This document discusses using behavioral science approaches to improve patient safety programs. It describes a partnership between the Canadian Patient Safety Institute (CPSI) and the Ottawa Centre for Implementation Research to increase the use of behavioral approaches in designing effective change programs. As an example, it outlines a study that used interviews and observations to identify barriers to physician hand hygiene, designed an intervention to address key behavioral domains, and implemented different strategies for medical and surgical staff. The goal is to help organizations optimize change programs and patient safety initiatives through incorporating insights from behavioral science.
Changing practice through knowledge translation and implementation science.
Have you asked, told, taught and begged, but your hand hygiene results aren’t changing as quickly as you want? Changing practice is hard! Join CPSI on May 4th for an interactive webinar exploring the fundamentals of knowledge translation and the efforts of Public Health Ontario to change practice through this innovative science. We will also look at how you can impact patient and family hand hygiene efforts through the successful use of campaigns.
Healthcare organizations in Canada are making great strides in promoting safer patient care through engagement and partnership. Now the best of these organizations would like to share their successes and lessons learned with you!
Full details:
https://goo.gl/NukquA
Objectives:
1.Introduce the Measuring and Monitoring of Safety Framework to a Canadian healthcare audience
2.Describe how the framework would work in Canada
What do the Canadian Patient Safety Institute (CPSI), the Agency for Healthcare Research & Quality (AHRQ) in the United States, and the Michael Garron Hospital in Toronto have in common? All three organizations have seen the benefits to patient safety when implementing the evidence-based teamwork and communication framework, TeamSTEPPS (Team Strategies and Tools for Effective Performance and Patient Safety).
Full details: https://goo.gl/8Y2PHc
At the end of the session patient/family champions as well as health authorities will understand different approaches to patient engagement in patient safety and quality committees (e.g. dealing with incident reporting, root cause analysis, developing policies and procedures) and how patient engagement impacted patient safety and quality outcomes. The participants and presenters are invited to present examples, tools, and leading practices so the participants will leave with at least one practical idea to implement.
How the CIHI – CPSI collaborative on hospital harm can support patient safety initiatives in your organization
Most patients in Canadian hospitals experience safe care, but when harm happens there is a significant impact on patients, families, the healthcare team, and the health system in general. Until now, there hasn't been a standard approach to measuring and monitoring harm experienced by patients in hospital.
Learn about the new MedRec rebranding strategy and what it means for patients/consumers, and healthcare professionals
2.What’s new with ‘5 Questions to Ask About Your Medications’
3.Hear how organizations are using ‘5 Questions to Ask About Your Medications’ to engage patients and consumers
Understanding how the Measurement and Monitoring of Safety Framework can form board understanding and help align strategic and operational approach to patient safety.
Full details: https://goo.gl/XyqTQA
Changing practice through knowledge translation and implementation science.
Have you asked, told, taught and begged, but your hand hygiene results aren’t changing as quickly as you want? Changing practice is hard! Join CPSI on May 4th for an interactive webinar exploring the fundamentals of knowledge translation and the efforts of Public Health Ontario to change practice through this innovative science. We will also look at how you can impact patient and family hand hygiene efforts through the successful use of campaigns.
Healthcare organizations in Canada are making great strides in promoting safer patient care through engagement and partnership. Now the best of these organizations would like to share their successes and lessons learned with you!
Full details:
https://goo.gl/NukquA
Objectives:
1.Introduce the Measuring and Monitoring of Safety Framework to a Canadian healthcare audience
2.Describe how the framework would work in Canada
What do the Canadian Patient Safety Institute (CPSI), the Agency for Healthcare Research & Quality (AHRQ) in the United States, and the Michael Garron Hospital in Toronto have in common? All three organizations have seen the benefits to patient safety when implementing the evidence-based teamwork and communication framework, TeamSTEPPS (Team Strategies and Tools for Effective Performance and Patient Safety).
Full details: https://goo.gl/8Y2PHc
At the end of the session patient/family champions as well as health authorities will understand different approaches to patient engagement in patient safety and quality committees (e.g. dealing with incident reporting, root cause analysis, developing policies and procedures) and how patient engagement impacted patient safety and quality outcomes. The participants and presenters are invited to present examples, tools, and leading practices so the participants will leave with at least one practical idea to implement.
How the CIHI – CPSI collaborative on hospital harm can support patient safety initiatives in your organization
Most patients in Canadian hospitals experience safe care, but when harm happens there is a significant impact on patients, families, the healthcare team, and the health system in general. Until now, there hasn't been a standard approach to measuring and monitoring harm experienced by patients in hospital.
Learn about the new MedRec rebranding strategy and what it means for patients/consumers, and healthcare professionals
2.What’s new with ‘5 Questions to Ask About Your Medications’
3.Hear how organizations are using ‘5 Questions to Ask About Your Medications’ to engage patients and consumers
Understanding how the Measurement and Monitoring of Safety Framework can form board understanding and help align strategic and operational approach to patient safety.
Full details: https://goo.gl/XyqTQA
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
The fourth webinar picks-up directly from the third session, focusing on the next key step to inform implementation initiatives: identifying barriers and enablers to implementation.
READ MORE: http://bit.ly/2kIxtQo
Canadian healthcare organizations are taking patient and family engagement to new heights and the best of the best want to share the secrets of their success with you!
The 2015 Patient Safety Champion Awards are presented by HealthCareCAN and Canadian Patient Safety Institute with support from Patients for Patient Safety Canada.
WATCH: http://bit.ly/1U06qKn
Have you ever struggled to unite a team on an improvement project? Or have you ever been in a situation where lack of communication has hindered your improvement efforts?
At the end of this 90 minute session patient/ family/ advisors/ champions as well as health providers/ leaders/ authorities will leave with at least one practical idea to apply to patient advisor training as a result of their increased understanding of:
Current training programs and models in use across Canada
Training needs of patient advisors at different system levels
Gaps in training needs and ideas on how to fill them
Available supporting resources and leading practices
Objectives:
By the end of this call, you will be able to:
•Describe the processes of Root-Cause Analysis (RCA) and Multi-Incident Analysis (MIA) and their role in quality improvement
•Compare and contrast the different approaches to collecting hospital-acquired VTE data
•Identify an approach suitable for improving patient safety at your institution
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
Family members are a vital part of the healthcare team and are often best positioned to recognize the sometimes subtle, yet very important changes in their loved one's condition that may indicate deterioration. You may not know WHAT is wrong, but you know something just isn't right. Empower yourself and your loved ones with information and resources to help you recognize the signs of deteriorating patient condition and effectively discuss your concerns with the healthcare provider.
On November 17, 2015 the ICU Collaborative Faculty held a National Call to determine the 2016 National Improvement Initiative. Two topics were presented: Dr. Yoanna Skrobik advocated on the side of Pain, Agitation and Delirium. Dr. Claudio Martin and Cathy Mawdsley advocated for working on End of Life Care. Callers voted at the end of the call and chose the new topic led by Dr. Skrobik: Managing “PAD” in your ICU patient: assessment, treatment and prevention.
As part two of the Human Factors Call Series, CPSI is pleased to invite you to attend When being present isn't enough – Improving patient safety through situational awareness!
The Hospital Harm Project is a partnership between the Canadian Institute for Health Information (CIHI) and the Canadian Patient Safety Institute (CPSI) aimed at answering the question, "how often do patients experience harm in hospital?" Through this collaboration, decision-makers, hospital executives, clinicians and policy-makers have access to important information on patient safety in acute care hospitals and how to improve it.
Purpose of the Call:
By the end of this webinar you will: •Hear about the changes to the MedRec in Home Care GSK
•Hear about the broader home care concepts as it relates to MedRec
•Receive practical tips and insights from the field
•Understand the Accreditation Canada requirements for medication reconciliation at discharge
•Learn from the experience of patients and receiving healthcare providers
•Gain insight into practical strategies for communicating accurate medication information at discharge
READ MORE: http://bit.ly/1ja1gxY
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
The fourth webinar picks-up directly from the third session, focusing on the next key step to inform implementation initiatives: identifying barriers and enablers to implementation.
READ MORE: http://bit.ly/2kIxtQo
Canadian healthcare organizations are taking patient and family engagement to new heights and the best of the best want to share the secrets of their success with you!
The 2015 Patient Safety Champion Awards are presented by HealthCareCAN and Canadian Patient Safety Institute with support from Patients for Patient Safety Canada.
WATCH: http://bit.ly/1U06qKn
Have you ever struggled to unite a team on an improvement project? Or have you ever been in a situation where lack of communication has hindered your improvement efforts?
At the end of this 90 minute session patient/ family/ advisors/ champions as well as health providers/ leaders/ authorities will leave with at least one practical idea to apply to patient advisor training as a result of their increased understanding of:
Current training programs and models in use across Canada
Training needs of patient advisors at different system levels
Gaps in training needs and ideas on how to fill them
Available supporting resources and leading practices
Objectives:
By the end of this call, you will be able to:
•Describe the processes of Root-Cause Analysis (RCA) and Multi-Incident Analysis (MIA) and their role in quality improvement
•Compare and contrast the different approaches to collecting hospital-acquired VTE data
•Identify an approach suitable for improving patient safety at your institution
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
Patient & Family Advisory Councils: the Business Case for Starting a PFAC & P...EngagingPatients
This webinar was presented on March 12, 2015 by Barbara Lewis. It looks at the prevalence and roles that Patient & Family Advisory Councils (PFACs) are playing in U.S. hospitals today, and builds a business case for their implementation:
Family members are a vital part of the healthcare team and are often best positioned to recognize the sometimes subtle, yet very important changes in their loved one's condition that may indicate deterioration. You may not know WHAT is wrong, but you know something just isn't right. Empower yourself and your loved ones with information and resources to help you recognize the signs of deteriorating patient condition and effectively discuss your concerns with the healthcare provider.
On November 17, 2015 the ICU Collaborative Faculty held a National Call to determine the 2016 National Improvement Initiative. Two topics were presented: Dr. Yoanna Skrobik advocated on the side of Pain, Agitation and Delirium. Dr. Claudio Martin and Cathy Mawdsley advocated for working on End of Life Care. Callers voted at the end of the call and chose the new topic led by Dr. Skrobik: Managing “PAD” in your ICU patient: assessment, treatment and prevention.
As part two of the Human Factors Call Series, CPSI is pleased to invite you to attend When being present isn't enough – Improving patient safety through situational awareness!
The Hospital Harm Project is a partnership between the Canadian Institute for Health Information (CIHI) and the Canadian Patient Safety Institute (CPSI) aimed at answering the question, "how often do patients experience harm in hospital?" Through this collaboration, decision-makers, hospital executives, clinicians and policy-makers have access to important information on patient safety in acute care hospitals and how to improve it.
Purpose of the Call:
By the end of this webinar you will: •Hear about the changes to the MedRec in Home Care GSK
•Hear about the broader home care concepts as it relates to MedRec
•Receive practical tips and insights from the field
•Understand the Accreditation Canada requirements for medication reconciliation at discharge
•Learn from the experience of patients and receiving healthcare providers
•Gain insight into practical strategies for communicating accurate medication information at discharge
READ MORE: http://bit.ly/1ja1gxY
his is the first in a series of interactive webinars designed to build capacity in the basic principles of knowledge translation and implementation science.
WATCH-ON DEMAND: https://goo.gl/hnp8gi
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice and hence improve the quality and effectiveness of health services
Farla Medical, one of the UK's largest supliers of medical technologies, commodities and consumables shared best practices from the UK. Including in infection prevention and control, tooling HRH and improving heath service delivery efficiencies.
As new payment models emerge that emphasize value over volume, providers are being compelled to look more closely at how to motivate patients—especially those with multiple chronic conditions—to actively manage their care, make better decisions and change behaviors. This editorial webinar will explore the relationships between engagement and improved health outcomes, greater patient satisfaction and better resource utilization. Our panel of experts will share proven strategies for building patients' confidence, disseminating self-management tools and making the best use of your care team.
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
Assignment Evidence-Based Capstone Project, Part 6 Disseminating.docxfaithxdunce63732
Assignment: Evidence-Based Capstone Project, Part 6: Disseminating Results
The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.
To Prepare:
· Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
· Consider the best method of disseminating the results of your presentation to an audience.
To Complete:
Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.
· Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
FEED BACK FROM LAST POINT( The powerpoint you did last week)
Olayemi,
-Powerpoints do not require complete sentences.
-Your outcomes, as written are not measurable. Quantify.
-This is an area you need to work on. I suggest reviewing the literature on SMART goals.
-Number your slides.
-I did not see any synthesis. You could synthesis on your summary slide.
-Start with a purpose statement, end with a conclusion.
- very careful about using information from previous assignments. This information is making your SI elevate. Here are examples from your SafeAssign report:
3 In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility we make sure that we keep ourselves updated to ensure that the organization is able to develop and advance. 3 The organization is ready to face and adapt to any new changes since it is predicted that the healthcare system will undergo change through implementing current technologies.
Evidence-Based Practice Change
Walden University
NURS 6052- Essentials of Evidence-Based Practice
November 01, 2020
ORGANIZATION CULTURE
My organization seeks diversity in their employees
Value the possibility of enhancing patient communication.
We provide patient-centered care
We treat patient based on their decisions
Members are kept updated with new technology
Readiness to face and adapt to any new changes
In our organization we offer patient-centered care, always keep ourselves updated on the latest practices, practices staff diversity and we are ready to adapt to new change. As members of the facility.
Creating value through patient support programsSKIM
How do we become more patient-centered as an organization? How do we ensure the patient/caregiver experience is as optimal as possible?
These are the questions that are being poised to healthcare market researchers in today’s healthcare landscape. And typically healthcare market researchers are turning to methods like “patient journeys” and “patient personas” to help bring that patient-centered understanding to the organization. Problem is … in order to be truly patient-centered, you need to take this charge on from the inside out.
Experience, Design and Innovation departments are springing up in all kinds of healthcare organizations intent on facilitating the organizational shift towards patient-centricity. And, unfortunately, market researchers are intentionally not being invited to the table. If history repeats itself, that will soon change though. These Experience, Design and Innovation departments will need the rigor and breadth of method knowledge that market researchers have in order to succeed in the strategic agendas of their work.
This presentation will give market researcher pointers on which skills, methods and mindsets they’ll likely need to adopt if they are hoping to be perceived as a valued contributor to an Experience, Design or Innovation team. In essence, give attendees a blueprint for how to open up a whole new professional opportunity for themselves, with a simple reframe on whom they are and what they do.
This interactive webinar is part of the world tour series designed by the World Health Organization's Patients for Patient Safety (PFPS) Global Network and hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute, a WHO Collaborating Centre on Patient Safety and Patient Engagement.
The goal of this virtual discussion is to explore practical solutions for keeping seniors safe. The ideas are drawn from real life experiences noting how COVID-19 impacted seniors, their loved ones as well as healthcare workers and leaders.
The focus of the discussion is on identifying safety risks together with practical solutions for seniors who live at home, in residences and long-term care facilities.
After hearing the perspectives of patients, providers and leaders from Indigenous communities on how they perceive safety and what solutions are/ can be implemented, we will leave the session with at least one practical idea for engaging all patients, families and/or the public in improving patient safety.
Healthcare providers and leaders will address three types of silences in healthcare: organizational silence, patient-related silence, and provider to provider silence.
Read More: www.conquersilence.ca
Healthcare providers and leaders will address three types of silences in healthcare: organizational silence, patient-related silence, and provider to provider silence.
Read More: www.conquersilence.ca
Enhanced Recovery After Surgery (ERAS®) is the Enhanced Recovery After Surgery (ERAS®) is the implementation of patient-focused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidence-based, interdisciplinary perioperative guidelines.
Learn more about Enhanced Recovery Canada:
http://ow.ly/hR3j30jsnjR
Dr. Dee Mangin, Professor of Family Medicine and the Associate Chair and Director, Research, at McMaster University, will join practicing pharmacist, and Vice President, Pharmacy Affairs, Sandra Hanna of the Neighbourhood Pharmacy Association of Canada to discuss medication risks, deprescribing and the dangers of polypharmacy in this one hour webinar. Learn more at www.asklistentalk.ca
Joshua Myers, Terry Brock - Fraser Health (BC) - We Want to Hear from You: Fraser Health Real-Time Experience Survey
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Cathy Masuda, Leslie Louie - BC Children's Hospital, an Agency of the Provincial Health Services Authority -Patient's View: Engaging Patients and Families in Patient Safety Incident Reporting
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Alberta Health Services: Family Volunteers or Advisors Gathering Real-time Patient Experiences
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Please join CPSI as we conclude our Human Factors webinar series with our final presentation Collaborative "Spaces" and Health Information Technology Design
Professor Benedetta Allegranzi,World Health Organisation
Dr. Benedetta Allegranzi is a specialist in infectious diseases, tropical medicine, infection prevention and control and hospital epidemiology. She currently works at the World Health Organization HQ (Service Delivery and Safety department), leading the "Clean Care is Safer Care" programme. Since 2013, Dr Allegranzi has gathered the title of professor of infectious diseases in the official Italian professorship list and is adjunct professor attached to the Institute of Global Health at the Faculty of Medicine, University of Geneva, Switzerland. She closely collaborates with the team at the IPC and WHO Collaborating Center on Patient Safety, University of Geneva Hospitals (Geneva, Switzerland), as well as with the Armstrong Institute for Patient Safety and Quality, John Hopkins University, (Baltimore, USA) for clinical research projects. She is currently involved in the leadership on the WHO Ebola Response in the field of IPC and supervises IPC activities in Sierra Leone and Guinea. She has experience in clinical management of infectious diseases and tropical medicine, and clinical research in healthcare settings in both developing and developed countries. She has thorough skills and experience in training and education.
She is also the author or coauthor of more than 150 scientific publications, including articles published in high-profile medical journal such as the Lancet, Lancet Infectious Diseases, New England Journal of Medicine and the WHO Bulletin, and six book chapters.
Lori Moore joined GOJO Industries in 2013 as a Clinical Application Specialist. In this position, she provided leadership and support to healthcare organizations as they implemented electronic compliance monitoring (ECM) to more accurately measure hand hygiene performance. She has been a trusted partner to hospital key stakeholders in the development, design and implementation of hand hygiene improvement efforts. Areas of expertise include root cause analysis with targeted solutions, just-in-time coaching and ECM software data analytics. In January 2017, she transitioned to the position of Clinical Educator for Healthcare.
She began her professional career in healthcare in 2010 as a registered nurse in the medical intensive care unit at the Cleveland Clinic Foundation (where she continues to work on the weekends). Her passion for patient safety and quality of care sparked her interest in infection prevention, and she worked as an infection preventionist prior to joining GOJO.
Lori has a well-rounded academic background which includes a Bachelor’s of Arts in Management from Malone College, a Bachelor’s of Science in Nursing from the University of Akron, and a Master’s degree in Public Health from the University of Akron. She is a member of the Association for Professionals in Infection Control and Epidemiology, American Society of Professionals in Patient Safety, and the American Medical Writers Association. She has also earned the credential of Certified Health Education Specialist (CHES) and Certified Professional in Patient Safety (CPPS).
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
With the introduction of new technologies, there are opportunities to introduce new types of medical errors (i.e. technology-induced errors). Technology-induced errors arise from interactions between citizens, patients and health professionals and the technologies they use to provide health information and health care (Borycki & Kushniruk, 2008).
Evidence demonstrates that communication is one of the leading contributors to adverse events. Transitions of care epitomize this challenge.
WATCH ON DEMAND: https://goo.gl/M1ovsS
Think Human factors doesn't have an impact on clinical outcomes like infection rates? Guess again! According to the World Health Organization (2017), infections acquired in healthcare settings represent the most frequent adverse event occurring in the delivery of healthcare and no institution or country has solved the problem yet.
Full Details: https://goo.gl/Z7Mhuy
Unsafe medication is a leading cause of harm, most of it preventable, in health care systems across the world. Medication incidents occur when weak medication systems and/or human factors such as fatigue, poor environmental conditions or staff shortages affect prescribing, transcribing, dispensing, administration and monitoring practices, which can then result in severe harm, disability and even death.
Full Details: https://goo.gl/gCQ64V
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
1. www.ohri.ca | Affiliated with • Affilié à
IT’S NOT (JUST) WHAT
YOU DO, IT’S (ALSO)
HOW YOU DO IT!
JEREMY GRIMSHAW
SENIOR SCIENTIST AND PROFESSOR
KATHRYN SUH, MD, FRCPC
6TH OCT. 2016
jgrimshaw@ohri.ca
@GrimshawJeremy
2. WHO WE ARE
Dr Kathryn Suh
▶ Medical Director, Infection
Prevention and Control Program
and Antimicrobial Stewardship
Program, The Ottawa Hospital
▶ Associate Professor of Medicine,
University of Ottawa.
2
Dr Jeremy Grimshaw
▶ Senior Scientist, Ottawa Hospital
Research Institute
▶ Professor of Medicine, University
of Ottawa
3. Affiliated with • Affilié à
▶ Ensuring patient safety remains a high priority for
healthcare systems, organisations and providers
▶ The Canadian Patient Safety Institute has been at the
forefront of efforts to promote safety in Canadian
Healthcare settings and has achieved substantial
improvements in patient safety.
▶ However, there remain substantial challenges to
implement patient safety practices.
▶ Shift to Safety, the newest program of CPSI is
launching a new initiative to promote the use of
behavioral approaches in patient safety initiatives.
BACKGROUND
3
4. Affiliated with • Affilié à
▶ Successful implementation of patient safety programs
needs key actors (patients, healthcare providers,
managers and policy makers) to change their
behaviours and/or decisions whilst working in the
complex (ordered chaos) of health care environments
▶ There is a substantial evidence base in behavioural
sciences that can support the development of patient
safety programs and increase the likelihood of success
BEHAVIOURAL PERSPECTIVE
5. Affiliated with • Affilié à
▶ The Ottawa Centre for Implementation Research at the
Ottawa Hospital Research Institute is an
interdisciplinary group that undertakes research on
behavioural approaches to enhance change programs
▶ We are partnering with CPSI to increase the Canadian
capacity to use behavioral approaches to optimise
change programs.
OTTAWA CENTRE FOR IMPLEMENTATION RESEARCH
5
6. Affiliated with • Affilié à
▶ Angel Arnaout, surgery, disinvestment in cancer
▶ Sylvain Boet, anesthesiologist, medical education
▶ Jamie Brehaut, cognitive psychologist
▶ Ian Graham, medical sociology
▶ David Moher, epidemiologist, knowledge syntheses
▶ Justin Presseau, health psychologist
▶ Janet Squires, nursing, implementation science
▶ Dawn Stacey, nursing shared decision making
▶ Monica Taljaard, biostatistician
▶ Kednapa Thavorn, health economist
▶ Noah Ivers, family physician, implementation science (Toronto)
▶ Holly Witteman, engineering, human factors (Quebec City)
OTTAWA CENTRE FOR IMPLEMENTATION RESEARCH
6
8. Who needs to do
what differently?
Using a theoretical framework,
which barriers and enablers need
to be addressed?
Which intervention components
could overcome the modifiable
barriers and enhance the enablers?
How will we measure
behaviour change?
DESIGNING CHANGE PROGRAMS
9. Who needs to do
what differently?
Using a theoretical framework,
which barriers and enablers need
to be addressed?
Which intervention components
could overcome the modifiable
barriers and enhance the enablers?
How will we measure
behaviour change?
DESIGNING CHANGE PROGRAMS
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▶ Specify behaviour using TACTA principle
▶ Identify:
• What needs to be done (Action)
• By whom (Actor)
• To whom (Target)
• Where (Context)
• When (Time)
DESIGNING CHANGE PROGRAMS
10
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▶ What needs to be done (Action)
• Hand hygiene
▶ By whom (Actor)
• All health care providers
▶ To whom (Target)
▶ Where (Context)
• Clinical environments
▶ When (Time)
• Four moments of hand hygiene
DESIGNING CHANGE PROGRAMS
11
12. Who needs to do
what differently?
Using a theoretical framework,
which barriers and enablers need
to be addressed?
Which intervention components
could overcome the modifiable
barriers and enhance the enablers?
How will we measure
behaviour change?
DESIGNING IMPLEMENTATION PROGRAMS
16. THEORETICAL DOMAINS FRAMEWORK
Michie 2005
Knowledge
Skills
Social/professional role
and identity
Beliefs about capabilities
Beliefs about
consequences
Motivation and goals
Memory, attention and decision
processes
Environmental context and
resources
Social influences
Emotional regulation
Behavioural regulation
Nature of the behaviour
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Key beliefs:
▶ conflicting comments about who was responsible for the test-
ordering (Social/professional role and identity);
▶ inability to cancel tests ordered by fellow physicians (Beliefs about
capabilities and social influences);
▶ problem with tests being completed before the anesthesiologists
see the patient (Beliefs about capabilities and Environmental
context and resources).
▶ tests were ordered by an anesthesiologist based on who may be
the attending anesthesiologist on the day of surgery while
surgeons ordered tests they thought anesthesiologists may need
(Social influences).
THEORETICAL DOMAINS FRAMEWORK
17
18. Who needs to do
what differently?
Using a theoretical framework,
which barriers and enablers need
to be addressed?
Which intervention components
could overcome the modifiable
barriers and enhance the enablers?
How will we measure
behaviour change?
DESIGNING CHANGE PROGRAMS
21. ▶ Graded tasks - Set easy
tasks, and increase
difficulty until target
behavior is performed.
▶ Behavioural
rehearsal/practice -
Prompt the person to
rehearse and repeat the
behavior or preparatory
behaviors
DESIGNING IMPLEMENTATION PROGRAMS
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A PRACTICAL STUDY: PHYSICIAN HAND
HYGIENE
25
▶ Healthcare-associated infections are one of the top 10
causes of hospital deaths worldwide
• affect 10% of all patients in acute-care hospitals
▶ Physician hand hygiene compliance is an international
problem
• Average reported compliance rate: 49-57%
▶ Reasons for poor compliance not well understood
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A PRACTICAL STUDY: PHYSICIAN HAND
HYGIENE
26
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ASSESSING BARRIERS AND ENABLERS
27
▶ Key informant interviews with 42 staff physicians and
residents in Medicine, Surgery
▶ Two focus groups with four institutional hand hygiene
“experts”: hand hygiene auditors, infection prevention
and control professionals, and Senior Management
▶ Observation of hand hygiene and audits on inpatient
Medicine and Surgery units
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▶ Knowledge: I am / am not aware of hand hygiene
guidelines
▶ Skills: I have / have not had training in hand hygiene
techniques
▶ Beliefs about consequences: hand hygiene reduces
transmission of infection
▶ Memory and attention: reminders are / are not useful
for hand hygiene
▶ Social influence: others on my team do / do not
influence my hand hygiene behaviour
INTERVIEW GUIDE
28
29. Affiliated with • Affilié à
Knowledge
Skills
Social/professional role
and identity
Beliefs about
capabilities
Beliefs about
consequences
Motivation and goals
THEORETICAL DOMAINS FRAMEWORK
Memory, attention and
decision processes
Environmental context
and resources
Social influences
Emotional regulation
Behavioural regulation
Nature of the behaviour
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▶ Important TDF domains were prioritized with team
input, and mapped to known effective behaviour
change techniques
▶ Intervention focused on five prioritized domains,
considering feasibility in our environment, and
acceptability to the “actors”
• Knowledge; skills; beliefs about consequences;
memory, attention and decision processes; social
influences
▶ Intervention delivery differed for medicine and
surgery
INTERVENTION MAPPING AND DESIGN
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▶ Based on assessment of barriers, resources, practical
aspects of implementation
▶ Medicine:
• Two slides for resident orientation
• Four x 2 minute sessions during stewardship rounds
• Glo GermTM demonstration
▶ Surgery:
• 10 minutes at resident half day, with Glo GermTM
• 10 minutes at staff division meeting
IMPLEMENTATION
31
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▶ Patient safety remains major concern in healthcare
systems
▶ Successful implementation of safety change programs
requires actors to change their behaviour(s)
▶ Insights from behavioural science can help optimise
change programs and increase their likelihood of
success
▶ CPSI and the Ottawa Centre for Implementation
Research at the Ottawa Hospital Research Institute are
planning a program to enhance capacity to use
behavioural approaches to improve patient safety
SUMMARY
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▶ Think about capacity development to use behavioural
approaches within your group
▶ When planning safety initiatives:
• Identify behaviour change needed to implement safety
procedures
• Identify barriers to behaviour change preferably using
behavioural theory
• Consider assumptions and mechanisms to change when
designing initatives
SUMMARY