1. Whither to for our Learning Collaboratives in Patient Safety?
Community of Practice in Patient Safety February 9, 2018
John M Maxted MD MBA CCFP FCFP Associate Professor

2. Patient Safety in Family Medicine
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Relationships with Commercial Interests
Grants/Research Support: None
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Other: None
Commercial Supports
Financial support None
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Potential for Conflicts of Interest None to declare

3. Whither to for our Learning Collaboratives in Patient Safety?
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Whither CFPC?
Whither CPSI & Accreditation Canada?
Whither our Leadership?
Our Spread & Legacy

4. Whither The College of Family Physicians of Canada In Patient Safety?

5. Whither the CFPC in Patient Safety?
CanMEDS-FM 2017
Patient-centred Medical Home

6. Teaching Patient Safety in Family Medicine
CanMEDS-FM 2017
MEDICINE EXPERT: Actively facilitates… PS, both individually & as part of a team
COMMUNICATOR: Documents & shares written & electronic information… to optimize… PS
COLLABORATOR: Recognizes & facilitates necessary transitions in care… to enable… safety
LEADER: Fosters a culture that promotes PS
SCHOLAR: Ensures PS is maintained even when learners are involved
PROFESSIONAL: Reflects on practice events, especially critical incidents, to deepen self-knowledge & recognize when something needs to change & does it

7. Teaching Patient Safety in Family Medicine
CanMEDS-FM 2017
TWO CHALLENGES
How to teach PS competencies in FM?
How to define Advocacy as a PS competency?!

8. Practicing Patient Safety in Family Medicine
Patient-centred Medical Home, version 2
TWO CHALLENGES
How does the CFPC define PS in the PMH?
How should we measure PS in the PMH?

9. Whither Canadian Patient Safety Institute and Accreditation Canada In Primary Care Patient Safety?

10. Whither CPSI and Accreditation Canada In Primary Care Patient Safety?
TWO CHALLENGES
Who will lead and advocate for PS in primary care?
How will standards development in primary care influence PS in Family Medicine?

11. Whither OUR Leadership In Patient Safety?

12. Whither our Leadership in Patient Safety? (adapted from ASPIRE Project)
Suppose we develop a PATIENT SAFETY CURRICULUM!
GOAL
Support continuing faculty development in PS through an integrated approach
TARGET PARTICIPANTS
DFCM faculty who are or want to be engaged in PS at 14 FMTUs
DESIRED ABILITIES
Targeted DFCM faculty engaged in PS & able to identify, implement & teach safer healthcare in FM
NEEDS ASSESSMENT
Evaluate CoP-PS (post Feb 2018) to inform continuing development of curriculum in PS for DFCM faculty

13. Whither our Leadership in Patient Safety? (adapted from ASPIRE Project)
OBJECTIVES OF CURRICULUM
Define what PS engagement means for FMTUs
Integrate PS into practice & teaching
Leverage new competencies for PS thru CanMEDS-FM
Support faculty in incident management as tool for engagement, e.g. Doing It Better Rounds
Maintain presence of PS on QPC agenda

14. Whither our Leadership in Patient Safety? (adapted from ASPIRE Project)
TEACHING METHODS – Faculty & Other Learners
Identify & support PS leaders to develop & oversee curriculum
Role-model – by faculty for faculty & trainees
Integrate PS thru QI in teaching, e.g. content & infrastructure
Use case-based studies, e.g. PSI analysis to identify, implement & share system improvement with FMTUs
Use inter-active modules to teach PS competencies in CanMEDS
Use QI Rounds to teach PS improvement thru our 14 FMTUs

15. Whither our Leadership in Patient Safety? (adapted from ASPIRE Project)
MEASUREMENT OF VALUE
Establish targets & track faculty development in PS, e.g. measure engagement & integration in FMTUs
Assess teaching of PS competencies in CanMEDS-FM, e.g. Program Director interviews & accreditation
Monitor discussion about PS at monthly QPC meetings, e.g. measure growth & continuous learning
Assess uptake of incident management and other PS tools that engage faculty and integrate PS into FMTUs
Survey faculty, e.g. QI & PS leaders & Chiefs at 14 FMTUs, about growth of PS curriculum one year post CoP-PS

16. ASPIRE – How Effective Can We Be? HIERARCHY OF EFFECTIVENESS
Consider when
Leading change
Analyzing systems
From: Healthcare Quarterly, S:

17. Evaluating Engagement by Spread & Legacy
PATIENT SAFETY IN FM – Current & Ideal Reality
Future Teachers
Trained &
Experienced
in Patient Safety
CURRENT
IDEAL
SPREAD OF PATIENT SAFETY IN FM EDUCATION
Learners Teachers
CURRENT
PROGRESS
Just Starting Experienced
LEGACY OF PATIENT SAFETY IN FM PRACTICE

18. An Inspiration in Patient Safety?
John Young
NASA Legend
1931 to Jan 5, 2018
1972 Moon Walk
Revered among his peers
for his dogged dedication
to safety
– and his outspokenness in
challenging the space agency’s
status quo
“Whenever and wherever I found a potential safety issue,
I always did my utmost to make some noise about it.”
“You don’t want to be politically correct… You want to be right!”

19. Patient Safety in Family Medicine
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