making. Qualified facilitators work with unit based teams to focus on patient safety improvements and ensure that all decisions for improvement have patient safety as a priority.
Process in place to evaluate effectiveness of patient safety mechanisms and address gaps	Evaluate effectiveness of performance indicators through regular audits Safety indicators and benchmarks have been developed and are reviewed monthly with action plans developed
Opportunities for family members to contribute as stakeholders on policy and procedure reviews	Inclusion of family members on various committees
Process in place to provide opportunities for staff to share and learn from internal patient safety reports	Debriefing of all incidents occur
Process in place to ensure all staff maintain clinical competencies	Develop process/programs to enhance internal learning around quality and patient safety Self learning programs; skill maintenance programs
Emphasize continuous monitoring of quality indicators
Organizational support for training to analyze factors affecting quality & patient safety	Multidisciplinary teams and training for prospective analysis . Specific team members called on by QAC to lead or contribute to sentinel event reviews M&M rounds occur Use of PDSA cycles when introducing change

Tags: culture safety strategy Standards of Care

Created by Lisa Stromquist on 2012/07/16 17:05