Toward Zero Harm: Mackenzie Health's Journey Toward Becoming a High Reliability Organization and Eliminating Avoidable Harm.

Objectives: In response to an organizational survey revealing low safety culture scores, we implemented a "zero harm" approach to eliminate preventable harm across a wide variety of clinical areas. We aimed to achieve this objective within 3 years.

Methods: We developed a 5-part strategy for cultural and process redesign that included (1) engaging leadership; (2) developing an organization-specific patient safety framework; (3) monitoring specific quality aims based on high-risk, high-volume, high-cost, and problem-prone areas; (4) standardizing a 3-part review process that includes a root cause analysis for moderate and critical patient safety incidents; and (5) communicating progress to staff in real time via unit-specific electronic dashboards.

The Impact of COVID-19 on a Large, Canadian Community Emergency Department.

Introduction: As the COVID-19 pandemic unfolded, emergency departments (EDs) across the world braced for surges in volume and demand. However, many EDs experienced decreased demand even for higher acuity illnesses. In this study we sought to examine the change in utilization at a large Canadian community ED, including changes in patient demographics and presentations, as well as structural and administrative changes made in response to the pandemic.

The effect of a short tutorial on the incidence of prescribing errors in pediatric emergency care.

Background: In the paediatric emergency department (ED) trainees are more likely to commit prescribing errors.

Objective: To determine whether a short educational intervention reduces the incidence of prescribing errors among trainees in a pediatric ED.

Methods: A prospective cohort study at the ED of a tertiary paediatric hospital.

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Objective: Medication errors are common among pediatric patients and in emergency departments (EDs). Such errors may lead to prolonged hospitalization, unnecessary diagnostic tests and treatments, and death. The objective of this study was to determine whether the use of a structured order sheet reduces the incidence of medication errors in a pediatric ED.