- For more in-depth information about adverse events, disclosure, apology, and just culture, visit:
- The Canadian Patient Safety Institute offers a comprehensive guide called Canadian Disclosure Guidelines
- In an effort to improve patient safety, The Canadian Patient Safety Institute implemented a program called Safer Healthcare Now!
- The Canadian Medical Protective Association (CMPA) Good Practices Guide on Patient Safety and Adverse Events
- Adverse events are reported to organizations such as:
- Ontario’s Apology Act
- The Canadian Adverse Events Study by Ross Baker and Peter Norton
- Beyond the Quick Fix: Strategies For Improving Patient Safety
- Human error: models and management by James Reason
- Guilty, Afraid, and Alone—Struggling with Medical Error by Tom Delbanco and Sigall Bell
- Medical error, incident investigation and the second victim: doing better but feeling worse? by Albert Wu
- From a blame culture to a just culture in health care by N. Khatri, G. D. Brown, and L. L. Hicks
- Apologies and Medical Error by Jennifer Robbennoit
In the design of this course we hoped to achieve the following objectives:
- Have a clear understanding of how adverse events are handled in the healthcare sector in Ontario, along with the role of disclosing, apologizing, and reporting.
- Understand the impact adverse events can have on patients and their families, as well as healthcare providers.
- Become familiar with Ontario’s disclosure and apology legislation.
- Know the difference between blame culture and just culture.
You’ve completed the course!
We hope that you found it helpful and thought-provoking.
The Leslie Dan Faculty of Pharmacy, University of Toronto is conducting an exit survey for this course to better understand how participants are benefitting from the Practice Readiness E-learning Program (PReP). Your participation in the survey is important and will help us identify areas where the PReP program is helping people the most and any areas that can be improved.
All of the information collected from the survey participants will be summarized and no names will be reported on, so please let us know how you really feel. Participation in the survey is completely voluntary, but we hope that you see the benefit of participating.
We need and value your feedback.