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: ...

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

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    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 Presentation Transcript

    • 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
    • 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 information Causal relationship to harm
    • + 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 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?
    • What have we learned?
    • +300 QPins
    • 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