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  1. Article ; Online: ASO Author Reflections: Optimizing the Quality of Cancer Surgery-Interrogating Adverse Events for Modifiable Factors in the Preoperative Period.

    Simunovic, Marko / Baker, G Ross

    Annals of surgical oncology

    2021  Volume 29, Issue 2, Page(s) 1192–1193

    MeSH term(s) Humans ; Neoplasms/surgery ; Preoperative Period
    Language English
    Publishing date 2021-08-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-021-10654-2
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4042: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Building High-Performing Primary Care Systems: After a Decade of Policy Change, Is Canada "Walking the Talk?"

    Aggarwal, Monica / Hutchison, Brian / Abdelhalim, Reham / Baker, G Ross

    The Milbank quarterly

    2023  Volume 101, Issue 4, Page(s) 1139–1190

    Abstract: Policy Points Considerable investments have been made to build high-performing primary care systems in Canada. However, little is known about the extent to which change has occurred over the last decade with implementing programs and policies across all ... ...

    Abstract Policy Points Considerable investments have been made to build high-performing primary care systems in Canada. However, little is known about the extent to which change has occurred over the last decade with implementing programs and policies across all 13 provincial and territorial jurisdictions. There is significant variation in the degree of implementation of structural features of high-performing primary care systems across Canada. This study provides evidence on the state of primary care reform in Canada and offers insights into the opportunities based on changes that governments elsewhere have made to advance primary care transformation.
    Context: Despite significant investments to transform primary care, Canada lags behind its peers in providing timely access to regular doctors or places of care, timely access to care, developing interprofessional teams, and communication across health care settings. This study examines changes over the last decade (2012 to 2021) in policies across 13 provincial and territorial jurisdictions that address the structural features of high-performing primary care systems.
    Methods: A multiple comparative case study approach was used to explore changes in primary care delivery across 13 Canadian jurisdictions. Each case consisted of (1) qualitative interviews with academics, provincial health care leaders, and health care professionals and (2) a literature review of policies and innovations. Data for each case were thematically analyzed within and across cases, using 12 structural features of high-performing primary care systems to describe each case and assess changes over time.
    Findings: The most significant changes include adopting electronic medical records, investments in quality improvement training and support, and developing interprofessional teams. Progress was more limited in implementing primary care governance mechanisms, system coordination, patient enrollment, and payment models. The rate of change was slowest for patient engagement, leadership development, performance measurement, research capacity, and systematic evaluation of innovation.
    Conclusions: Progress toward building high-performing primary care systems in Canada has been slow and variable, with limited change in the organization and delivery of primary care. Canada's experience can inform innovation internationally by demonstrating how preexisting policy legacies constrain the possibilities for widespread primary care reform, with progress less pronounced in the attributes that impact physician autonomy. To accelerate primary care transformation in Canada and abroad, a national strategy and performance measurement framework is needed based on meaningful engagement of patients and other stakeholders. This must be accompanied by targeted funding investments and building strong data infrastructure for performance measurement to support rigorous research.
    MeSH term(s) Humans ; Canada ; Health Care Reform ; Delivery of Health Care ; Policy ; Primary Health Care
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Review ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632829-5
    ISSN 1468-0009 ; 0887-378X
    ISSN (online) 1468-0009
    ISSN 0887-378X
    DOI 10.1111/1468-0009.12674
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    Zs.A 285: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  3. Article ; Online: Reconceptualizing Patient Safety Beyond Harm: Insights From a Mixed-Methods Qualitative Inquiry.

    Jeffs, Lianne / Kuluski, Kerry / Flintoft, Virginia / MacLaurin, Anne / Asselbergs, Maaike / Zeng, Rui Lin / Bruno, Frances / Schonewille, Noah / Baker, G Ross

    Journal of nursing care quality

    2024  

    Abstract: Background: Although patients' and care partners' perspectives on patient safety can guide health care learning and improvements, this information remains underutilized. Efforts to leverage this valuable data require challenging the narrow focus of ... ...

    Abstract Background: Although patients' and care partners' perspectives on patient safety can guide health care learning and improvements, this information remains underutilized. Efforts to leverage this valuable data require challenging the narrow focus of safety as the absence of harm.
    Purpose: The purpose of this study was to gain a broader insight into how patients and care partners perceive and experience safety.
    Methods: We used a mixed-methods approach that included a literature review and interviews and focus groups with patients, care partners, and health care providers. An emergent coding schema was developed from triangulation of the 2 data sets.
    Results: Two core themes-feeling unsafe and feeling safe-emerged that collectively represent a broader view of safety.
    Conclusion: Knowledge from patients and care partners about feeling unsafe and safe needs to inform efforts to mitigate harm and promote safety, well-being, and positive outcomes and experiences.
    Language English
    Publishing date 2024-01-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1089089-0
    ISSN 1550-5065 ; 1057-3631
    ISSN (online) 1550-5065
    ISSN 1057-3631
    DOI 10.1097/NCQ.0000000000000757
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    Zs.A 3102: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  4. Article ; Online: Organizational Learning in the Morbidity and Mortality Conference.

    Batthish, Michelle / Kuper, Ayelet / Fine, Claire / Laxer, Ronald M / Baker, G Ross

    Journal for healthcare quality : official publication of the National Association for Healthcare Quality

    2023  Volume 46, Issue 2, Page(s) 100–108

    Abstract: Introduction: The focus of morbidity and mortality conferences (M&MCs) has shifted to emphasize quality improvement and systems-level care. However, quality improvement initiatives targeting systems-level errors are challenged by learning in M&MCs, ... ...

    Abstract Introduction: The focus of morbidity and mortality conferences (M&MCs) has shifted to emphasize quality improvement and systems-level care. However, quality improvement initiatives targeting systems-level errors are challenged by learning in M&MCs, which occurs at the individual attendee level and not at the organizational level. Here, we aimed to describe how organizational learning in M&MCs is optimized by particular organizational and team cultures.
    Methods: A prospective, multiple-case study design was used. Using purposive sampling, three cases covering different medical/surgical specialties in North America were chosen. Data collection included direct observations of the M&MC, semistructured interviews with key M&MC members, and documentary information.
    Results: The role of the M&MC in all cases integrated two key concepts: recognition of system-wide trends and learning from error, at an organizational and team level. All cases provided evidence of double-loop learning and used organizational memory strategies to ensure knowledge was retained within the organization. A patient safety culture was linked to the promotion of open communication, fostering learning from adverse events.
    Conclusion: This study describes three cases of systems-oriented M&MCs that reflected elements of organizational learning theory. The M&MC can therefore provide a context for organizational learning, allowing optimal learning from adverse events.
    MeSH term(s) Humans ; Prospective Studies ; Safety Management ; Quality Improvement ; Patient Safety ; Morbidity
    Language English
    Publishing date 2023-11-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1472097-8
    ISSN 1945-1474 ; 1062-2551
    ISSN (online) 1945-1474
    ISSN 1062-2551
    DOI 10.1097/JHQ.0000000000000416
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    Zs.A 5029: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  5. Article: Improving healthcare using Lean processes.

    Baker, G Ross

    Healthcare quarterly (Toronto, Ont.)

    2014  Volume 17, Issue 2, Page(s) 18–19

    Abstract: For more than a decade, healthcare organizations across Canada have been using Lean management tools to improve care processes, reduce preventable adverse events, increase patient satisfaction and create better work environments. The largest system-wide ... ...

    Abstract For more than a decade, healthcare organizations across Canada have been using Lean management tools to improve care processes, reduce preventable adverse events, increase patient satisfaction and create better work environments. The largest system-wide effort in Canada, and perhaps anywhere, is currently under way in Saskatchewan. The jury is still out on whether Lean efforts in that province, or elsewhere in Canada, are robust enough to transform current delivery systems and sustain new levels of performance. This issue of Healthcare Quarterly features several articles that provide a perspective on Lean methods in healthcare.
    MeSH term(s) Canada ; Delivery of Health Care/legislation & jurisprudence ; Delivery of Health Care/organization & administration ; Delivery of Health Care/standards ; Humans ; Quality Improvement/organization & administration
    Language English
    Publishing date 2014-08-29
    Publishing country Canada
    Document type Journal Article
    ISSN 1710-2774
    ISSN 1710-2774
    DOI 10.12927/hcq.2014.23882
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  6. Article ; Online: [No title information]

    MacKinnon, Neil J / Baker, G Ross

    Canadian family physician Medecin de famille canadien

    2020  Volume 66, Issue 2, Page(s) 96–97

    Title translation Transparence de la sécurité des soins de santé en dehors des établissements: Appel à l’action.
    Language French
    Publishing date 2020-02-14
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2146676-2
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
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  7. Article ; Online: Applying the principles of adaptive leadership to person-centred care for people with complex care needs: Considerations for care providers, patients, caregivers and organizations.

    Kuluski, Kerry / Reid, Robert J / Baker, G Ross

    Health expectations : an international journal of public participation in health care and health policy

    2020  Volume 24, Issue 2, Page(s) 175–181

    Abstract: Background: Health systems in many countries see person-centred care as a critical component of high-quality care but many struggle to operationalize it in practice. We argue that models such as adaptive leadership can be a critical lever to support ... ...

    Abstract Background: Health systems in many countries see person-centred care as a critical component of high-quality care but many struggle to operationalize it in practice. We argue that models such as adaptive leadership can be a critical lever to support person-centred care, particularly for people who have multiple complex care needs.
    Objective: To reflect on two concepts: person-centred care and adaptive leadership and share how adaptive leadership can advance person-centred care at the front-line care delivery level and the organizational level.
    Findings: The defining feature of adaptive leadership is the separation of technical solutions (ie applying existing knowledge and techniques to problems) from adaptive solutions (ie requiring shifts in how people work together, not just what they do). Addressing adaptive challenges requires identifying key assumptions that may limit motivations for change and the behaviours influenced by these assumptions. Thus, effective care for patients, particularly those with multiple complex care needs, often entails helping care providers and patients to examine their relationships and behaviours not just identifying technical solutions. Addressing adaptive challenges also requires a supportive and enabling organizational context. We provide illustrative examples of how adaptive leadership principles can be applied at both the front line of care and the organization level in advancing person-centred care delivery.
    Conclusions: Advancing person-centred care at both the clinical and organizational levels requires a growth mindset, a willingness to try (and fail) and try again, comfort in being uncomfortable and a commitment to figure things out, in partnership, in iterative ways. Patients, caregivers, care providers and organizational leaders all need to be adaptive leaders in this endeavour.
    MeSH term(s) Caregivers ; Delivery of Health Care ; Humans ; Leadership ; Patient-Centered Care ; Quality of Health Care
    Language English
    Publishing date 2020-12-19
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2119434-8
    ISSN 1369-7625 ; 1369-6513
    ISSN (online) 1369-7625
    ISSN 1369-6513
    DOI 10.1111/hex.13174
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    Zs.A 5896: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  8. Article ; Online: Transparency of health care safety outside of the institutional setting: Call to action.

    MacKinnon, Neil J / Baker, G Ross

    Canadian family physician Medecin de famille canadien

    2020  Volume 66, Issue 2, Page(s) 94–95

    MeSH term(s) Canada ; Community Pharmacy Services/organization & administration ; Delivery of Health Care/standards ; Family Practice/organization & administration ; Female ; Humans ; Male ; Patient Safety/standards
    Language English
    Publishing date 2020-02-14
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 603565-6
    ISSN 1715-5258 ; 0008-350X
    ISSN (online) 1715-5258
    ISSN 0008-350X
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    Zs.B 2236: Show issues Location:
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  9. Article ; Online: The role of hospital characteristics in patient safety: a protocol for a national cohort study.

    Sauro, Khara M / Baker, G Ross / Tomlinson, George / Parshuram, Christopher

    CMAJ open

    2021  Volume 9, Issue 4, Page(s) E1041–E1047

    Abstract: Background: Substantial expenditures on health care safety programs have been justified by their goal of reducing health care associated-harm (adverse events), but adverse event rates have not changed over the past 4 decades. The objective of this study ...

    Abstract Background: Substantial expenditures on health care safety programs have been justified by their goal of reducing health care associated-harm (adverse events), but adverse event rates have not changed over the past 4 decades. The objective of this study is to describe hospital-level factors that are relevant to safety in Canadian hospitals and the impact of these factors on hospital adverse events.
    Methods: This is a protocol for a national cohort study to describe the association between hospital-level factors and adverse events. We will survey at least 90 (35%) Canadian hospitals to describe 4 safety-relevant domains, chosen based on the literature and expert consultation, namely patient safety culture, safety strategies, staffing, and volume and capacity. We will retrospectively identify hospital adverse events from a national data source. We will evaluate organization-level factors using established scales and a survey, codesigned by the study team and hospital leaders. Hospital leaders, clinical unit leaders and front-line staff will complete the surveys once a year for 3 years, with an anticipated start date of winter 2022. We will use national health administrative data to estimate the rate and type of hospital adverse events corresponding to each 1-year survey period.
    Interpretation: Analysis of data from this project will describe hospital organizational factors that are relevant to safety and help identify organizational initiatives that improve hospital patient safety. In addition to biyearly reports to the leaders of the participating hospitals, we have a multifaceted and tailored dissemination strategy that includes integrating the knowledge users into the study team to increase the likelihood that our study will lead to improved hospital patient safety.
    MeSH term(s) Canada/epidemiology ; Cohort Studies ; Health Care Surveys ; Hospitals/classification ; Hospitals/standards ; Humans ; Patient Safety/statistics & numerical data ; Quality of Health Care ; Safety Management ; Workforce
    Language English
    Publishing date 2021-11-23
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2701622-5
    ISSN 2291-0026 ; 2291-0026
    ISSN (online) 2291-0026
    ISSN 2291-0026
    DOI 10.9778/cmajo.20200266
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  10. Article ; Online: Reducing preventable patient transfers from long-term care facilities to emergency departments: a scoping review - CORRIGENDUM.

    Grant, Kiran L / Lee, Daniel Dongjoo / Cheng, Ivy / Baker, G Ross

    CJEM

    2021  Volume 22, Issue 6, Page(s) E16

    Language English
    Publishing date 2021-01-15
    Publishing country England
    Document type Journal Article ; Published Erratum
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1017/cem.2020.472
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