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Found 43 results
  1. News Article
    Greg Price died of complications after testicular cancer surgery, but a review of his case found missed faxes, follow-ups and botched data-sharing ultimately cost the vibrant 31-year-old Alberta man his life. All the missteps in his case meant it took 407 days from his first complaint for Price — an engineer, pilot, and athlete — to be diagnosed with cancer. He died three months after his doctor said he should see a specialist, and while he was being passed between multiple doctors, his health data often was not. Now, his sister, Teri Price, says too little has changed in medical inf
  2. Event
    until
    This virtual seminar from the Clinical Human Factors Group will be looking at Just Culture and incident investigation and will feature two of the authors, Jan Davies and Carmella Steinke, of the new book 'Fatal Solution' , a book which describes "how a healthcare system used tragedy to transform itself and redefine Just Culture". In this provocative true story of tragedy, the authors recount the journey travelled and what was learned by, at the time, Canada’s largest fully integrated health region. They weave this story together with the theory about why things fall apart and how to put t
  3. Content Article
    How to have safety conversations: A resource for healthcare providers How to have safety conversations: A resource for patients and caregivers “What makes you feel safe” posters Presence of Safety - This document describes how Healthcare Excellence Canada is supporting a transformative shift from seeing safety as the absence of harm, to a more holistic approach that fosters safe, inclusive care. Engagement capable environments organizational self-assessment tool A journey we walk together: Strengthening indigenous cultural competency in health organizations Can
  4. Content Article
    2022 ISSUE 1 - Anti-rejection medications: Analysis of reported errors ISSUE 2 - Mitigating Risk for Medication Errors Involving Paxlovid ISSUE 3- Heightened Risk of Methotrexate Toxicity in End-Stage Renal Disease ISSUE 4 - ALERT: Multipronged Strategy Required to Manage Shortage of Sterile Water for Injection ISSUE 5 - Pediatric Medication Errors in the Community: A Multi-Incident Analysis ISSUE 6 - ALERT: Substitution Error with Tranexamic Acid during Spinal Anesthesia ISSUE 7 - Emergency Care Plans Can Save Lives ISSUE 8 - ALERT: Infusion Errors Lead
  5. News Article
    On a Thursday in mid-August, the doors of a hospital's emergency department two hours west of Toronto were shut. A note posted on the front said the ER was closed for the day. It would reopen the following morning at 08:00, but close again for the evening. Patients who needed urgent care were asked to go to nearby hospitals - a 15- to 35-minute drive away. It was the ninth time since April that the Huron Public Healthcare Alliance - a network of four hospitals serving around 150,000 people in western Ontario - had to temporarily close or cut back hours at one of its emergency departm
  6. Content Article
    Key findings Patients, their care partners and care providers express that safety is more than the absence of harm. Safe care requires a proactive approach, with ongoing engagement of patients and their care partners. A number of strategies can be used to enable safer care including giving patients and care partners access to information and engaging them in safety discussions (huddles, bedside reporting, etc). Care partners, volunteers, advocates, and/or a point person (provider) is required to improve communication with patients and increase opportunities for them to
  7. News Article
    The COVID-19 crisis has both divided and galvanised Canadians on healthcare. While the last three years have presented new challenges to healthcare systems across the country, the pandemic has also exacerbated existing challenges, most notably the high levels of errors and mistreatment documented in Canadian health care. According to a 2019 report from the Canadian Patient Safety Institute, Canada was already facing a public health crisis prior to the pandemic: a crisis of patient safety. As the report details, patient safety incidents are the third leading cause of death in Canada, follo
  8. News Article
    Toronto, Canada, will launch a pilot programme that will see civilians, not police officers, dispatched to 911 calls involving mental health crises — as long as violence is not being threatened. Council also approved a motion by Mayor John Tory to fast-track parts of the plan and review 911 call services in 2021 to determine how best to dispatch help through the proposed new service. The plan calls for four crisis support teams in different parts of the city, to respond to some of the roughly 30,000 calls for people in crisis that go through 911 each year. Pilot programmes are
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