A timeline of patient safety
Important work has taken place to evolve our understanding of patient safety, what it means to different stakeholders, and how to foster it. While there has been tremendous progress, more work is needed to refine this understanding and address harm. As early adopters and leaders on the MMSF in Canada, ÈÕ±¾ÎÞÂë and partners have a role to play in this effort—one that we hope you will join—so that we can truly transform to the presence of safety. °Õ´Ç²µ±ð³Ù³ó±ð°ù. Ìý
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1999: A report titled was published by the Institute of Medicine. The report explores patient deaths due to medical error and concludes that the problem is not necessarily people, but the system in which people work.ÌýÌýÌýÌýÌý
2001: The Institute of Medicine in the US releases . This report outlined the Six Aims for Improvement (Safety, Timeliness, Effectiveness, Efficiency, Equity, Patient-Centredness).ÌýÌý
2004: by Baker, Norton et al., is the first Canadian study to provide a national estimate of the incidence of adverse events. The study found that 7.5% of 100 admissions resulted in an adverse event, of which 36.9% were preventable.ÌýÌý
2013: The release of the catalyzed a major change in the way safety is defined and practiced. Created by Charles Vincent and colleagues at The Health Foundation, the MMSF presented an approach for shifting away from focusing on the absence of harm towards adopting a broader view of safety.ÌýÌý
2015: published by the Institute of Health Policy, Management and Evaluation at the University of Toronto concluded that despite the growing understanding of the safety threats and efforts made to identify safety practices, there is still effort needed to broaden and link efforts to improve care and care environments.ÌýÌý
2016: The Canadian Institute for Health Information (CIHI) releases the . This indicator measures the rate of acute care hospitalizations with at least one occurrence of unintended harm during a hospital stay that could potentially have been prevented.ÌýÌýÌýÌý
2017: The Canadian Patient Safety Institute (CPSI), now ÈÕ±¾ÎÞÂë, began working with healthcare teams from across the country to advance our knowledge and experience of the MMSF in Canada.ÌýÌýÌýÌý
2023: ÈÕ±¾ÎÞÂë and Patients for Patient Safety Canada released Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders which summarizes learnings and ideas suggesting a new way of approaching patient safety.ÌýÌýÌýÌý