Our Hospital is participating in Accreditation Canada’s on-site survey from May 16-19, 2022, and will be evaluated on 19 evidence-informed standards, and three surveys which include the Canadian Patient Safety Culture survey, Worklife Pulse (including physician version) and Governance Functioning tool.

The Canadian Patient Safety Survey (Can-PSCS) tool is completed by staff providing direct care for patients. Approximately 467 clinical staff, including Professional staff, completed the survey. This tool is used to evaluate staffs’ perceptions of how the organization approaches patient safety and reports safety incidents. The results are provided below, in comparison to 2018.

Themes	Responses	2018	2022
Valuing safety	Limited confidence in leadership support for patient safety- decision making and associated risk	Yellow	Red
State of safety	Poor evaluation of incidents at the unit level and lack of proactive approach to prevent errors	Green	Yellow
Fear of repercussions	Negative responses: judgmental, disciplinary action	Red	Red
Supervisory leadership	Insubstantial support to staff and the suggestions they provide to improve patient safety. Productivity is expected; safety is often overlooked	Yellow	Red

The Quality and Risk department is taking the lead to address concerns raised by staff. An Expression of Interest will be sent to staff to participate in a working group (June to September 2021) with Katherine Mayer (Patient Safety Improvement Specialist) and Keith Taylor (Patient and Family Advisor) as co-chairs. Staff will be engaged through focus groups and surveys and the feedback will inform the action plans which will be deployed in the summer, evaluated and scaled up. The results will be compiled in the Patient Safety Report, a required document to be submitted to Accreditation Canada, prior to the on-site survey. If you are interested in taking part in the working group, please contact Katherine Mayer (mayerk@tbh.net) or Chitra Jacob (jacobc@tbh.net)