eSafety New CANADIAN GUIDELINES

1. eSafetyNew CANADIAN GUIDELINES Enhancing PATIENT SAFETY in eHealth Don Newsham BA Health Administration, BSc, CPHIMS-CA CEO, COACH

3. COACH’s eSafety Guidelines – Reviewers Feedback

6. 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.

8. eSafety- IOM Report on Health IT and Patient Safety Institute of Medicine. (2011). Health IT and Patient Safety: Building Safer Systems for Better Care.

9. eSafety - ONCHIT Patient Safety Action & Surveillance Plan for Public Comment FY2013-15 (Dec 21, 2012)

10. 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

11. COACH’s Canadian eSafety Contributors

12. eSafetyNew CANADIAN GUIDELINES Enhancing PATIENT SAFETY in eHealth Elizabeth Keller BA (Hon), MA, PmP, CPHIMS-CA Director, COACH Director, Product Management, OntarioMD

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

14. eSafetyPurpose and Goals

15. eSafety Guidelines Essential Component of Protecting Patients

16. eSafety Guidelines - Table of Contents

17. The Foundation Principles

18. Example - eSafetyCulture Principle

19. The Practical Approach to an eHealth Safety Program

20. 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)

22. * 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.

23. Enterprise Risk Register

26. Emerging Practices on Reporting

27. Canadian Guidelines for eHealth Safety

28. 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

29. eSafetyNew CANADIAN GUIDELINES Enhancing PATIENT SAFETY in eHealth Bill Pascal Chief Technology Officer Canadian Medical Association

30. eSafetyNew CANADIAN GUIDELINES Enhancing PATIENT SAFETY in eHealth Turner Billingsley Intersystems

31. eSafetyNew CANADIAN GUIDELINES Enhancing PATIENT SAFETY in eHealth THANK YOU