Patient Safety by Healthcare Excellence Canada
Patient Safety by Healthcare Excellence Canada
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Відео

Anesthetic Challenges to Achieve Same Day Discharge Hip & Knee Arthroplasty
Переглядів 1,2 тис.3 роки тому
Anesthetic Challenges to Achieve Same Day Discharge Hip & Knee Arthroplasty
Vers LA SÉCURITÉ DE CHAQUE PATIENT - comment les patients font-ils la différence?
Переглядів 1683 роки тому
Repensez à 2006 et essayez de vous rappeler ce que vous saviez sur la sécurité des patients et sur les patients en tant que partenaires de la sécurité. Maintenant, arrêtez-vous une seconde pour réfléchir à notre situation actuelle, en 2021. Puis, imaginez à quoi vous souhaitez que la sécurité des patients ressemble dans 15 ans - en 2036, pour être plus précis.
Cinq objectifs pour aligner le Canada sur la qualité des soins et la sécurité des patients
Переглядів 853 роки тому
Chaque patient (usager) a droit à des soins sécuritaires et de qualité. Et pourtant, les événements liés à la sécurité des patients constituent la troisième cause de décès en importance au Canada. Comment peut-on protéger les patients de préjudices évitables lorsque notre système de soins de santé est vaste, complexe et soumis à des pressions énormes? Nous avons besoin d'une action claire et co...
COVID-19 Surveillance - Reporting, learning and sharing
Переглядів 2933 роки тому
Patients should never have to worry about getting an infection while in hospital. Yet every year, many hospitalized Canadians continue to acquire an infection during their hospital stay. Viral respiratory infections (VRI) cause increased morbidity and mortality in both adult and pediatric healthcare settings. The emergence of SARS, avian influenza, novel H1N1 influenza, MERS-CoV and, recently, ...
MMSF Webinar Co-Designing Safety Conversations with Residents, Families and Health Care Providers
Переглядів 2323 роки тому
Alberta Health Services Calgary team along with Bethany and Carewest present how they co-designed materials to support safety conversations between care teams, residents, and families in long term care.
MMS Webinar Series: Using Measurement and Monitoring of Safety to respond to COVID-19
Переглядів 2273 роки тому
Hear firsthand how teams from our Learning Collaborative have applied Measurement and Monitoring of Safety before and after the COVID-19 outbreak and how it influenced their planning for the second wave.
MMS Team Interview: Winnipeg Regional Health Authority - Cardiac Sciences Program
Переглядів 1623 роки тому
The Winnipeg Regional Health Authority team discuss how they overcame the challenges of turnover with staff as well as how the Measurement and Monitoring of Safety Framework allowed them to be more focused in their safety discussions.
MMS Team Interview: Saskatchewan Health Authority - Yorkton LTC
Переглядів 2023 роки тому
The Saskatchewan Health Authority - Yorkton LTC team used the Measurement and Monitoring of Safety Framework to collaborate with their patient representative to close the gaps around accountability as well as got her insights around creating a process to better help patients and families get the information needed.
MMS Team Interview: Alberta Health Services - Provincial
Переглядів 4173 роки тому
The Alberta Health Services provincial team share how they socialized and embedded the Measurement and Monitoring of Safety Framework within their team using a focused distribution process.
MMS Team Interview: Interior Health Authority - Royal Inland Hospital
Переглядів 473 роки тому
By using the Measurement and Monitoring of Safety Framework the Royal Inland Hospital team was able to enhance their view by ensuring they had the presence of safety and integrating the framework into existing processes.
MMS Team Interview: Winnipeg Regional Health Authority - Victoria General Hospital
Переглядів 1373 роки тому
The Measurement and Monitoring of Safety Framework helped increase Victoria General Hospital team’s feeling of safety on the unit with delivering patient care and managing patients with challenging behaviours.
MMS Team Interview: Alberta Health Services - Seniors Calgary Zone & Verve (Prince of Peace)
Переглядів 823 роки тому
The Alberta Health Services Prince of Peace Team share their perspective of patients and providers when it comes to safety. The team used the Measurement and Monitoring of Safety Framework to connect with patients and shared how they spread the framework to other sites.
MMS Team Interview: Alberta Health Services - South Zone (Cardston)
Переглядів 2623 роки тому
The Alberta Health Services Cardston team used the Measurement and Monitoring of Safety Framework to empowered staff to make decisions resulting in being more proactive then reactive when it comes to safety.
MMS Faculty Interview: Dr Jane Carthey and Sarah Garrett
Переглядів 723 роки тому
MMS Faculty Interview: Dr Jane Carthey and Sarah Garrett
MMS Faculty and Leadership Interview: Dr G Ross Baker and Dr Petrina McGrath
Переглядів 1113 роки тому
MMS Faculty and Leadership Interview: Dr G Ross Baker and Dr Petrina McGrath
MMS Team Interview: Nova Scotia Health Authority - Colchester Hospital
Переглядів 1903 роки тому
MMS Team Interview: Nova Scotia Health Authority - Colchester Hospital
MMS Team Interview: Eastern Health - Remote Patient Monitoring
Переглядів 1663 роки тому
MMS Team Interview: Eastern Health - Remote Patient Monitoring
MMS Team Interview: William Osler Health System
Переглядів 2323 роки тому
MMS Team Interview: William Osler Health System
MMS Coaches Interview: Virginia Flintoft, Anne MacLaurin, and Wayne Miller
Переглядів 313 роки тому
MMS Coaches Interview: Virginia Flintoft, Anne MacLaurin, and Wayne Miller
Panel Discussion on Lessons Learned
Переглядів 413 роки тому
Panel Discussion on Lessons Learned
Reflections on Barriers & Facilitators
Переглядів 1303 роки тому
Reflections on Barriers & Facilitators
5 Tips to Enhance Planning for Adaptations
Переглядів 293 роки тому
5 Tips to Enhance Planning for Adaptations
Actioning Quality and Safety 5 Goals to Align Canada on Quality and Patient Safety
Переглядів 9843 роки тому
Actioning Quality and Safety 5 Goals to Align Canada on Quality and Patient Safety
Linda & Theresa a Celebration of Patient Engagement
Переглядів 533 роки тому
Linda & Theresa a Celebration of Patient Engagement
Sustainability Planning
Переглядів 723 роки тому
Sustainability Planning
Project Impact and Insights
Переглядів 213 роки тому
Project Impact and Insights
Keynote: Positive Change Agent
Переглядів 453 роки тому
Keynote: Positive Change Agent
Get Ready to Spread & Scale
Переглядів 293 роки тому
Get Ready to Spread & Scale
Virtual Congress 2020 Highlights Video
Переглядів 4103 роки тому
Virtual Congress 2020 Highlights Video

КОМЕНТАРІ

  • @Aadiiiiiiiiiiiiii
    @Aadiiiiiiiiiiiiii Місяць тому

    very informative

  • @cheyennetsiobanos3688
    @cheyennetsiobanos3688 2 місяці тому

    They take care of me

  • @adamr8628
    @adamr8628 3 місяці тому

    The font/print size on IV medication labels that nurses give is extremely small. This has huge potential to cause medication errors. Why is nobody fixing this problem?? It's unbelievable and continues year after year to be a MAJOR problem.

  • @wernergamauf7724
    @wernergamauf7724 5 місяців тому

    You feed both

  • @virginiafry9854
    @virginiafry9854 Рік тому

    Moral of the story - X-ray the patient in theatre, and all ‘sponges’ (swabs) should have a radio-opaque marker in them! As an anaesthetist, I would never allow a patient to wake up unless the X-ray was negative.

  • @virginiafry9854
    @virginiafry9854 Рік тому

    I can relate to this 100%! As an intern I accidentally wrote up an incorrect dose of a drug - I did not personally give it, as my co-intern did. The patient died - she had stage IV breast cancer - this case went to Coroner’s Inquest (England) and the verdict was accidental death. Her family thanked me for looking after her prior to this incident.

  • @myabarrie1666
    @myabarrie1666 Рік тому

    So so funny !!! 🤣Not only are they saving lives, but they sure can make us smile !

  • @ajlavanetwork5755
    @ajlavanetwork5755 Рік тому

    As a ED RN, watching your video was so humbling!

  • @karcemkdbil
    @karcemkdbil Рік тому

    This must be an actor. You NEVER PUSH IV Potassium. Bull crap story.

    • @grahamlaurie3520
      @grahamlaurie3520 3 місяці тому

      No, this is Michael and I know him very well

    • @karcemkdbil
      @karcemkdbil 3 місяці тому

      @@grahamlaurie3520 and you should know that you NEVER PUSH POTASSIUM IV

    • @grahamlaurie3520
      @grahamlaurie3520 2 місяці тому

      @@karcemkdbil I was merely stating that he is not an actor , nothing more

  • @helendavis8223
    @helendavis8223 Рік тому

    Nowadays, it’s like they just do not care.

  • @mspadorchard1
    @mspadorchard1 Рік тому

    This is the kind of character, honesty, caring and backbone that we need in all or our healthcare professionals. None of us are perfect, and the more we recognize that fact the better we can change our systems to be less prone to human error.

  • @catmom1322
    @catmom1322 Рік тому

    I've made errors before & this sickens me, too!

  • @arronkimdaniels
    @arronkimdaniels Рік тому

    Is there a patient advocacy group for patients who are being failed by treatment team staff in an escalating situation? A quick answer would be deeply appreciated.

  • @a.g.5466
    @a.g.5466 Рік тому

    This 2 tier system in Alberta is often not transparent. I learned I paid for unnecessary spinal surgery and that the surgeon did not document the surgical alteration of the L3 spinal processes. A private pay MRI in BC identified the incorrect surgical level. I relocated to Calgary for continuity of care and hoped to pursue graduate studies. I encountered multiple barriers rather than receiving the expected continuity of care. I advised the surgeon that something is wrong below my waist and paid for an MRI in Calgary and would learn more than a year later that I was misdiagnosed with sacral insufficiency fractures. I had multiple diagnostic reviews of multiple images through AHS and at no time did anyone identify this misdiagnosis . These needs to be a review of the "SECOND OPINION DIAGNOSTIC REVIEW PROCESS". Clinicians may have: 1. stopped looking for additional abnormal findings on a study once an initial probably diagnosis was identified. 2. They sought evidence to support a diagnosis hypothesis already made, and to ignore evidence refuted that hypothesis. 3. The radiologist had fixed upon an early impression, and failed to adapt or changed that view, discounting any subsequent information that may conflict. 4. After having identified a first abnormality, the radiologist failed to continue to look for additional abnormalities. 5. The radiologist identified abnormalities but into attributed the abnormalities to the wrong cause. 6. The radiologist used uncritical reliance on previous report in reaching a diagnosis leading to the perpetuation of error two consecutive studies. These reviews spanned all of 2020 and I had to leave Alberta to authentic care. Albertans need to be protected and harm needs to be disclosed in a timely manner.

  • @goodmaro
    @goodmaro Рік тому

    That was a no-rinse foam?

  • @nowheelgap
    @nowheelgap 2 роки тому

    My mom at 1:38 I’m so 🥹

  • @robertwickham6699
    @robertwickham6699 2 роки тому

    Thank you, and God bless you for having the courage to own your own human imperfection and advocate for "adjust culture!"

  • @kiaclarke3406
    @kiaclarke3406 2 роки тому

    I hear your story. Yes l can say as an ex RN l had a high patient load and an RN asked me to give a patient flucloxicillin and he directed me to the wrong patient. Immediately l contacted the on duty doctor and followed his instructions. This patient had an allergy to flucloxicillin but showed no allergy symptoms or reactions. The patient was so happy because she did not have any drug reaction. Because of her diagnosis she informed the specialist that she did not have any allergies to the drug and that it would be a better medication for herself while in hospital.

  • @1134gh
    @1134gh 2 роки тому

    That's why we use scanners now

  • @lindaaugone382
    @lindaaugone382 2 роки тому

    those where different years today they would HANG you i was a nurse 40 yrs we actually had lunch and went home on time those days are gone

  • @Vesh543
    @Vesh543 2 роки тому

    Thank you so much for sharing your story.

  • @jesseschwerdt1706
    @jesseschwerdt1706 2 роки тому

    So i was hired CDC decoding NOVA patient Darren Sanborn Mattoon Illinois 61938 and as of now patient is recieving burns survalince continued ZOMBIE APOcolypse NOTES 12/23/2021.

  • @sandywhat2429
    @sandywhat2429 2 роки тому

    Historically a culture of shame and blame? We need to explore that more in depth because the amount of lying with these errors is astronomical. And trust me, the patient understands that drs are human and make mistakes. What we don't understand - is the incredible lying and gaslighting. THIS issue is more psychologically harmful that the error itself. This deep desire and reflex to lie, cover up and gaslight, truly is harming and traumatizing ppl.

    • @ajlavanetwork5755
      @ajlavanetwork5755 Рік тому

      Your RIGHT! Even worse when you’re a ED RN & it happened to your child were the below was uncovered! I have noticed surgeons & doctors ARE now in a majority NOT disclosing it. THEY document a false theatre op report. They DONT document anything related to the ERROR ! Thereafter NOTHING is written on same. Instead Calculated attempts as a WHOLE of HOSPITAL medico legal team approach > to bury the ERROR! Regardless of the patient they are allowing to be denied early intervention & answers. Heartbreaking normal un medical people won’t ever pick it up!… They’ll know as destroyed & sick!!! Yet they won’t prove it. Medico legal lawyers advise them to NO DOCUMENT! Needs to be criminal!!

  • @williesnyder2899
    @williesnyder2899 2 роки тому

    This is very accurate for even those of us, not nurses, but TMA’s, etc. Listen to that little voice, absolutely!! Great video.

  • @donnaleone9895
    @donnaleone9895 2 роки тому

    Know the feeling....D.Leone RN

  • @bibbitybob4652
    @bibbitybob4652 2 роки тому

    His only concern seems to be about himself and not the patient.

  • @antukinann1070
    @antukinann1070 2 роки тому

    I guess if I was in that situation all I would ever think about is what will happen to my patient like career? I can still find another job but that life that I killed I could never bring it back. I really learned a lot from this vid people makes mistakes and that we should always learn from our mistakes and never do it again

  • @nksandhhappyday7
    @nksandhhappyday7 2 роки тому

    Cool video from 11 years

  • @uttarakhandiculture7058
    @uttarakhandiculture7058 3 роки тому

    Can I get email of hr

  • @adishred9235
    @adishred9235 3 роки тому

    Never going to a canadian hospital. Blaming on others. Ouch.

    • @patriciakeats1621
      @patriciakeats1621 2 роки тому

      He didn’t blame. He explained the steps along the way that lead to the mistake. The nurses’s hand on the name wasn’t putting her to blame but an explanation of how as a human, it promoted an assumption on his part. The mistake was his, but factors lead up to it. It was a factor, not blame.

    • @MTknitter22
      @MTknitter22 2 роки тому

      Adi Shred, this happens everywhere

  • @rnchick1961
    @rnchick1961 3 роки тому

    I have downloaded this amazing honest story and put it into my files to share as a teacher and a practitioner. He is absolutely 100% correct about that little voice in your head. But the thing that makes him a true professional, he immediately manned up. Another place, another time, he would have simply been terminated. We nurses are considered DISPOSABLE and easily replaced . We constantly take the blame for things that truly were not a result of us not performing our job.

    • @karcemkdbil
      @karcemkdbil Рік тому

      You better don teach this to your students as you will be creating future murderers. LISTEN CLEARLY: YOU DO NOT PUSH IV POTASSIUM… NO MATTER WHAT “YOUR LITTLE KILLER VOICE SAYS”. I have thought CLINICAL NURSING AT UNIVERSITIES FOR 28 YEARS.

  • @taffycat5049
    @taffycat5049 3 роки тому

    Think of allll the doctor's who makes these mistakes but never realize it!

    • @sandywhat2429
      @sandywhat2429 2 роки тому

      Or those that realize what theyve done but lie about it.

  • @mdalerodger8844
    @mdalerodger8844 3 роки тому

    Please add CC.

  • @ladieann7912
    @ladieann7912 3 роки тому

    Paano po mag pa scedule para sa anak ko po

  • @ccaruso8293
    @ccaruso8293 3 роки тому

    My pet peeve is people constantly knocking on the door, calling the phone when I’m pulling meds. And it’s for dumb crap like trying to locate me to tell me crap I know in the first place or just wanting to know my location for no good reason. Makes me want to yell. I had a nurse today trying to pressure me to work over while I’m trying to pull meds. I’m like REALLY? Grrrr

  • @marshagraham9320
    @marshagraham9320 3 роки тому

    Amniotic embolisms are rare and almost unavoidable

  • @carlostullius5598
    @carlostullius5598 3 роки тому

    Cool great

  • @aaronsuson4416
    @aaronsuson4416 3 роки тому

    Hello grade 8

  • @boorhaave5880
    @boorhaave5880 3 роки тому

    Excellent video, candid and articulate

  • @sumanchaulagain
    @sumanchaulagain 3 роки тому

    Really inspiring. Lots of incidence are happening in our country these days. How can we reduce such kind of mistake ?

  • @aviation_7052
    @aviation_7052 3 роки тому

    why is his face funny it made me laugh 1:29 it also felt like that

  • @alicewatt1337
    @alicewatt1337 3 роки тому

    Thank you Linda, Theresa and Patients for Patient Safety Canada for being a valued and essential partner in the development of the 5 questions to ask. We are indeed better together when we listen to our patients!

  • @jennyhughes4474
    @jennyhughes4474 3 роки тому

    Thank you for this. I'm so glad he learned from his terrible error and teaches others what he learned = does he TELL them how he learned & what happened because he DIDN'T "stop & think it through a second time" before acting? At 4.10 he says: "My career’s over, I’m going to lose my licence, he’s going to die..." = interesting, eye-opening and very shocking that his FIRST thoughts were for himself and that the patient might die was LAST on the list. But this doesn't really surprise me because I'm a survivor of terrible medical errors and as soon as I alerted them to the fact I KNEW things had gone wrong (actually, probably long before that = as soon as THEY knew they'd messed up big-time) they went into lie, deny & cover-up mode = they were only worried about THEMSELVES and not me, their VERY injured (almost killed) patient, AT ALL. The NHS' (in the UK) cover-ups continued PLUS they started attacking my credibility as a way of protecting themselves. They prevented/denied remedial care (they KNEW I could have died from my injuries, especially my untreated and VERY injured throat/airway which became severely infected, but didn't care) and lied to me repeatedly: to my face (in hospital & after in farce meeting), on the phone (Consultant anaesthetist responsible for the juniors on duty that weekend when he was off = only 'on call') & in a letter to me from Chief Executive AND in a letter of lies from the negligent Consultant Surgeon (again, responsible for his juniors but not there that weekend) who neglected me in Ward Round on the Monday - in FRONT of all the students he was teaching/training) to my GP so that he would help them in their cover-up - which he did: he too totally neglected my life-threatening injuries. So now, almost 15 years later, I STILL haven't been told the truth, nobody has admitted any of it to me and I'm still waiting for correct diagnoses of the injuries they gave me. I've lost my health, my job/work, my home, my pension, my security, some of my friends/family, my sports & hobbies, my liberty & so much more = the life I had. If only they had been open & honest straight away and hadn't, as here, put THEIR jobs/lives as more important than mine, how different it could have been - still terribly injured but WITHOUT all the lies & psychological traumas & neglect ON TOP. Sadly I don't think anyone learned anything much at the time because they stuck to their line "nothing went wrong" so they/others may well have injured more people and NOBODY was protected due to my tragedy.

    • @pap0wot181
      @pap0wot181 2 роки тому

      Coward🤣

    • @jennyhughes4474
      @jennyhughes4474 2 роки тому

      @@pap0wot181 ???

    • @jessicaedwards524
      @jessicaedwards524 2 роки тому

      Just because he verbally listed the things he is worried about in that order does not mean he ranked them by order of importance.

    • @jennyhughes4474
      @jennyhughes4474 2 роки тому

      ​@@jessicaedwards524 Yes, not necessarily, but when talking we don't usually rearrange things into importance before we say them; & if he did decide in advance which to say first...

    • @merwiza
      @merwiza Рік тому

      @@jessicaedwards524 😅😅😅i was like, so all Jenny Hughes got from his video was that this guys was only worried abt his job?? Dude even didn't focus much on that at all... Wow!

  • @markdean3182
    @markdean3182 3 роки тому

    Thousands of Canadians are suffering from Hernia mesh complications yet the Canadian government has only a warning for women and transvaginal mesh. How are we going to get help when the government has investments in hernia mesh ? When will Canada help us? Not sure what we have to do to get noticed in our own country ?Why do we have to wait for lawsuits in the USA to get any help? No doctors, no surgeons to remove mesh here . What a violation of human rights. Hey ! Hey! Look closer , we are here in this country , hey hey over here. Why arent you helping us? Thousand of us ignored with mesh for hernia too sick to advocate and stuck in hush hushed lawsuits ..why not do a story on them? Lets talk any time .. we have been asking since 2012 . Canadians have told their stories for years and where did they go? #NoMeshIsSafe

  • @slatkismedenjak
    @slatkismedenjak 3 роки тому

    IDIOTS,WAY VACUM you have cesarain section ,cant beleive ....you DONT KNOW YOUR JOB AT ALL 😡😠😡😠👎👎👎👎👎👎👎😡😡😠😠😠😠😠👍⛓⛓⛓⛓⛓⛓

  • @aerishidalgo_
    @aerishidalgo_ 3 роки тому

    Helo uc

  • @MissChari
    @MissChari 3 роки тому

    Sha offered some nice insights here. Thanks! I also liked their smiles and positivity.

  • @user-cx3io2jx6o
    @user-cx3io2jx6o 3 роки тому

    Thanks Veery good

  • @hoangviet7513
    @hoangviet7513 3 роки тому

    anyone from UTS here ?

  • @renatasweightloss215
    @renatasweightloss215 3 роки тому

    I know the feeling. Feels extremely bad.

    • @jennyhughes4474
      @jennyhughes4474 3 роки тому

      Me too, I'm patient-survivor, & it STILL feels VERY bad after almost 15 years of lies, denials & cover-ups by doctors & the NHS here in the UK: causes severe NEGLECT = criminal, or should be.

    • @aaronjames3228
      @aaronjames3228 3 роки тому

      @@jennyhughes4474 I always here about people saying doctors are greedy and mean but I've never experienced that

    • @jennyhughes4474
      @jennyhughes4474 3 роки тому

      @@aaronjames3228 I'm really glad you haven't because it's VERY traumatising & their neglect of my injuries was criminal & driven by their desire for self-protection, truly dreadful.!