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eSafety New CANADIAN GUIDELINES. Enhancing PATIENT SAFETY in eHealth. Don Newsham BA Health Administration, BSc , CPHIMS-CA CEO, COACH. COACH’s eSafety Guidelines – Reviewers Feedback. The opportunity and the challenge….

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esafety new canadian guidelines

eSafetyNew CANADIAN GUIDELINES

Enhancing PATIENT SAFETY in eHealth

Don Newsham

BA Health Administration, BSc, CPHIMS-CA

CEO, COACH

the opportunity and the challenge
The opportunity and the challenge…
  • An Australian research study on the effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients identified that “there was a high rate of system-related errors for both hospitals accounting for 35% of prescribing errors in the intervention wards in the post period”.
  • In the UK, there are an average of 35 documented software safety incidents reported every month; while a large number resulted in no harm, without appropriate attention to root cause and action to prevent re-occurrences, patient safety could be compromised.
esafety iom report on health it and patient safety
eSafety- IOM Report on Health IT and Patient Safety

Institute of Medicine. (2011). Health IT and Patient Safety: Building Safer Systems for Better Care.

esafety onc hit patient safety action surveillance plan for public comment fy2013 15 dec 21 2012
eSafety - ONCHIT Patient Safety Action & Surveillance Plan for Public Comment FY2013-15 (Dec 21, 2012)
esafety stakeholder ecosystem accountability culture
eSafety Stakeholder Ecosystem Accountability & Culture

Healthcare Delivery Organizations

Patients

Canada HealthInfoway

Physicians

Nurses

And NI

Allied Health

Providers

Health Organization Champions

Canada Health

Governments (Provincial

And Federal)

COACH

CMA

Canadian Patient

Safety Institute

CNA/CNIA

CPA

HI & HIM

Professionals

CIHI

ITAC

Accreditation Canada

Vendors &

Consultants

Academics &

Researchers

esafety new canadian guidelines1

eSafetyNew CANADIAN GUIDELINES

Enhancing PATIENT SAFETY in eHealth

Elizabeth Keller

BA (Hon), MA, PmP, CPHIMS-CA

Director, COACH Director, Product Management, OntarioMD

question
Question

How many of you have experienced or are aware of an esafety incident in any project, implementation or deployment ?

slide20

Is a method to confirm the development, deployment and use of an eHealth system will not pose an unacceptable level of safety risk to patients.

  • Is prospective and preventive
  • Is complimentary to PIA’s
  • Is built from leading practices (ISO 31000 standard on Risk Management, NHS England, Failure Mode and Effects Analysis (FMEA)
slide22

* In addition to Health Care Failure Mode and Effects Analysis, other risk assessment tools (use case review, observations, checklists, critical analysis) may serve to supplement or combine specific steps in the detailed risk assessment, due to unavailability of documentation, limited resources or time constraints. The identification of potential safety failures (WHAT COULD GO WRONG) is key, regardless of methodology used to arrive at that identification.

esafety trial participants
eSafety Trial Participants
  • UHN
      • ACD Bariatric Interdisciplinary Assessment Notes Initiative
  • NWT / AGFA / HealthTech Consultants
      • “Xero” Viewer
  • NLCHI
      • Drug Information System
  • GE Healthcare
      • TBD
  • Ontario Telemedicine Network
      • TBD
esafety new canadian guidelines2

eSafetyNew CANADIAN GUIDELINES

Enhancing PATIENT SAFETY in eHealth

Bill Pascal

Chief Technology Officer

Canadian Medical Association

esafety new canadian guidelines3

eSafetyNew CANADIAN GUIDELINES

Enhancing PATIENT SAFETY in eHealth

Turner Billingsley

Intersystems

esafety new canadian guidelines4

eSafetyNew CANADIAN GUIDELINES

Enhancing PATIENT SAFETY in eHealth

THANK YOU