LEARNING FROM CLINICAL & OPERATIONAL PRACTICES

PROMOTING CHANGE IN CARE DELIVERY - Development of Patient/Organizational Safety Plan - Removal of Concentrated Electrolytes from patient services areas - Removal High Alert Medications (Concentrated electrolytes) from the immediate patient services area

- OVIA reporting, follow up, trending and analysis - Occupational Health and Safety reviews and recommendations on workplace OVIA, i.e. workrelated injuries - RCA or other systemic investigation on all risk score 15-25 - Learning summaries shared with organization for Near Miss, Adverse and Sentinel Events - Implementation of policies following international best practices, i.e. OVIA Reporting - Patient Verification Standard Electronic Patient ID band system - Safe Injection Practices/Safety Sharps - Work site inspections - Hazards Surveillance Rounds

- Implementing recommendations from Near Miss, Adverse, Sentinel Events and OVIA with risk score 15-25 - Competency-based Training and Assessment for both Administrative and Departmental policies and procedures - Consistent transfer of information (administrative, clinical and operations) - SBAR Communication during handover, referrals, interfacility/intrafacility patient transfer, etc - Policy and Procedure of administration of influenza immunization - Venous Thromboembolism (VTE) prophylaxis in development - Safe Surgical Checklist - Antibiotic Prophylaxis - Preventing Surgical Site Infections - Surgical Care Improvement Project (SCIP) - in development - Prevent Pressure Ulcer - Falls Prevention and Restraint Management - Infusion Pump Training - Hand Hygiene education and compliance audits - Limit availability of narcotic products - Medication Reconciliations