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Patient Safety…
It’s about forming a culture of safety
PHSA believes in the importance to talk about
how to speak up about issues
that could cause harm…
…and to talk about how to stop the issues from occurring
Reporting & Learning
What is ?
Vision: To make BC healthcare more safe by
fostering a culture of safety & learning
Electronic
web-based
system
Province
wide initiative
Share
learning
across the
healthcare
system
Can report
anonymously
Traditionally,
healthcare
workers
report
adverse
events
Impetus for Patient’s View
Bedside Observer Project
BC Children’s Hospital 2007 - 2008
Pilot Project
Patient’s View
• Bedside Observer rebranded to Patient’s View
• Launched on 1 inpatient unit at BCCH
– Families of patients to be discharged within 48
hrs were interviewed
– Volunteer enters report into BC PSLS
– Reports assist to identify improvement
opportunities
• Real value is in the stories patients & families
tell us about the quality of care received
Pilot Project
Evidence of Success
Medication
Reconciliation &
family involvement in
transfer of care
Update MRSA
screening policy
Standardize process
for obtaining urine for
R&M
Standardize post-op
pain control for
tonsillectomy/
adenoidectomy
Revisit process for
calling families back
to bedside for
procedures/rounds
Communication
opportunities for staff
Patient’s View Feedback
Patient’s View Success
• Patient’s View has been shared nationally
& internationally
– Successful launch at Victoria General in
2016
– Hospital for Sick Children, Great Ormond
Street Hospital & National Health Institute of
Health Research
• Partnering with patients & families has informed quality improvements &
initiatives
‾ Involving Translation Services from the start
‾ Presence of family during shift handover
‾ Large scale change: Whiteboard communication tool
Patient’s View Interview
Patients & Families
What did they tell us?
BC Children’s Hospital:
– “Nurse hung a bag of meds for IV that my daughter was allergic to,
despite the large sign on the door and allergy warning on her bracelet.”
– “Wound developed due to an intravenous line.”
BC Women’s Hospital:
– “Information was not sufficiently shared among staff, especially around
shift change time. I almost got a duplicated test but the mistake was
caught on time.”
– "The information we were given was inconsistent at shift change &
everyone had slightly different information for us."
Family Satisfaction
“One mother actually thanked me after doing the
survey because she found it very therapeutic. I
have never had a parent turn me down or not be
appreciative for what we do.”
(Patient’s View volunteer)
“This conversation is one
example of the unbelievable
level of engagement with
families within BC Children’s
Hospital.”
“I am a business man and have
been doing surveys with
customers for years. It is
excellent you are initiating this
at Children's; I believe it will
make care safer. Thank you!”
Next Steps
2012
2016
2017

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Acting on Real-Time Patient Reports to Improve Safety: BC Children's

  • 1.
  • 2. Patient Safety… It’s about forming a culture of safety PHSA believes in the importance to talk about how to speak up about issues that could cause harm… …and to talk about how to stop the issues from occurring
  • 3. Reporting & Learning What is ? Vision: To make BC healthcare more safe by fostering a culture of safety & learning Electronic web-based system Province wide initiative Share learning across the healthcare system Can report anonymously Traditionally, healthcare workers report adverse events
  • 4. Impetus for Patient’s View Bedside Observer Project BC Children’s Hospital 2007 - 2008
  • 5. Pilot Project Patient’s View • Bedside Observer rebranded to Patient’s View • Launched on 1 inpatient unit at BCCH – Families of patients to be discharged within 48 hrs were interviewed – Volunteer enters report into BC PSLS – Reports assist to identify improvement opportunities • Real value is in the stories patients & families tell us about the quality of care received
  • 6. Pilot Project Evidence of Success Medication Reconciliation & family involvement in transfer of care Update MRSA screening policy Standardize process for obtaining urine for R&M Standardize post-op pain control for tonsillectomy/ adenoidectomy Revisit process for calling families back to bedside for procedures/rounds Communication opportunities for staff Patient’s View Feedback
  • 7. Patient’s View Success • Patient’s View has been shared nationally & internationally – Successful launch at Victoria General in 2016 – Hospital for Sick Children, Great Ormond Street Hospital & National Health Institute of Health Research • Partnering with patients & families has informed quality improvements & initiatives ‾ Involving Translation Services from the start ‾ Presence of family during shift handover ‾ Large scale change: Whiteboard communication tool
  • 9. Patients & Families What did they tell us? BC Children’s Hospital: – “Nurse hung a bag of meds for IV that my daughter was allergic to, despite the large sign on the door and allergy warning on her bracelet.” – “Wound developed due to an intravenous line.” BC Women’s Hospital: – “Information was not sufficiently shared among staff, especially around shift change time. I almost got a duplicated test but the mistake was caught on time.” – "The information we were given was inconsistent at shift change & everyone had slightly different information for us."
  • 10. Family Satisfaction “One mother actually thanked me after doing the survey because she found it very therapeutic. I have never had a parent turn me down or not be appreciative for what we do.” (Patient’s View volunteer) “This conversation is one example of the unbelievable level of engagement with families within BC Children’s Hospital.” “I am a business man and have been doing surveys with customers for years. It is excellent you are initiating this at Children's; I believe it will make care safer. Thank you!”