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patient.ppt - Patient Safety Past, Present, Future...

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Breakfast With the ChiefsFebruary 1, 2007Philip HassenChief Executive OfficerPatient SafetyPast, Present, Future
2Presentation OverviewIntroduction to Patient Safety andCPSINature of the ProblemEvolution of Patient SafetySystems Approach vs.Medical/Community ApproachCurrent Activities and GoalsConclusion
3To provide national leadership in building andadvancing a safer Canadian health systemMissionVisionWe envision a Canadian health systemwhere:
4DefinitionsPatient Safety:The reduction and mitigation of unsafe acts within thehealth-care system, as well as through the use of bestpractices shown to lead to optimal patient outcomes.Canadian Patient Safety Dictionary, 2003Adverse Event:An adverse event is an unintended injury or complicationwhich results in disability, death or prolonged hospitalstay, and is caused by health-care management.Wilson et al
5Will we put the methods of science to work inWill we put the methods of science to work inthe evaluation of our practices, or must wethe evaluation of our practices, or must weadmit that no matter how much we read, study,admit that no matter how much we read, study,practice and take pains, when it comes to apractice and take pains, when it comes to ashow-down of the results of our treatment, noshow-down of the results of our treatment, noone could tell the difference between what weone could tell the difference between what wehave accomplished and results of some genialhave accomplished and results of some genialcharlatan…?”charlatan…?”Codman, 1915Codman, 1915Evolution of Patient Safety
6What Patient Safety Is and Is NotIt is notwhat most of us were thinkingabout 10 years agoIt is notwhat ‘we have always done’It isthe most significant change in thehealthcare system in over a centuryIt isa new applied scienceIt has forever changed the face ofmodern healthcare
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1019911991Harvard Medical Practice StudyHarvard Medical Practice Study19951995Quality in Australian Health Care StudyQuality in Australian Health Care Study19961996Annenberg conferences beginAnnenberg conferences begin19991999Colorado / Utah StudyColorado / Utah Study19991999IOM Report:IOM Report:To Err is HumanTo Err is Human20002000BMA/BMJ London Conference on Medical ErrorBMA/BMJ London Conference on Medical Error20002000SAEM: San Francisco Conference on EM ErrorSAEM: San Francisco Conference on EM Error20012001British study

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Term
Spring
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Tags
Test, The Land, Patient safety

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