In this resource :

  • Patient Safety and Incident Management Toolkit

Resources and Recommended Readings 

Accreditation Canada. Canadian Health Accreditation Report: Building a stronger health system through leadership. Ottawa, ON: Accreditation Canada; 2014. (Report, 25 pages) 

Accreditation Canada. 

Alberta Health Services (AHS). Policy: Reporting of clinical adverse events, close calls and hazards. 2012. (Policy, 5 pages) 

Alberta Health Services Engagement and Patient Experience Department. Resource Toolkit for Engaging Patient and Families at the Planning Table. 2014. (Toolkit, 27 pages) 

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BC Patient Safety and Learning System (BCPSLS). Good Catch! Island Health encourages near-miss reporting. 2015. (Case study) 

BC Patient Safety and Learning System (BCPSLS). Fostering safety culture in pediatric care: Surjeet’s story. 2013 

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Canadian Agency for Drugs and Technologies in Health. Rapid Response. 2015. (Collection of knowledge, tool) 

Canadian Association of Paediatric Health Centres. What a Shame: The Impact of Mistakes on Healthcare Professionals. (Webinar) 

Canadian Foundation for Healthcare Improvement (CFHI). Innovative Patient Resource Kit Eases the Process of Engaging Patients. 2015. (Case study) 

Canadian Foundation for Healthcare Improvement (CFHI). Patient Engagement Resource Hub. 2015. (Collection of resources) 

Canadian Medication Incident Reporting and Prevention System. How do I report? (Tool, guide) 

Canadian Patient Safety Institute (CPSI). Canadian Disclosure Guidelines: Being open with patients and families. 2011. (Guide, 52 pages) 

Canadian Patient Safety Institute (CPSI). Canadian Patient Safety Officer Course. (Learning program, $) 

Canadian Patient Safety Institute (CPSI). Disclosure Training Program offered by The Canadian Medical Protective Association. (Learning program, $) 

Canadian Patient Safety Institute (CPSI). Effective Governance for Quality and Patient Safety Program. (Learning program, $) 

Canadian Patient Safety Institute (CPSI). Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders. 2012. (Guide) 

Canadian Patient Safety Institute (CPSI). CPSI Governance Toolkit: Guidelines and tools for governors. (Collection of resources) 

Canadian Patient Safety Institute (CPSI). Global Patient Safety Alerts. (Collection of alerts) 

Canadian Patient Safety Institute (CPSI). Guidelines for Informing the Media after an Adverse Event. Edmonton, AB: CPSI; 2011. Information-Sharing Planning Checklist (Page 4-6). (Guide, 11 pages) 

Canadian Patient Safety Institute (CPSI). Incident Analysis Learning Program. 2012. (Slides, webinar recordings) 

Canadian Patient Safety Institute (CPSI). Patient Safety Education Program – Canada. (Learning program) 

Canadian Patient Safety Institute (CSPI). Champion Awards. (Program) 

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Patients for Patient Safety Canada, Martha’s Legacy Lives On. 2011 (Video) 

Capital Health. Patient Safety – Be Involved(Guide for patients/families) 

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Health Canada. Protecting Canadians from Unsafe Drugs Act (Vanessa’s Law). 2014. (Legislation) 

Health Canada. Regulatory Transparency and Openness Framework. 2014. (Guide) 

Health Canada, Health Canada’s Role  in the Management and Prevention of Harmful Medication Incidents, 2011 (Guide) 

Health PEI. Critical Incident Staff Support (CISS) Managers' Toolkit. (Toolkit) 

Health Quality Council of Alberta (HQCA). Continuity of Patient Care Study. Calgary, AB: HQCA; 2013. (Report) 

Health Quality Council of Alberta (HQCA). Patient Safety Framework for Albertans: Provincial framework 2010. Calgary, AB: HQCA; 2010. (Guide, 24 pages) 

Health Quality Council of Alberta. Disclosure Framework, 2006  (Guide, checklist, poster) 

Health Quality Council of Alberta. Checklist for Disclosure Team Discussion. (Checklist, 1 page) 

Healthcare Insurance Reciprocal of Canada (HIROC), Policy, Procedure and  Guideline Development (Guide) 

Incident Analysis Collaborating Parties. Canadian Incident Analysis Framework. Edmonton, AB: Canadian Patient Safety Institute; 2012. (Guide, tools, 133 pages) 

  • Appendix A: Team management checklist. 
  • Appendix C: Analysis team membership, roles and responsibilities. 
  • Appendix D: Sample analysis team charter. 
  • Appendix E: Sample confidentiality agreement. 
  • Appendix F: Checklist for effective meetings with patient(s)/ families. 
  • Appendix G: Incident analysis guiding questions. 
  • Appendix H: Creating a constellation diagram. 
  • Appendix I: Incident Analysis Report Template 
  • Appendix J: Case study - comprehensive analysis: elopement from a long-term care home. 
  • Appendix K: Case study - concise analysis: medication incident. 
  • Appendix M: Legislative Protection for Quality of Care. 
  • Appendix N: Three human factors methods that can be used in incident analysis. 
  • Figure 2.3 : System Levels. 
  • Figure 3.12: Example of tool to track the implementation status of recommended action. 
  • Figure 3.14: Useful questions in designing data collection. 
  • Section 3.6.6 Developing and Managing Recommended Actions. 
  • Section 3.6: Criteria and considerations for selecting an incident analysis. 
  • Section 1.4 Incident Analysis and Management from a Patient Perspective. 
  • Section 2 Essentials of Analysis. 

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Institute for Safe Medication Practices Canada (ISMP). ISMP Canada Safety Bulletins. (Collection of alerts) 

Legislative Assembly of Ontario. Tommy Douglas Act (Patients’ Bill of Rights), 2003. (Legislation) 

Manitoba Institute for Patient Safety, Manitoba Alliance of Health Regulatory Colleges. Manitoba has an Apology Act – Learn More About it! October; 2014. (Leaflet) 

Ontario Ministry of Health and Long-term Care. Excellent Care for All Act. Ontario: 2010. (Legislation) 

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Province of Alberta. Regional Health Authorities Act - Patient Concerns Resolution. Alberta Regulation 124/2006. (Legislation) 

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