Establishing a provincial patient safety and learning system: pilot project results and lessons learned.
An effective safety event reporting system is an essential part of a comprehensive patient safety program. In British Columbia, we are implementing a provincial web-based event reporting tool and learning system called the BC Patient Safety and Learning System (PSLS). In this paper, we describe and report the results of our pilot study in a neonatal intensive care unit at BC Women's Hospital in Vancouver. Our approach aimed to foster a culture of safety by using the technology implementation to facilitate organizational learning about patient safety and to promote sustainable reporting behaviours. Results showed that PSLS was enthusiastically adopted by staff and enabled efficient reporting, promoted timely and complete follow-up activities and facilitated quality improvement. Our lessons learned laid the foundation for the provincial rollout of PSLS and may be of interest to those implementing similar systems elsewhere.
Cochrane
Doug
D
BC Patient Safety & Quality Council, chair of the Canadian Patient Safety Institute Board of Directors, professor of neurosurgery at the University of British Columbia and a practicing pediatric neurosurgeon at BC Children's Hospital.
Taylor
Annemarie
A
Miller
Georgene
G
Hait
Valoria
V
Matsui
Irene
I
Bharadwaj
Manish
M
Devine
Patrick
P
D001955:British Columbia; D017144:Focus Groups; D019538:Health Care Surveys; D006801:Humans; D007858:Learning; D010865:Pilot Projects; D016730:Program Development; D017751:Safety Management / Q000458:organization & administration*