Quality & Paitent Safety Integrated Curriculum · Patient & Family-Centred Care ... The core quality and patient safety capabilities provide a framework for the ... QUALITY & PATIENT

Quality & Patient Safety INTEGRATED CURRICULUM

QHIINTEGRATEDCURRICULUM

April 2015

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QUALITY & PATIENT SAFETY | INTEGRATED CURRICULUM

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Table of ContentsIntroduction ................................................................................................................................... 3Core Capabilities ............................................................................................................................ 4

QHI Integrated Curriculum Certificates ...................................................................................... 5AIW Yellow Belt Certificate ....................................................................................................................................5

Alberta Health Services Improvement Way (AIW) Fundamentals ...............................................................................................................6

Patient Safety Certificate .......................................................................................................................................5Disclosing Unanticipated Medical Outcomes (DUMO) ...................................................................................................................................8Fundamentals of Patient Safety ...............................................................................................................................................................................9Immediate and Ongoing Management of Clinically Serious Adverse Events .................................................................................... 10Introduction to Human Factors ............................................................................................................................................................................. 11Reporting & Learning System: How to Submit a Report ........................................................................................................................... 18AHS Systems Analysis Methodology (SAM) .................................................................................................................................................... 21Teamwork at Times of Transition ......................................................................................................................................................................... 22

Patient Safety Online Learning Suite for Managers .......................................................................................... 5Appropriate Accountability Decision Support Tool ..........................................................................................................................................7Immediate and Ongoing Management of Clinically Serious Adverse Events .................................................................................... 10Managing Patient Concerns for Leaders: Patient Relations - ReLATE | ReSPOND© ......................................................................... 13Reporting & Learning System: How to Submit a Report ........................................................................................................................... 18Reporting & Learning System Advanced User: How to Generate Data ............................................................................................... 19Reporting & Learning System Advanced User: Reading, Processing and Sharing Reports ......................................................... 20AHS Systems Analysis Methodology (SAM) .................................................................................................................................................... 21

Partnering with Patients Certificate .....................................................................................................................5Patient & Family-Centred Care ............................................................................................................................................................................. 14Patient Engagement 101 ......................................................................................................................................................................................... 15Annual Continuing Education (ACE): Patient Relations - ReLATE | ReSPOND© .................................................................................. 16

Quality is Everyone’s Business Certificate ........................................................................................................... 5Alberta Health Services Improvement Way (AIW) Fundamentals ...............................................................................................................6Fundamentals of Patient Safety ...............................................................................................................................................................................9Living a Just Culture video ...................................................................................................................................................................................... 12Annual Continuing Education (ACE): Patient Relations - ReLATE | ReSPOND© .................................................................................. 16Quality is Everyone’s Business video .................................................................................................................................................................. 17Reporting & Learning System: How to Submit a Report ........................................................................................................................... 18

Targeting Teams Certificate ...................................................................................................................................5Teamwork at Times of Transition ........................................................................................................................................................................... 22

Advanced Learning ..................................................................................................................... 23AIW Green Belt .....................................................................................................................................................24AHS Systems Analysis Methodology (SAM) ......................................................................................................25Workshop in Simulation Education (WISE)........................................................................................................26

Meaning from Evidence Mini-Modules ..................................................................................... 27Patient Safety Snapshot .............................................................................................................. 28Education Pyramid ...................................................................................................................... 29Appendix A – Obtaining Continuing Medical Education (CME) Credits ................................ 30

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IntroductionThe core quality and patient safety capabilities provide a framework for the Quality & Patient Safety Integrated Curriculum designed for all AHS staff and medical staff. The intent of the curriculum is to engage and support AHS employees and to incorporate and apply quality and patient safety principles into their respective roles - so that together we can transform our organization and improve healthcare outcomes for Albertans.

Getting Started• It is recommended that all new AHS employees fulfill the online AHS orientation and passport to Quality

& Healthcare Improvement (QHI) through MyLearningLink, and then pursue the Quality & Patient SafetyIntegrated Curriculum.

• All AHS Staff are encouraged to complete the Quality is Everyone’s Business module

• The learner is encouraged to collaborate with their leader/manager to build an individualized qualityand patient safety learning plan, based on the course descriptions, learning outcomes and target audienceguidelines provided.

• Quality & Patient Safety Education Certificates help the learner to target quality and patient safetyeducation as it applies to their role.

• The learner can expect to complete a brief pre- and post-knowledge assessment at the time of the session,and may be contacted 4-6 weeks thereafter via e-mail survey to assess how they have applied their learninginto their role within the organization.

• The course outline offers:• course title and description• target audience• learning outcomes• registration details• next steps• core capabilities the session addresses

• Questions about the Quality & Patient Safety Curriculum, and requests for targeted sessions or continuingeducation credits can be directed to: [email protected]



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Core CapabilitiesThroughout the Curriculum, Core Capabilities are identified to capture the knowledge, skills, attitudes and behaviours required to support and enhance quality and patient safety within AHS. As you browse through the course descriptions, you will note that all Core Capabilities are listed, however only those highlighted in BOLD are applicable to that course.

CORE CAPABILITIES DEFINITIONS

1. Advocating and demonstrating patient centred care

Actively engaging and partnering with patients and families in their care

2. Practicing effective communication and teamwork

Collaborating with team members, demonstrating mutual respect, appropriately sharing accountabilities, and inter-dependent decision-making

3. Applying complex adaptive systems theory to patient safety

Anticipating and recognizing that a constellation of dynamic, interdependent factors within the healthcare system may contribute to patient outcomes and unexpected events

4. Participating in Continuous Quality Improvement

Applying the AHS Improvement Way (AIW) as a common organization-wide approach for increasing efficiency, decreasing waste, managing variation, and measuring change

5. Modelling safe and ethical behaviour

• Consistently demonstrating behaviours and attitudes in accordance with our AHS values, code of conduct and just culture principles

• Practice in accordance with professional codes of conduct and ethical principles

6. Advancing evidence informed practice Disseminating leading practices and applying evidence to safe and effective care

7. Improving patient safety through maximizing human factors

Employing situational awareness, recognizing our collective human fallibility, and appreciating how the human-environment interface influences our cognition and behavior

8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

Preventing adverse events, employing risk awareness, recognizing and appropriately responding to hazards, close calls and adverse events

QHI CURRICULUM | CertificatesQuality & Healthcare Improvement offers Quality & Patient Safety Education Certificates to Alberta Health Services staff and Medical staff for quality & patient safety learning

QUALITY IS EVERYONE’S BUSINESS CERTIFICATEFoundational Learning in Quality Improvement & Patient Safety

COMPONENTS: Â Quality is Everyone’s Business: 10-minute video

Â Living a Just Culture: 3-minute video Â Fundamentals of Patient Safety (FPS): 4-hour facilitated learning course

Â Alberta Health Services Improvement Way (AIW) Fundamentals: 4 or 8 hour facilitated learning course

Â Annual Continuing Education (ACE): Patient Relations – ReLATE | ReSPOND©: eLearning

Â Reporting & Learning System (RLS): How to Submit a Report: eLearning

Time Commitment: 12 HoursAll AHS staff and Medical staff

PATIENT SAFETY ONLINE LEARNING SUITE FOR

MANAGERSJust in Time Patient Safety Learning

for the Operational Manager

COMPONENTS: Â Reporting & Learning System (RLS) How to Submit a Report: eLearning

Â Reporting & Learning System (RLS)Advanced User Module - Reading, Processing and Sharing Reports: eLearning

Â Reporting & Learning System (RLS)Advanced User Module - Generating Data Summaries: eLearning

Â Immediate and Ongoing Management of Clinically Serious Adverse Events (IOM): eLearning

Â AHS Systems Analysis Methodology (SAM): eLearning

Â Appropriate Accountability Decision Support Tool: eLearning

Â Patient Relations - ReLATE | ReSPOND© Managing Patient Concerns for Leaders: eLearning

Time Commitment: 4 to 6 HoursOperational Managers and Leaders

PATIENT SAFETY CERTIFICATESystems thinking and just culture principles informing reporting, disclosing, analyzing, learning and improving relative to hazards,

close calls and adverse events

COMPONENTS: Â Fundamentals of Patient Safety (FPS): 4-hour facilitated learning course

Â Introduction to Human Factors (HF): 4-hour facilitated learning course

Â Teamwork at Times of Transition (T3): 4-hour facilitated learning course

Â Reporting & Learning System (RLS) How to Submit a Report: eLearning

Â Immediate and Ongoing Management of Clinically Serious Adverse Events (IOM): eLearning

Â AHS Systems Analysis Methodology (SAM): eLearning

Â Disclosing Unanticipated Medical Outcomes (DUMO): 4-hour facilitated learning course

Time Commitment: 20 HoursAHS Clinical staff, Operational Leadership,

Medical staff and Patient Safety staff

(CLICK ON EACH COURSE TITLE TO HYPERLINK TO THE PAGE FOR COURSE DESCRIPTION) 5

TARGETING TEAMS CERTIFICATETeamwork contributes to system efficiencies,

shared mental models and Patient Safety

COMPONENTS: Â Teamwork at Times of Transition (T3): 4-hour facilitated learning course

Time Commitment: 4 HoursAHS Clinical teams

AIW YELLOW BELT CERTIFICATEFoundational performance improvement

learning leading to an AHS Green and Black Belt Certificate

COMPONENTS: Â Alberta Health Services Improvement Way (AIW) Fundamentals: 4 hour/8 hour facilitated learning course

Â AIW Yellow Belt Module 1: Process Mapping

Â AIW Yellow Belt Module 2: 5S Workplace Organization

Â AIW Yellow Belt Module 3: Standard Work

Time Commitment: 10 HoursAll AHS staff and Medical staff

PARTNERING WITH PATIENTS CERTIFICATE

Partnering with Patients and Families is key to positive outcomes, patient satisfaction

and Patient Safety

COMPONENTS: Â Patient Engagement 101: eLearning Â Patient & Family-Centred Care 101: eLearning

Â Annual Continuing Education (ACE): Patient Relations – ReLATE | ReSPOND©: eLearning

Time Commitment: 3 HoursAll AHS staff

RETURN TO QHI INTEGRATED CURRICULUM CERTIFICATES OVERVIEW

QHI INTEGRATED CURRICULUM CERTIFICATE PROGRAM

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Alberta Health Services Improvement Way (AIW) Fundamentals Target AudienceAll AHS staff and Medical staff

DescriptionThis eight-hour course (which can also be offered as a four-hour targeted session) provides an overview of the Alberta Health Services Improvement Way, with particular focus on immediate problem-solving opportunities for quick wins and activities that will allow participants to directly apply their learning using a simulated process. Participants will learn about the Alberta Health Services Improvement Way, practice AIW thinking and methods and will be equipped to apply learning solutions to every day problem-solving opportunities.To obtain a Yellow Belt certificate, participants must also complete three AIW online sessions on key aspects of improvement: Process Mapping, 5S Workplace Organization Methodology, and Standard Work. The modules are available on MyLearningLink. All three modules are required to receive a Yellow Belt certificate.

Learning OutcomesDemonstrate understanding of key quality improvement principles, via post-knowledge assessment by:

• Awareness of AIW tools and principles to make improvements in work area• Identifying a quick win upon returning to the workplace

Core Capabilities1. Advocating and demonstrating patient-centred care2. Practicing effective communication and teamwork3. Applying complex adaptive systems theory to patient safety and quality improvement4. Participating in continuous quality improvement5. Modeling safe and ethical behavior6. Advancing evidence-informed practice7. Improving patient safety through maximizing human factors8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events

RegistrationFor more information on Quality & Patient Safety Education please email [email protected]

For more information on CME, click here.

mailto:[email protected]



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Appropriate Accountability Decision Support ToolTarget AudienceClinical leads, Supervisors, Managers, Medical staff, and Senior Administrative staff

DescriptionThe AHS Appropriate Accountability Decision Support Tool is a module designed to provide a consistent, standardized approach to assessing the need for an individual accountability review when the unexpected or unanticipated occurs in the system. Best used after the unexpected occurs, the manager considers if the situation warrants an Administrative Review, employing the AHS just culture principles. This does not impact whether a Systems Review would occur and both would be conducted independently.

Learning OutcomesDemonstrate understanding of complex adaptive systems theory and just culture in relation to appropriate accountability by:

• Distinguishing between when care is reasonable and when care is not reasonable as evidenced by professionalstandards of practice and codes of conduct, organizational policies and procedures, the substitution test of what a similarly trained and experienced, and what the prudent and ethical practitioner would do in these circumstances

• Making the distinction between a Patient Safety Systems Review and a Quality Administrative Review• Recognizing that in exceedingly rare circumstances is there intent to harm

Relate application of just culture, via follow-up electronic surveys, as evidenced by:• Appreciating that although we are all accountable for our own actions, we cannot control system deficiencies• Valuing human fallibility in that holding one person responsible for an error does not prevent the error from

recurring in the system


Registration

For more information on Quality & Patient Safety Education please email [email protected]




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Disclosing Unanticipated Medical OutcomesTarget AudienceHealthcare professionals such as Nurses, Managers and Medical staff who will be involved in disclosure conversations with patients and families

DescriptionThis powerful four-hour facilitated course provides the participant with insight into the patient and family experience following an unanticipated outcome; how expectations are created and what happens when the organization’s response does not meet these expectations. The class provides the opportunity to learn about and discuss disclosure as a large group and to practice disclosure discussions in small groups.The significance of an apology, the ALEE Technique when care is reasonable, and the TEAM Technique when care is not reasonable, are all employed.

Learning OutcomesDemonstrate understanding of disclosure principles, via pre- and post-knowledge assessment by:

• Differentiating between the appropriate information to be shared in the initial phase of disclosure and thestages of disclosure thereafter

• Understanding how patients and families experience adverse outcomes, how expectations develop, and hownot meeting expectations can result in disappointment

Relate application of disclosure principles by managing disclosure with a patient and family through to resolution, via follow-up electronic surveys by:

• Acknowledging and apologizing• Participating in disclosure meetings with the patient and family• Offering practical and/or emotional support• Investigating and committing to disclosure of findings






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Fundamentals of Patient SafetyTarget AudienceAll AHS staff and Medical staff

DescriptionThis four-hour facilitated course introduces patient safety principles, illustrated through healthcare examples and participant activities. The following key principles serve as a framework for the course:

• Complex adaptive systems theory• Identifying and reporting hazards, close calls and adverse events• Defining just culture• Optimizing human factors• The value of inter-professional and collaborative teamwork, and the significance of the patient and family’s role

in patient safety

Learning OutcomesDemonstrate understanding of key patient safety science principles, via pre- and post-knowledge assessment by:

• Differentiating hazards, close calls and adverse events• Identifying aspects of how patients want to be involved in their care• Recognizing characteristics of a just culture

Relate recognition and application of patient safety processes via follow-up electronic surveys, as evidenced by:• Reporting of hazards, close calls and adverse events via the Reporting and Learning System for patient safety• Modeling patient safety practices with peers, teams, patients and their families• Providing examples of a shift to systems thinking from person thinking• Advocating and encouraging an active role for patients and families in the promotion of patient safety






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Immediate and Ongoing Management of Clinically Serious Adverse Events (IOM) ModuleTarget AudienceClinical leads, Supervisors, Managers, Medical staff, and Senior Administrative staff

DescriptionWhen the unexpected happens, a clear understanding of roles and responsibilities becomes even more important. This 30-minute interactive eLearning module provides just-in-time learning of the prioritized steps involved in the Immediate and Ongoing Management of Clinically Serious Events guideline, embedded in the Just Culture Guiding Principles and complex adaptive systems theory.

Learning OutcomesDemonstrate understanding of responding appropriately when an adverse event has occurred by:

• Defining a clinically serious adverse event• Describing the immediate and ongoing roles and responsibilities of AHS staff, Medical staff and leaders when a

clinically serious adverse event occurs• Defining the acronym RESPOND as it relates to the Immediate and Ongoing Management of a Clinically

Serious Adverse EventRelate application of responding appropriately to an adverse event, via electronic surveys by:

• Conducting an initial assessment as the Accountable Leader, or referring to the Accountable Leader todetermine the appropriate immediate and ongoing organizational response

• Demonstrating compassion and empathy to patient, family and staff in the immediate response andmanagement of a clinically serious adverse event

• Citing adherence to the Immediate and Ongoing Management of Clinically Serious Adverse Events guideline






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Introduction to Human FactorsTarget AudienceFrontline healthcare professionals interfacing with devices, equipment and complex environments

DescriptionThis four-hour facilitated course applies human capabilities and human limitations to the interaction between people, equipment and environments. The history of human factors and how it transitioned into healthcare, the principles of human factors as they relate to healthcare, as well as specific human factors projects instituted within AHS are presented. Exercises in the course help participants to discover our shared human fallibilities. The course concludes with practical tips on how to recognize potential human factors-related complications in the workplace and strategies to address them.

Learning OutcomesDemonstrate understanding of human factors, via pre- and post-knowledge assessment by:

• Recognizing how human factors is applied in healthcare• Categorizing types of error• Identifying ways to apply human factors to practice

Relate application of optimizing human factors, via follow-up electronic surveys by:• Reporting and removing faulty equipment and devices from practice setting• Referring unsafe work-arounds and variable processes to appropriate educator or leader






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Living a Just Culture Video Target AudienceAll AHS staff and Medical staff

DescriptionAn engaging three-minute video that defines what living a just culture looks like within Alberta Health Services (AHS).This video serves as an introduction to and promotion of the AHS Just Culture Guiding Principles.

Learning OutcomesAfter viewing this video you will:

• Describe what a just culture is• Describe the seven Just Culture Guiding Principles• Identify why a just culture is important• Demonstrate what a just culture looks like• Describe what you can do to promote a just culture

Core Capabilities1. Advocating and demonstrating patient-centred care2. Practicing effective communication and teamwork3. Applying complex adaptive systems theory to patient safety4. Participating in continuous quality improvement5. Modeling safe and ethical behavior6. Advancing evidence informed practice7. Improving patient safety through maximizing human factors8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events





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Managing Patient Concerns for Leaders: Patient Relations - ReLATE | ReSPOND©

Target AudienceSupervisors, Managers and Medical staff

DescriptionThe resolution of patient concerns is the responsibility of all AHS staff, Management and Medical staff, and contributes to continuous system improvements in the delivery of quality care.This 30-minute self-paced eLearning module uses a case study to prepare managers and leaders to work through the patient feedback review process and to manage patient concerns, as outlined in the AHS Patients Concerns Resolution policy and procedure.

Learning OutcomesDemonstrate understanding of the role and responsibilities of the leader in managing concerns, via electronic surveys by:

• Describing a leader’s responsibilities as it relates to patient concerns• Identifying how to respond to a complainant in an effective manner• Applying the appropriate steps to take when managing a concern


Registration





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Patient & Family-Centred Care 101Target AudienceAll AHS staff with patient and family encounters

DescriptionA 30-minute eLearning module that demonstrates how, when we listen and value patient and family perspectives and choices, patients and families are encouraged to actively participate in the process of, and decision-making in their care.

Learning OutcomesDemonstrate understanding of practicing Patient & Family-Centred Care by:

• Differentiating between patient engagement and Patient & Family-Centred Care• Describing why Patient & Family-Centred Care applies to collaborative practice• Identifying the four principles of Patient & Family-Centred Care• Describing what Patient & Family-Centred Care looks, sounds and feels like for each guiding principle

Relate application of effective Patient & Family-Centred Care, as evidenced by follow-up electronic surveys by:• Demonstrating how we listen and value the patient and family’s perspectives and choices, by encouraging

them to actively participate in decision-making relative to their care• Describing how to apply Patient & Family-Centred Care to practice by implementing tools and practices to

improve the patient experience






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Patient Engagement 101Target AudienceAll staff with patient and family encounters

DescriptionA 30-minute eLearning module that introduces the concept of patient engagement to AHS staff and Medical staff, designed to improve quality outcomes by effectively engaging patients at all levels of decision making across the organization.

Learning OutcomesDemonstrate understanding of effectively engaging patients and families by:

• Differentiating between patient engagement and Patient & Family-Centred Care• Identifying five factors to consider for successful patient engagement• Describing the levels of patient engagement• Defining leading practices for patient engagement

Relate application of effective patient engagement, as evidenced by follow-up electronic surveys by:• Appreciating the importance of involving patients and families through all aspects of the healthcare system• Actively seeking input and feedback from patients and families• Determining a team’s readiness when working with a patient advisor

Core Capabilities 1. Advocating and demonstrating patient-centred care2. Practicing effective communication and teamwork3. Applying complex adaptive systems theory to patient safety and quality improvement4. Participating in continuous quality improvement5. Modeling safe and ethical behavior6. Advancing evidence-informed practice7. Improving patient safety through maximizing human factors8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events





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Annual Continuing Education (ACE): Patient Relations - ReLATE | ReSPOND©

Target AudienceAll AHS staff with patient and family encounters

DescriptionManaging the feedback presented by patients is a component of delivering quality care and is an important learning resource for care issues and service improvements. The Patient Relations online videos review the Patient Relations - ReLATE | ReSPOND© processes:

• Uneasy Listening Part 1: Patient Relations - Understanding and Using the Patient Concerns Resolution• Uneasy Listening Part 2: Using ReLATE to engage patients and families• Uneasy Listening Part 3: Using ReSPOND to resolve concerns as they arise• Uneasy Listening Part 4: When Patient Relations becomes involved

Learning OutcomesDemonstrate understanding of effective communication with patients and families through:

• Accessing the AHS Patient Concerns Resolution Process policy• Supporting patients and families on how to make a complaint• Awareness of some potential reasons as to why patients complain

Relate application of effective communication with patients and families, as evidenced by follow-up electronic surveys by:

• Anticipating, actively listening, acknowledging and responding to patient and family expressed needs• Advocating for, and engaging patients and families, in collaboratively defining and achieving care goals


Registration





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Quality is Everyone’s BusinessTarget AudienceAll AHS staff and Medical staff

DescriptionA 10-minute video that defines the dimensions of quality, as well as patient safety science, Patient & Family-Centred Care principles, and performance improvement methodologies. This module serves as an introductory gateway to the Quality & Patient Safety Integrated Curriculum.

Learning OutcomesDemonstrate an understanding of how quality influences healthcare providers at the frontline by:

• Describing key quality principles, as defined under the HQCA Dimensions of Quality• Identifying the core capabilities that underlie the Quality & Patient Safety Integrated Curriculum• Recognizing services provided through Quality & Healthcare Improvement are represented in the Quality &

Patient Safety Integrated Curriculum

Core Capabilities1. Advocating and demonstrating patient-centred care2. Practicing effective communication and teamwork3. Applying complex adaptive systems theory to patient safety4. Participating in continuous quality improvement5. Modeling safe and ethical behavior6. Advancing evidence-informed practice7. Improving patient safety through maximizing human factors8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events





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Reporting & Learning System (RLS): How to Submit a ReportTarget AudienceAll AHS staff and Medical staff

DescriptionThis 20-minute module was designed to help AHS staff and Medical staff become proficient in submitting an RLS Report for adverse events, close calls and hazards as well as understand how reporting improves patient safety.

Learning OutcomesDemonstrate an understanding of how a just culture informs reporting of adverse events, close calls and hazards, contributing to organizational learning, via electronic surveys by:

• Applying reporter responsibilities as outlined in the Alberta Health Services Reporting of Clinical AdverseEvents, Close Calls and Hazards policy

• Gaining proficiency in submitting reports into the Reporting & Learning System (RLS)






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Reporting & Learning System (RLS): Advanced Users - Generating Data SummariesTarget AudienceRLS Advanced Users

DescriptionThis 20-minute eLearning module was designed to support Advanced Users, including managers and administrative leaders, to become proficient in using the analysis functions in the Reporting & Learning System (RLS) by generating graphical data analysis based on RLS Reports received from the area(s) of responsibility.This is the second of two modules developed for Advanced Users. You are encouraged to review the module - Reporting & Learning System (RLS): Advanced Users - Reading, Processing and Sharing Reports.


• Gaining proficiency in creating data summaries from Reporting & Learning System (RLS) reports and applyingresults to system improvements

• Gaining awareness of the following Reporting & Learning System (RLS) functions:• My Reports• New Search• Design a Report• Dashboards






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Reporting & Learning System (RLS): Advanced Users - Reading, Processing and Sharing ReportsTarget AudienceRLS Advanced Users

DescriptionThis 30-minute eLearning module was designed to support Advanced Users, including managers and administrative leaders, to become proficient with their accountabilities as outlined in the Alberta Health Services Reporting of Clinical Adverse Events, Close Calls and Hazards policy.This module guides Advanced Users on how to read, process and share reports received from these area(s) of responsibility.This is the first of two modules developed for Advanced Users. You are encouraged to review the next module - Reporting & Learning System (RLS): Advanced Users - Generating Data Summaries.


• Differentiating between the three types of permissions in the Reporting & Learning System (RLS)• Gaining proficiency in reading, processing and sharing Reporting & Learning System (RLS) reports• Adding attachments• Setting and changing passwords


Registration





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AHS Systems Analysis Methodology (SAM) eLearning ModuleTarget AudienceClinical Safety leaders, Clinical Quality Improvement consultants, Supervisors, Managers, Medical staff and Senior Administrative staff

DescriptionReviewing and learning from adverse events is essential to improving patient safety. This one-hour eLearning module was developed to prepare managers and leaders to conduct or participate in a patient safety review using the AHS Systems Analysis Methodology (SAM).As the participant applies the methodology to an online case, the importance of considering the complexities of the healthcare system (considering the equipment, environment, team, etc.) that may have contributed to an adverse event, using a team approach, becomes evident.

Learning OutcomesDemonstrate understanding of analyzing adverse events and the application of the AHS Systems Analysis Methodology via electronic surveys by:

• Describing the four foundational principles of the Systems Analysis Methodology• Identifying when to conduct a Patient Safety Review, or a Quality Assurance Review under Section 9 of the

Alberta Evidence Act• Differentiating concise, comprehensive and aggregate review methods• Applying the Systems Analysis Methodology to conduct a case study review






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Teamwork at Times of TransitionTarget AudienceFrontline healthcare professionals who work in inter-professional teams

DescriptionThis four-hour facilitated course is primarily comprised of experiential learning opportunities to practice and apply structured communication and critical language tools. Effective teams work collaboratively and respectfully, employing shared decision-making and shared mental models.Communication strategies such as: briefings, debriefings; using structured language tools such as iSoBAR; using critical language tools, such as CUS (“I am concerned, I am uncomfortable, and this is a safety issue”); closing communication loops; using checklists and team huddles are all addressed in this course.

Learning OutcomesDemonstrate understanding of effective teamwork, via pre- and post-knowledge assessment by:

• Recognizing structured communication tools offer a framework for conversations addressing what is workingwell and what may need improvement to ensure quality care

• Defining structured communication tools, such as SBAR, iSoBAR, NOD and CUS• Defining situational awareness and shared mental model as they relate to effective teamwork• Identifying strategies to ensure optimal communication and to reduce the potential for error

Relate application of structured communication, via follow-up electronic surveys, by:• Standardizing team processes and communication creating interdependent decision making and actions• Using structured communication tools to optimize communication• Using critical language tools to speak up and seek clarity• Participating in briefings or debriefings• Using check-back or read-back strategies to create a shared mental model• Advocating for the patient and family to be active participants in team communication and processes




QHI CURRICULUM | Advanced EducationQuality & Healthcare Improvement Advanced Learning Programs

AIW GREEN BELT CERTIFICATEAdvanced performance improvement learning

for a Green Belt Certificate, demonstrating skill on improvement opportunities

COMPONENTS: Â Obtain an AIW Yellow Belt Certificate Â Complete 5-day AIW Greenbelt Training workshop /OR self-study

Â Register for and pass AIW Green Belt exam (exam “prep course” recommended)

Â Complete AIW Project Â Project review by Review Panel

Time Commitment: Approximately 3-6 months / complete AIW Project

All AHS staff or Medical staffwho meet the prerequisites

WORKSHOP IN SIMULATION EDUCATION (WISE)

Workshop in Simulation Education (WISE) is a foundational course designed to introduce participants to the techniques behind using

simulation as an educational modality

COMPONENTS: Â Through experiential learning participants will learn how to integrate the theory behind designing, delivering, and debriefing into a successful simulation session

Time Commitment: 2 Days

AHS staff with educational responsibilities using simulation

AHS SYSTEMS ANALYSIS METHODOLOGY (SAM)

Demonstrate understanding of analyzing adverse events and application of the AHS

Systems Analysis Methodology (SAM)COMPONENTS:

Â Identify internal and external resources for information and data gathering

Â Recognize characteristics of and conduct interviews using supportive interviewing techniques

Â Develop a Timeline and describe the difference between Timelines 1 and 2

Â Identify components of a Constellation Map and complete a Safer Matrix and/or Constellation Map

Â Develop recommendations relative to a SAM analysis

Time Commitment: 8 HoursClinical Safety Leaders, Supervisors,

Managers, Physician Quality leads, and Senior Administrative staff

(CLICK ON EACH CERTIFICATE TITLE TO HYPERLINK TO THE PAGE FOR COURSE DESCRIPTION) 23

RETURN TO QHI CURRICULUM ADVANCED EDUCATION CERTIFICATES OVERVIEW


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Alberta Health Services Improvement Way (AIW) Green Belt CertificationTarget AudienceAll AHS staff or Medical staff who meet the prerequisites

DescriptionAn AIW Green Belt is a proven practitioner of improvement methods who is skilled at explaining the value/role of the AIW and guiding individuals and teams in applying it to real AHS improvement opportunities. A Green Belt Certificate is a significantly more advanced level of achievement, and requires demonstration of knowledge and ability to use AIW skills on real improvement opportunities. An examination and improvement project review are key elements of the assessment. Steps to Green Belt Certification

1. Obtain an AIW Yellow Belt Certificate2. Complete 5-day AIW Greenbelt Training workshop /OR self-study the materials3. Register for and pass AIW Green Belt exam (exam “prep course” recommended)4. Complete AIW Project Review (submitted project will be reviewed by the review panel and should be “complete”)

Learning OutcomesDemonstrate understanding of effective teamwork via pre-/post-knowledge assessment by:

• Clearly defining opportunities (What is wrong? Why is it important?) and establishing goals for improvement• Documenting current-state and future-state work processes; using process knowledge to analyze and evaluate• Selecting and supporting appropriate measures, gauge current (baseline) performance and evaluate improvement• Applying creative and analytical stills to develop, test and validate improvement actions and results• Developing effective change management plans and actions to build support for improvement projects and

solutions• Documenting and sharing learning of improvement experiences, including successes and challenges






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AHS Systems Analysis Methodology (SAM)Target AudienceClinical Safety leaders, Supervisors, Managers, Physician Quality leads, and Senior Administrative staff

DescriptionReviewing and learning from adverse events is essential to improving patient safety. This blended learning opportunity builds on concepts learned in the SAM eLearning module through experiential learning, including group work, role play and simulation. Participants will work through the AHS Systems Analysis Methodology, with the support of expert facilitators, developing both individual skills and working with other participants on developing capability in the team approach.

Learning OutcomesDemonstrate understanding of effective teamwork via pre-/post-knowledge assessment by:

• Identifying two internal and two external resources for information and data gathering• Recognizing characteristics of supportive interviewing• Identifying the components of a Constellation Map• Describing the difference between Timeline 1 and Timeline 2

Demonstrate understanding of analyzing adverse events and application of the AHS Systems Analysis Methodology via electronic surveys by:

• Developing a Timeline• Conducting interviews using supportive interviewing techniques• Completing a Safer Matrix and a Constellation Map• Developing effective recommendations

Core Capabilities1. Advocating and demonstrating patient-centred care2. Practicing effective communication and teamwork3. Applying complex adaptive systems theory to patient safety4. Participating in continuous quality improvement5. Modeling safe and ethical behavior6. Advancing evidence-informed practice7. Improving patient safety through maximizing human factors8. Managing, reporting, analyzing, disclosing and learning from hazards, close calls and adverse events





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Workshop in Simulation Education (WISE)Target AudienceAHS personnel with educational responsibilities that are using, or wish to use simulation as an educational modality.

DescriptionWISE is a two-day foundational course designed to introduce participants to the techniques behind using simulation as an educational modality. Through experiential learning, participants will integrate the theory behind designing, delivering, and debriefing into a successful simulation session. By the end of the course, participants will design and run their own simulation and facilitate the debriefing that follows.

Learning OutcomesParticipants will:

• Understand the essential elements of a simulation session• Identify principles of effective teamwork skills (such as SCore - Simulation Core Curriculum)• Learn and apply tools for effective debriefing• Participate in scenario development and facilitate a simulation scenario


RegistrationClinical managers or Physicians interested in improving team performance should contact the Provincial simulation program, eSIM (educate, simulate, innovate, motivate) and Workshops in Simulation Education (WISE). For further information:

• Email: [email protected]• Call Provincial eSIM Booking: 780-342-8704



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QUALITY & PATIENT SAFETY | JUST-IN-TIME LEARNING

Just-in-Time Learning (JIT)Just-in-Time learning provides staff and medical staff access to education that can be immediately applied to their practice setting.

We offer three modes of just-in-time learning: 1. One hour awareness sessions that are amenable to staff meetings, committee meetings, and webinars;2. A series of interactive webinars through iLearning that showcase powerful stories exemplifying quality and

patient safety principles (search “webinar” in MyLearningLink): and3. “Mini-modules” or short eLearning modules that are about five minutes in length providing “Meaning from

Evidence” to inform improvement.

Meaning from Evidence Mini-Modules The following mini-modules are available through MyLearningLink.

Meaning from Evidence: Histograms After viewing this module you will be able to:

1. Describe a Histogram and how it is used to interpret data2. Describe if a process is consistent by examining the distribution3. Interpret a Histogram using AHS data

Meaning from Evidence: Pareto ChartsAfter viewing this module you will be able to:

1. Describe a Pareto Chart and how it is used to interpret data2. Describe the 80/20 Rule3. Interpret a Pareto Chart using AHS data

Meaning from Evidence: Scatter Plots After viewing this module you will be able to:

1. Describe a Scatter Plot and how it is used to interpret data2. Describe the various types of correlations3. Interpret a Scatter Plot using AHS data

Meaning from Evidence: Run & Control Charts After viewing this module you will be able to:

1. Describe a Run Chart and how it is used to interpret data2. Describe a Control Chart and how it is used to interpret data3. Identify Common Cause Variation and Special Cause Variation


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QUALITY & PATIENT SAFETY | JUST-IN-TIME LEARNING

Just-in-Time Learning (JIT)Just-in-Time learning provides staff and medical staff access to education that can be immediately applied to their practice setting.

We offer three modes of just-in-time learning: 1. One hour awareness sessions that are amenable to staff meetings, committee meetings, and webinars;2. A series of interactive webinars through iLearning that showcase powerful stories exemplifying quality and

patient safety principles (search “webinar” in MyLearningLink): and3. “Mini-modules” or short eLearning modules that are about five minutes in length providing “Meaning from

Evidence” to inform improvement.

Patient Safety SnapshotThe following 1-hour sessions offer an opportunity to learn about a Patient Safety topic in a quick snapshot with opportunity for questions and discussion.

Moving from a Person Approach to a Systems ApproachAfter attending this session, you will be able to:

1. Describe the scope of the patient safety problem2. Define close calls, hazards and adverse events3. Describe the difference between the person approach and the systems approach to error4. Describe a Patient Safety Culture in the context of four attributes

Understanding Human Error (in development)After attending this session, you will be able to:

1. Describe how human limitations can contribute to error in a complex adaptive system, such as healthcare2. Recall some specific human limitations that can impact healthcare providers3. Describe ways in which Human Factors is applied in AHS

Disclosure of Harm After attending this session, you will be able to:

1. Recall key aspects of the AHS Disclosure of Harm policy2. Describe two types of apology and their appropriate use3. Define the AID technique4. Define the second victim

Introduction to Structured Communication & Critical LanguageAfter attending this session, you will be able to:

1. Advocate for the patient and family to be active participants in team communication and processes2. Define situational awareness and shared mental model as they relate to effective teamwork3. Define examples of structured and critical language communication tools4. Identify strategies to ensure optimal communication and reduce the potential for error

RegistrationThese are offered by Targeted Session via the e-mail below.

General Inquiries: Please email [email protected]



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ORGANIZATIONAL ROLESLEARNING OPPORTUNITIES BY ROLEALL AHS STAFF

AND MEDICAL STAFF

Making Improvements Everyday

Quality is Everyone’s Business Certificate

Prosci ParticipantPartnering with Patients Certificate

Targeting Teams Certificate

AIW Yellow Belt Certificate

Prosci ParticipantAIW Green Belt Certificate

Prosci Adviser or Influencer

Partnering with Patients Certificate

Targeting Teams Certificate

AIW Green Belt Certificate

Patient Safety Certificate

Online Patient Safety Learning Suite

Prosci Leading ChangeLeadership Bootcamp

Prosci Executive Sponsor

CLINICAL PROVIDERS

Partnering with Patients to Improve our System

CHAMPIONS

Leading Improvement

MANAGERS

SITE, SECTION, PROGRAM MEDICAL LEAD

Coaching Improvement

EXECUTIVE & SENIOR

LEADERS

SENIOR MEDICAL DIRECTORS

ZONE MEDICAL DIRECTORS

Sponsoring Improvement

QHI Quality & Patient Safety Education Pyramid

GREEN Learning for everyone within the organization

BLUE Additional learning that best aligns with your role



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Appendix AObtaining Continuing Medical Education Credits for Courses within the Quality & Patient Safety Integrated Curriculum

Royal College of Physicians and Surgeons of CanadaAll courses offered through the Quality & Patient Safety Integrated Curriculum may be applied toward Maintenance of Certification (MOC).

In-person facilitated courses Apply under Section 1 Group Learning (0.5 credits/hour)

Online courses Apply for 0.5 credits per course under Section 2: Self-Learning under “scanning”

Exception: Disclosing Unanticipated Medical Outcomes

This 4 hour AHS/IHC-C course is credited for Section 2 Self-learning CPD credits

https://login.royalcollege.ca/oamlogin/login.jspCertificates for completion are available from AHS Quality & Safety Education. While not usually needed for credit validation, the certificates may be useful to keep in your continuing professional development files.

The College of Family Physicians CanadaAll courses offered through the Quality & Patient Safety Integrated Curriculum may be applied toward Maintenance of Certification (MOC).

In-person facilitated courses Apply for Mainpro M2 credits

Online courses Apply for Mainpro M2 credits

Exception: Disclosing Unanticipated Medical Outcomes

This 4 hour AHS/IHC-C course is credited for 4 Mainpro-M1 credits. Additional Mainpro-C credits are available if a “linking learning to

practice” form is completed and submitted.

http://www.cfpc.ca/mainpro/Once logged in, proceed to the CPD area, select “other related links” and then select “individual consideration form”. Alternatively, you can submit a “linking learning to practice” form for Mainpro-C credits.Certificates for completion are available from AHS Quality & Safety Education. While not usually needed for credit validation, the certificates may be useful to keep in your continuing professional development files.

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Quality & Paitent Safety Integrated Curriculum · Patient & Family-Centred Care ... The core quality and patient safety capabilities provide a framework for the ... QUALITY & PATIENT