0
Driving Quality
Improvement Forward
UNDERSTANDING PATIENT SAFETY EVENTS WITHIN
BC EMERGENCY HEALTH SERVICES
A N N E M A R ...
What is a patient safety event for BCEHS? How is BCEHS different?
486,000 ground
events throughout
the province
394,000
pre-hospital (9-1-1)
events
92,000 inter-facility
patient transfers
What are the impacts
and outcomes?

When is a service issue a
patient safety event?
Event reporting
Vs

Considerations

•
•
•
•

Timing of event awareness
Electronic access
Availability of patient outcome i...
+

Other
Other
Other

No relevant data
Limited cultural uptake
+

Other
Other
Other

No relevant data
Limited cultural uptake
What’s important to BCEHS?
- Interfacility transfer?

- Transport or transfer related event?

- Patient Transfer Network i...
What have we learned?
+300 QPins
Our team
Annemarie Taylor, Provincial Director, BC PSLS
ataylor@phsa.ca
Janice Butler, Corporate Director, Quality, Safety...
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services
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Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services

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This presentation was delivered in session E1 of Quality Forum 2014 by:

Annemarie Taylor
Provincial Director, BC Patient Safety & Learning System
Provincial Health Services Authority

Janice Butler
Corporate Director, Quality, Safety, Risk Management & Accreditation
BC Emergency Health Services

Published in: Health & Medicine
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Transcript of "Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health Services"

  1. 1. Driving Quality Improvement Forward UNDERSTANDING PATIENT SAFETY EVENTS WITHIN BC EMERGENCY HEALTH SERVICES A N N E M A R I E TAY LO R , B C P S L S JA N B U T L E R , B C E H S
  2. 2. What is a patient safety event for BCEHS? How is BCEHS different?
  3. 3. 486,000 ground events throughout the province 394,000 pre-hospital (9-1-1) events 92,000 inter-facility patient transfers
  4. 4. What are the impacts and outcomes? When is a service issue a patient safety event?
  5. 5. Event reporting Vs Considerations • • • • Timing of event awareness Electronic access Availability of patient outcome information Causal relationship to harm
  6. 6. + Other Other Other No relevant data Limited cultural uptake
  7. 7. + Other Other Other No relevant data Limited cultural uptake
  8. 8. What’s important to BCEHS? - Interfacility transfer? - Transport or transfer related event? - Patient Transfer Network involved? - Patient handling (e.g. restraint in vehicle) - Phase of transport or transfer - Vehicular event (land or air) - Lights and sirens? - Involvement of second organization - Discussed in safety huddle? - Patient harmed? - BCEHS employee injured? - Potential for severe harm? - Device or supply involved? - Who’s reporting? - Medication, IV, oxygen, blood involved? - Language barrier a factor? - Associated with handover?
  9. 9. What have we learned?
  10. 10. +300 QPins
  11. 11. Our team Annemarie Taylor, Provincial Director, BC PSLS ataylor@phsa.ca Janice Butler, Corporate Director, Quality, Safety, Risk Management & Accreditation, BCEHS janice.butler@bcehs.ca Sandra Christenson, Quality Assurance and Change Management Leader, BCPSLS schristenson@phsa.ca George Papadopoulos, Director, Patient Safety, Quality & Accreditation, BCEHS george.papadopoulos@bcehs.ca Emily Hamilton, Leader, Patient Safety, Quality & Accreditation, BCEHS emily.hamilton@bcehs.ca Mary MacKillop, Director, Patient Care Quality Office, PHSA mmackillop@phsa.ca
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