Page 29 - New Employee Booklet - Portrait

Patient Safety & Clinical

Risk Management

Quality and Patient Safety - Your Role Patient Safety is:

Quality and safety must be every person’s focus and responsibility “The reduction and mitigation of unsafe

 If you see a situation that might be harmful to a acts within the healthcare system, as
patient, speak up without fear so that we can all work well as through the use of best practices
together to eliminate the risks shown to lead to optimal patient

Report and review incidents, near misses, and hazards outcomes.”
 Give others the chance to learn from your experience Canadian Patient Safety Dictionary
Participate in quality initiatives
 Your perspective is important!
Focus on system and process issues

Catching problems before they grow bigger, provides more Quality Healthcare is:
possible ways to deal with them Safe No errors

Patient What the patient wants, need
Centered and would pay for
5 Characteristics of High

Reliability Organizations Timely No waiting
(HROs)
The right care according to
Effective
Preoccupation with Failure best evidence
Focus on preventing failures rather than Efficient No waste

reacting to them Equitable Available to all that require it
Potential failures are learning opportunities IOM Crossing the Quality Chasm, 2001
Reluctance to Simplify
Healthcare is increasingly complex and
requires multiple perspectives to enhance Risk Management Resources

understanding
Sensitivity to Operations eLearning Modules
Sensitive to small deviations and interruptions • Incident Reporting & Review System (UHUHRM001W)
• Incident Reporting & Review Sign off (Managers) (UHUHRM002W)
in operations Fix before consequences
become much larger

Complacency is a threat Policies
Commitment to Resilience • Incident Reporting & Review Policy 3.20.005
• Disclosure of Adverse Events Policy 3.20.007
Ability to recover from failure.
Quickly assess and respond when things go
wrong Patient Safety & Clinical Risk Management Intranet Site

Deference to Expertise Contact us @ Riskmanagement@uhn.ca
Encourage decision making at the front line
Yield decisions to those with expertise –

regardless of the position or role