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CAPHC Patient Safety Collaborative
After two cases of infant strangulation by IV tubing in Canada, Health Canada released a Notice to Hospitals, dated July 30th, 2002, that outlined a number of directives to improve patient safety regarding the use of IV tubing and monitor leads.
Subsequent to the release of this “Notice to Hospitals”, concerns were raised by child and youth health professionals across the country concerning the practical implementation of this directive.
These sentinel events, prompted the Canadian Association of Pediatric Health Centres (CAPHC) and Health Canada to invite a broad cross section of stakeholders together for a one day Patient Safety Workshop on June 16, 2003, to address the important issues surrounding patient safety.
The Patient Safety Workshop was designed to address these issues and the larger issues of patient safety in a consultative and collaborative forum and brought together child and youth healthcare professionals from across Canada.
The workshop was organized with several key objectives in mind:
- To acknowledge and link our common goals and priorities for patient safety;
- To respond to Health Canada’s Notice to Hospitals dated July 30th, 2002 regarding the Risk of Strangulation of Infants by IV Tubing and Monitor Leads and
- To develop a framework for continued partnerships and communication around patient safety issues.
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CAPHC Patient Safety Collaborative Terms of Reference |
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CAPHC Patient Safety Collaborative Symposia & Meetings |
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CAPHC Patient Safety
Listserve
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Patient safety is one of CAPHC's national priorities. We
are currently facilitating collaboration between members and
other national bodies to address acute and vital issues in
this area. As a knowledge-broker committed to improving the
health and well-being of children and youth, CAPHC invites
you to participate on our »
Patient Safety Listserve. |
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CAPHC Canadian Paediatric TRIGGER Tool |
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Reducing Harm in Paediatric Care: Learning about Adverse Events using a Validated Canadian Paediatric Trigger Tool |
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CAPHC Patient Safety Sharing
& Learning Tool |
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Patient safety is one of CAPHC’s national priorities.
We are currently facilitating collaboration between members
to address acute and vital issues in this area. Sharing of
patient safety information between providers is one way to
prevent similar adverse events from happening in different
organizations. For that reason, the CAPHC Patient Safety Sharing
and Learning Tool was developed to create a confidential and
secure venue for sharing information about patient safety
for children and youth. |
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Paediatric Medication Reconciliation
Collaborative (PMRC) |
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The Safer Healthcare Now! (SHN) campaign offers Canadian
healthcare organizations the opportunity to participate in
and support a campaign dedicated to improving patient safety,
through the implementation of six targeted interventions in
patient care. Among the six SHN! Campaign interventions, the
CAPHC Patient Safety Collaborative identified Medication Reconciliation
as their national paediatric priority. Medication reconciliation
involves clearly and accurately documenting patient medication
usage and reconciling discrepancies with medication orders.
Ultimately the goal is to develop a process that provides
an accurate record of a patient’s medication history
that can be used as the basis for medication orders as patients
are admitted, transferred between units and discharged. The
ultimate goal of CAPHC and the Safer Healthcare Now! Campaign
is to prevent adverse drug events by providing support for
paediatric health care centres and related organizations across
Canada to implement medication reconciliation. |
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High Risk Medication Delivery in Paediatrics - Implementing Leading Practice |
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Paediatric healthcare institutions face many unique challenges in the delivery of care - among these challenges is the lack of standardization of paediatric medication dosing and delivery practice. It is well known that medication errors and adverse events are among the most common patient safety problems in paediatrics and that certain high-risk medications pose particular risks. Non-standardized practices are a recognised challenge across the majority of child and youth health centres in Canada across the continuum of care. |
Video to Promote Canadian Patient
Safety Initiatives, Partnerships, and Sponsorship of the Satellite
Broadcast of the IHI National Forum
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Informational Letter
» Watch "Patient Safety in Canada" (Running
Time: 14:28)
 480x360 (65 MB) | 320x240 (73 MB)
Microsoft Windows Media Player required. High speed Internet
connection recommended.
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