CAPHC Patient Safety Collaborative

Patient safety is one of CAPHC’s national priorities.  Under the direction of the CAPHC Board of Directors, CAPHC’s National Patient Safety Collaborative provides a national forum to unite individuals, groups, and organizations to facilitate partnerships, improve communication, and, when appropriate, undertake collective action to improve patient safety for all children and youth.  Membership in the collaborative is open to all members of CAPHC, Health Canada, the Canadian Patient Safety Institute (CPSI), as well as other provincial and national organizations with a specific expertise and/or interest in patient safety.  The Collaborative membership represents multidisciplinary child and youth health organizations from coast to coast.

Background

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.

» CAPHC Patient Safety Collaborative Terms of Reference
» CAPHC Patient Safety collaborative Symposia, Meetings & Webinar Presentations

CAPHC Patient Safety Collaborative Initiatives

» CAPHC Canadian Paediatric TRIGGER Tool

The CAPHC Paediatric Trigger Tool (CPTT) is a patient safety improvement tool developed in collaboration with patient safety and quality improvement experts from across Canada.
The tool is available for download at no charge to all CAPHC member and nonmember organizations, for noncommercial use only.

» Reducing Harm in Paediatric Care: Learning about Adverse Events using a Validated Canadian Paediatric Trigger Tool

» High Alert Medication Delivery in Paediatrics - Implementing Leading Practice

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. 

» Paediatric Medication Reconciliation Collaborative (PMRC)

In August 2005, the CAPHC – SHN!  Paediatric Medication Reconciliation Collaborative (PMRC) was initiated when seventy-five interdisciplinary child and youth health professionals from across Canada participated in an introductory Orientation and Training Workshop.  Following August 2005, 17 centres across Canada established 23 paediatric MedRec teams that formed the PMRC.   At a system-wide level the collaborative has made significant progress in implementing practice change and improving medication safety over three years of work. The CAPHC Patient Safety Collaborative would like to recognize the ongoing work of all of the participating paediatric centres, for without their commitment, extraordinary efforts and leadership, the success of the collaborative and the subsequent improvement in medication safety would not be possible!

» CAPHC Patient Safety Listserve

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.

Video to Promote Canadian Patient Safety Initiatives, Partnerships, and Sponsorship of the Satellite Broadcast of the IHI National Forum
» 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.