BC Patient Safety & Quality Council

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CLeAR’s Resources

Our Documents
Are you embarking on a similar initiative in your facility? Here are resources that CLeAR teams used and continue to use in their work. Feel free to customize them for your own use – but please acknowledge CLeAR as the source.

These resources and more are also posted in our online community of practice. The community also lets you ask members questions, so that you can learn the experience of other facilities who have traveled your road previously. Join it today.

CLeAR Driver Diagram
This document provides suggested strategies and changes to reduce antipsychotic medications in residential care. Here’s a video that explains how driver diagrams are used in improvement work.

Data Collection Tool

Data Collection Tool – “How To” Guide

Monthly Team Report

Process Improvement Charter

Stakeholder Engagement Planning Form

PDSA Testing Ideas Worksheet

BPSD Algorithm

Final Report
New! Here is our final report – The Journey Towards Dignity & Resident Centered Care: Summary Results from CLeAR

Visioning Day
CLeAR started on January 18, 2013 with a one-day visioning session to lay the initiative’s groundwork. Participants’ input – over 90 attended – served as a tremendous resource to our initiative moving forward.

Culture Change Toolbox
Culture is the way we work together. Improving culture can be a concerted effort, or it can mean taking a different perspective on current change efforts. But the bottom line is that better culture means better outcomes for our residents and fewer adverse events.

Collectively changing how we work together usually involves a few steps: awareness and engagement, assessment of current culture, discussions about what changes can be made, and making small changes over time. This guide contains tools that can be used as the focal point for a shift in culture – and it is designed specifically for use in residential care facilities.

Additional Resources of Interest
Best Practices Guide for Safely Reducing Anti-Psychotic Drug Use in Residential Care
The BC Care Providers Association (BCCPA) has developed this Best Practices Guide to help long-term care providers reduce the use of anti-psychotic drugs in their residential care homes.

Best Practice Guideline for Accommodating and Managing Behavioural and Psychological Symptoms of Dementia in Residential Care
This guideline (pdf) was developed in response to “A Review of the use of Antipsychotic Drugs in British Columbia’s Residential Care Facilities” conducted by BC’s Ministry of Health in 2011.

Reducing the Use of Antipsychotic Drugs 
A guide (pdf) to the treatment and care of behavioural and psychological symptoms of dementia

World Alzheimer Report 2013
These annual reports examine global trends related to older people who need dementia care, including those with Alzheimer’s disease.

How the NHS has Addressed Dignity in Residential Care – Pecha Kucha-Style
On March 6, 2012, Helen Bevan, chief of service transformation at the NHS Institute for Innovation and Improvement, spoke at Health Talks. She used a Pecha Kucha presentation to describe how the National Health Service has addressed dignity in residential care. Watch it here.

At a Glance


Key Contacts

Chris Rauscher
Clinical Lead

Tara Fitzgerald
Quality Lead