Lessons Learned: The Patient Safety Advisory Council Winnipeg Regional Health Authority

1
Lessons LearnedThe Patient Safety Advisory
CouncilWinnipeg Regional Health Authority

• Corinne Stevens - Patient Voice Facilitator
• Jillian Paulmark - Co-chair Patient Safety
  Advisory Council
• Ed Mendoza Patient Safety Advisory Council
  Member

2
Lessons Learned Learning Within Organizations?

• Creating Learning Organizations (Peter Senge)
• Need to expand their capacity to create results
  they truly desire
• Where new expansive patterns of thinking are
  nurtured
• Where collective aspirations are set free
• Where people are continually learning how to
  learn together
• Need to discover how to tap peoples commitment
  capacity to learn at all levels in an
  organization Building relationships,
  identifying the problems working together to
  find the solutions!

3
Why Partner with Patients/Family Members?

• The Winnipeg Regional Health Authority (WRHA) /
  Patient Safety Team has formulated a Regional
  Integrated Patient Safety Strategy (RIPSS)
• 1. Promoting Culture Change
• 2. Learning From Clinical Practice
• 3. Promoting Change in Care Delivery
• 4. Direct Involvement of Patients

4
Why Partner with Patients/Family Members?

• The value of their work is that they look to the
  big picture where we in healthcare often look to
  the component parts we break things down into.
  The challenge is to honour the learning while
  finding a way to make it fit into our mandate and
  structure.

5
Winnipeg Regional Health AuthorityPatient Safety
Advisory Council

• Formed 2 years ago
• Members solicited that had some experience with a
  healthcare system failure.
• The idea was to utilize this knowledge towards
  promoting potential learning opportunities
  arising from systemic reviews of these
  experiences.

6
Winnipeg Regional Health AuthorityPatient Safety
Advisory Council

• The original make-up was to be between 12-20
  council members.
• The mandate of the council is to advise the
  patient safety team, through the WRHA support
  staff, on patient safety issues the Regional
  Integrated Patient Safety Strategy. These support
  staff then advise the Chief Patient Safety
  Officer who likewise channels this advice to
  Senior Management of the WRHA.

7
Winnipeg Regional Health AuthorityPatient Safety
Advisory Council

• After 2 yrs. of operation Senior Management of
  the WRHA has asked us to complete a review of
  PSAC.
• What is working?
• What is not working?
• What should we continue to do?
• What do we need to do differently?
• This review has begun will look to be completed
  by the end of September.

8
Lessons Learned

• Members come into the council for a variety of
  reasons bringing with them a plethora of ideas of
  how to bring about system culture change.
• We have been challenged by some members desiring
  an advocacy role as opposed to our mandated
  advisory role.

9
Lessons Learned

• When you are creating something new from the
  ground up it is often hard to know how much
  structure you need.
• Originally we had very little structure. The
  desire was to not stifle the passion energy
  members brought to the table. That has worked for
  some and not so well for others. As part of the
  review we are looking at what structure/s we need
  for the functioning of PSAC.

10
Lessons Learned

• Remember we are asking people, we in healthcare
  have harmed to partner with us. What drives these
  people may have an intensity an urgency due to
  the healthcare system failure they experienced
  which is different than on other types of patient
  family advisory councils.

11
Lessons Learned

• These people are survivors. They are strong to
  have persevered through such tremendous
  adversity. Supporting working with such a group
  has challenges for those in a leadership or
  support role.
• Council members have shown to the WRHA that they
  often think about aspects or issues in unique
  refreshing ways that we in healthcare may not. It
  is important to collaborate to find solutions to
  the problems.

12
The Work of the Patient Safety Advisory Council

• Patient Representatives Working Group
• Aid in the hiring of patient safety personnel
• Educational presentations- Sharing personal
  stories
• Hand hygiene steering group
• Patient perspective on Medical Resident
  Performance
• Information tables at shopping centres
• Patient Safety Quality Research Committee
• Advising an Acute Care Hospital on the redesign
  of their emergency department
• Medication Reconciliation Project
• Critical Incident Phone Line

13
Contact Information

• Corinne Stevens
• Patient Voice Facilitator
• Winnipeg Regional Health Authority
• 204-926-7122
• cstevens1_at_wrha.mb.ca
• Patient Safety Advisory Council
• Winnipeg Regional Health Authority
• 204-926-7090
• psac_at_wrha.mb.ca