Vol. 8 Special Issue | Patient Safety Papers

 

Editorial: Lessons learned and challenges ahead: Canadian experiences in improving patient safety

G. Ross Baker

 

Perspective: Canadian Patient Safety Institute

Phil Hassan

 

Perspective: Ontario Hospital Association

Hilary Short

 

World View

 

Nurturing a Patient Safety Culture

Patient Safety Culture Measurement and Improvement: A "How To" Guide

Mark Fleming

 

Changing a Culture with Patient Safety Walkarounds

Guna Budrevics and Catherine O'Neil

 

How Quality Improvement Projects Influence Organizational Culture

Leona R. Zboril-Benson and Bernice Magee

 

Patient Safety - Worker Safety: Building a Culture of Safety to Improve Healthcare Worker and Patient Well-Being

Annalee Yassi and Tina Hancock

 

Identifying and Reducing Risk

Preventing and Managing Conflict: Vital Pieces in the Patient Safety Puzzle

Pam Marshall and Rob Robson

 

Implementing a Policy for Practitioners Infected with Blood-Borne Pathogens

Virginia Roth and Jim Worthington

 

Enhancing Patient Safety Through a Standardized Model of Physiologic Monitoring

Mary-Anne Davies and Heather Tales

 

Medication Safety

An Effective Tool to Enhance a Culture of Patient Safety and Assess the Risks of Medication Use Systems

Julie Greenall, David U and Robert Lam

 

Approaches to Improving the Safety of the Medication Use System

Stacy Ackroyd-Stolarz, Nicole Hartnell and Neil J. MacKinnon

 

Drug-Therapy Problems, Inconsistencies and Omissions Identified During a Medication Reconciliation and Seamless Care Service

Ann Nickerson, Neil J. MacKinnon, Nancy Roberts and Lauza Saulnier

 

Using Healthcare Failure Mode and Effect Analysis Tool to Review the Process of Ordering and Administrating Potassium Chloride and Potassium Phosphate

Rosmin Esmail, Cheryl Cummings, Deonne Dersch, Greg Duchscherer, Judy Glowa, Gail Liggett, Terrance Hulme and The Patient Safety, Adverse Events Team* Calgary Health Region, Calgary, Alberta and Canada

 

Inappropriate Prescribing Practices: The Challenge and Opportunity for Patient Safety

Laurel K. Taylor, Yuko Kawasumi, Gillian Bartlett and Robyn Tamblyn

 

Developing Information for Improving Safety

Safer Care - Measuring to Manage and Improve

Kira Leeb, Jennifer Zelmer, Greg Webster and Indra Pulcins

 

The Development of the Canadian Paediatric Trigger Tool for Identifying Potential Adverse Events

Anne Matlow, Virginia Flintoft, Elaine Orrbine, Barbara Brady-Fryer, Catherine M. G. Cronin, Cheri Nijssen-Jordan, Mark Fleming, Mary-Ann Hiltz, Michele Lahey, Margaret Zimmerman and G. Ross Baker

 

The Human Factor: Unexpected Benefits of a CPOE and Electronic Medication Management Implementation at the University Health Network

Howard Abrams and Dafna Carr

 

Identifying and Preventing Technology-Induced Error Using Simulations: Application of Usability Engineering Techniques

Elizabeth Borycki and Andre Kushniruk

 

Reports of Preventable Medical Errors from the Alberta Patient Safety Survey 2004

Laura C. Vanderheyden, Herbert C. Northcott, Carol E. Adair, Charlene McBrien-Morrison, Lynn M. Meadows, Peter Norton and John Cowell

 

Designing an Agenda for Change

From Inquest to Insight

Valdine Berry, Linda Smyrski and Laurie A. Thompson

 

Patient Safety: Le Groupe Vigilance pour la Sécurité des Soins: A Québec Perspective

Micheline Ste-Marie

 

Developing a Comprehensive Patient Safety Strategy for an Integrated Canadian Healthcare Region

W. Ward Flemons, Chris J. Eagle and Jack C. Davis

 

Quality, Patient Safety and the Implementation of Best Evidence: Provinces in the Country of Knowledge Translation

Dave Davis

 

Building from the Blueprint for Patient Safety at the Hospital for Sick Children

Polly Stevens, Anne Matlow and Ronald Laxer

 

Disclosure and Accountability

Legal Issues in Patient Safety: The Example of Nosocomial Infection

Tracey M. Bailey and Nola M. Ries

 

Striking A Balance: Who Is Accountable for Patient Safety?

Edward Etchells, Robert Lester, Bronwen Morgan and Beth Johnson

 

Trillium Health Centre's Journey to Disclosure

Lisa Droppo

 

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