Prospective Tools and Frameworks
Tools
The following tools - templates, manuals and policies, have been recommended by our members, faculty or partners.
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Mercer Dennie, Deborah. FMEA Light Worksheet, May 2007. Humber River Regional Hospital. May 2007.
Mitchell, Kirk. Prospective Review, Ready, Set, GO!. Western Healthcare Improvement Network. 2006.
- Kenol, Joseph E. Failure Mode and Effect Analysis (FMEA): The Basics of FMEA. New York, Department of Subways.
- Handyside, Jim. Prospective Safety Tools: Closing the Barn Door before the Horse Escapes. Improvision. Presented at the QHN Spring Symposium 2007.
http://www.qhn.ca/pdfs/Symp2007Handyside.pdf - Rolko, Edith and Rhoda Lordly. Failure Modes Effects Analysis (FMEA). Toronto Rehab. Presented at the QHN Fall Forum 2005.
http://www.qhn.ca/pdfs/ff05FMEA.pdf - FMEA Information Centre
www.fmeainfocentre.com - FMEA Facilitator
http://www.fmeca.com
Examples from the Field
The following presentations and stories demonstrate what can happen when these tools and evidence are put into practice.
- Chapman, Cheryl and Catherine Nicol. FMEA: Missing Persons. Providence Care. Presented at the QHN Spring Symposium 2007.
http://www.qhn.ca/pdfs/Symp2007FMEAProvidence.pdf - William Osler Health Centre. Pre OPIS Process for Blood Work and Order Entry in the Oncology Clinic. Presented at the QHN Spring Symposium 2007.
http://www.qhn.ca/pdfs/Symp2007FMEAOsler.pdf - Stillwell, Elaine and Madelyn Morgan. The Ottawa Hospital Model: Integrating Patient Relations & Risk Management to Improve Safety. The Ottawa Hospital. Presented at the QHN Open House Writing the Equation for Risk and Quality Management: Making Health Care Safer 2003.
http://www.qhn.ca/pdfs/Ottawa%20Presentation%202%20-%20Elaine%20Stillwell%20and%20Madelyn%20Morgan.pdf - Helmer, Janet. Supporting Quality & Risk Management: Implementing an On-line Client Complaint Reporting Tool. VON Canada. Presented at the QHN Open House Writing the Equation for Risk and Quality Management: Making Health Care Safer 2003.
http://www.qhn.ca/pdfs/Ottawa%20Presentation%203%20-%20Janet%20Helmer.pdf - Baker, G Ross. Using the 100K Lives Campaign to Advance Patient Safety. Department of Health Policy, Management and Evaluation, University of Toronto. Presented at the QHN Spring Forum 2005.
http://www.qhn.ca/pdfs/Ross%20Baker.pdf
Literature
The following evidence has been gathered for your information.
- Patient Safety Improvement: Propsective Analysis. Canadian Council on Health Services Accreditation (CCHSA). 2007.
- Morgan, Pamela, Tarshis, Jordan, Herold-McIlroy, Jodi, Cleave-Hogg, D, Law, JA
44408 - The Efficacy of Simulation-Based Education in Reducing Human Error. Can J Anesth 2007 54: 44408. -
Bill 113. (2002, chapter 71). An Act to amend the Act respecting health services and social services as regards the safe provision of health services and social services.
- Norton, Peter. Making Sense of the Research: Setting Practical Directions Department of Family Medicine, University of Calgary. Presented at the QHN Fall Forum 2004.
- Baker, G. Ross, Peter G. Norton, Virginia Flintoft, Régis Blais, Adalsteinn Brown, Jafna Cox, Ed Etchells, William A. Ghali, Philip Hébert, Sumit R. Majumdar, Maeve O'Beirne, Luz Palacios-Derflingher, Robert J. Reid, Sam Sheps, and Robyn Tamblyn.
The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada
Can. Med. Assoc. J., May 2004; 170: 1678 - 1686. - Hoffman, Carolyn, Paula Beard, Jennifer White, David U. Canadian Root Cause Analysis Framework: A tool for identifying and addressing the root causes of critical incidents in healthcare. Canadian Patient Safety Institute. 2004.
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