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Working and Learning as a Team to Improve Patient Safety
Mark Daly, RRT, MA(Ed.)
Patient Safety Officer, McGill University Health Centre
Lecturer, Faculty of Medicine, McGill University
June 16, 2012
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Session objective
1. Define patient safety
2. Demonstrate the importance of the interprofessional team
3. Review frameworks which focus on interprofessionalism
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What is Patient Safety?
“…the reduction and mitigation of unsafe acts within the healthcare system, as well as through
the use of best practices shown to lead to optimal patient outcomes.”
The Canadian Patient Safety Dictionary, October 2003.
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A True Story
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1. Communicate among ALL team members
2. Listen to the patient or family member
3. Look at the patient
She is asking us to
change the system
What is Sorrel King asking you to do?
The Safety Competencies – Enhancing Patient Safety Across the Health Professions
Published in 2008 by the Canadian Patient Safety Institute
A collaborative effort with the Royal College of Physicians and Surgeons of Canada
Designed for interprofessional use
Patterned after the CanMEDS framework
The Safety Competencies
Six domains
Twenty-three key
competencies
One hundred and forty
enabling competencies
Domains
1. Contribute to a culture of patient safety
2. Work in teams for patient safety
3. Communicate effectively for patient safety
4. Manage safety risks
5. Optimize human factors and environmental factors
6. Recognize, respond to and disclose adverse events.
Proposed to be included in revised CanMEDS framework 2015
Culture of patient safety supports Working in teams
Encourage team members to speak up, question...safety issues and risks…
Communicating effectively
Among healthcare team members: SBAR (Situation, Background, Assessment,
Recommendation) Graded assertions (4 levels with increasing
urgency at each level)With patients/families: Use a variety of tools and techniques Assess understanding
(repeat-back, demonstrate)
Canadian Medical Protective Association: Good Practices Guide
Mapped to CPSI Safety Competences Added Professionalism theme E-learning Student and faculty sections Actual closed cases Quizzes Interactive activities Launch Fall 2012
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Association of Faculties of Medicine of Canada and theRoyal College of Physicians and Surgeons of Canada
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http://www.afmc.ca/future-of-medical-education-in-canada/
1. Patient safety involves: System Best practices Optimal patient outcome
2. Frameworks CPSI Safety Competencies FMEC-MD and FMEC-PG CMPA Good Practices Guide
3. Interprofessional teamwork is the key to improving patient safety.
Key messages
Thank youmark.daly@muhc.mcgill.ca
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