Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health...
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Transcript of Driving Quality Improvement Forward: Understanding Patient Safety Events within BC Emergency Health...
Driving Quality Improvement Forward UNDERSTANDING PATIENT SAFETY EVENTS WITHIN BC EMERGENCY HEALTH SERVICES
ANNEMARIE TAYLOR, BCPSLS JAN BUTLER, BCEHS
486,000 ground
events throughout
the province
394,000
pre-hospital (9-1-1)
events
92,000 inter-facility patient transfers
• Timing of event awareness • Electronic access • Availability of patient outcome information • Causal relationship to harm
Vs
Considerations
Event reporting
What’s important to BCEHS? - Interfacility transfer?
- Patient Transfer Network involved?
- Phase of transport or transfer
- Lights and sirens?
- Discussed in safety huddle?
- BCEHS employee injured?
- Device or supply involved?
- Medication, IV, oxygen, blood involved?
- Language barrier a factor?
- Associated with handover?
- Transport or transfer related event?
- Patient handling (e.g. restraint in vehicle)
- Vehicular event (land or air)
- Involvement of second organization
- Patient harmed?
- Potential for severe harm?
- Who’s reporting?
Our team Annemarie Taylor, Provincial Director, BC PSLS [email protected]
Janice Butler, Corporate Director, Quality, Safety, Risk Management & Accreditation, BCEHS [email protected]
Sandra Christenson, Quality Assurance and Change Management Leader, BCPSLS [email protected]
George Papadopoulos, Director, Patient Safety, Quality & Accreditation, BCEHS [email protected]
Emily Hamilton, Leader, Patient Safety, Quality & Accreditation, BCEHS [email protected]
Mary MacKillop, Director, Patient Care Quality Office, PHSA [email protected]