Working and Learning as a Team to Improve Patient Safety

1. Working and Learning as a Team to Improve Patient Safety Mark Daly, RRT, MA(Ed.) Patient Safety Officer, McGill University Health Centre Lecturer, Faculty of Medicine, McGill University June 16, 2012

2. Session objective • Define patient safety • Demonstrate the importance of the interprofessional team • Review frameworks which focus on interprofessionalism

3. What is Patient Safety? “…the reduction and mitigation of unsafe acts within the healthcare system, as well as through the use of best practicesshown to lead to optimal patient outcomes.” The Canadian Patient Safety Dictionary, October 2003.

4. A True Story

5. What is Sorrel King asking you to do? 1. Communicate among ALL team members • Listen to the patient or family member • Look at the patient She is asking us to change the system

6. The Safety Competencies – Enhancing Patient Safety Across the Health Professions • Published in 2008 by the Canadian Patient Safety Institute • A collaborative effort with the Royal College of Physicians and Surgeons of Canada • Designed for interprofessional use • Patterned after the CanMEDS framework

7. The Safety Competencies • Six domains • Twenty-three key competencies • One hundred and forty enabling competencies

8. Domains • Contribute to a culture of patient safety • Work in teams for patient safety • Communicate effectively for patient safety • Manage safety risks • Optimize human factors and environmental factors • Recognize, respond to and disclose adverse events. Proposed to be included in revised CanMEDS framework 2015

9. Culture of patient safety supports Working in teams Encourage team members to speak up, question...safety issues and risks…

10. Communicating effectively Among healthcare team members: • SBAR (Situation, Background, Assessment, Recommendation) • Graded assertions (4 levels with increasing urgency at each level) With patients/families: • Use a variety of tools and techniques • Assess understanding (repeat-back, demonstrate)

11. Canadian Medical Protective Association: Good Practices Guide • Mapped to CPSI Safety Competences • Added Professionalism theme • E-learning • Student and faculty sections • Actual closed cases • Quizzes • Interactive activities • Launch Fall 2012

12. Association of Faculties of Medicine of Canada and theRoyal College of Physicians and Surgeons of Canada http://www.afmc.ca/future-of-medical-education-in-canada/

13. Key messages • Patient safety involves: • System • Best practices • Optimal patient outcome • Frameworks • CPSI Safety Competencies • FMEC-MD and FMEC-PG • CMPA Good Practices Guide • Interprofessional teamwork is the key to improving patient safety. Thank you mark.daly@muhc.mcgill.ca