BC Patient Safety & Quality Council

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Clinical Improvement

We lead and support work that aims to improve quality of care in numerous clinical areas. For example, we lead initiatives that align with the evolving priorities of British Columbia’s health care system, such as our Call for Less Antipsychotics in Residential Care and our support of the province’s National Surgical Quality Improvement Program teams. From 2010 to 2016, we supported change management and provided leadership within the Clinical Care Management (CCM) initiative, in partnership with the Ministry of Health and the province’s health authorities.

Through CCM we helped the system reduce clinical variation and implement best practices by developing inter-professional networks, communities of practice and improvement collaboratives. In residential care, for example, medication reconciliation is now performed reliably 96% of the time, reducing the risk of medication errors for residents.

And across the province, surgical checklist completion rates improved steadily since 2012 from 67% to 92%. Health professionals from almost every intensive care unit in BC have formed a provincial community of practice to work together on improving critical care, and voluntary stroke improvement collaboratives resulted in detectable improvement in the provincial rate of acute thrombolytic treatment for ischemic stroke patients.

Physicians, pharmacists, nurses and others worked together to decrease risk of clots: provincial venous thromboembolism prophylaxis rates increased significantly to 98% in critical care units, 93% in surgical units, and 86% in medical units. And provincial hand hygiene compliance rates are now exceeding the target performance of 80%.

In September 2014, we collaborated with the Michael Smith Foundation for Health Research to study the implementation of CCM. Led by InSource Research, the study’s findings help BC better understand and manage large scale change while improving transformation within the province’s health care system moving forward. You can download the report here.

Learn more about our current clinical improvement initiatives by clicking on a topic to the left.

At a Glance

Key contact

Shari McKeown,
Director, Clinical Improvement