Quality and Learning Framework
Quality, safety and the development of a person-centred culture of care across Manitoba’s health system are at the centre of efforts to increase the use of data and evidence to guide health planning, measurement and evaluation. The creation of a Manitoba Quality and Learning Framework will support and enable the standardization of care through a provincial clinical governance approach across the province. It will also ensure that innovations that could further efforts to improve quality and patient safety, are explored.
The framework has been developed with the input of Manitoba clinical leaders and health-care providers. It adopts leading practices from quality and patient safety legislation and frameworks in operation across the country and ensures their relevance to the delivery of care in Manitoba.
Through partnerships with health authorities, patients and their families, and those working within the health-care system, the framework will support the identification of leading practices, ensure they are locally informed and adapted to meet the needs of Manitoba’s health-care system and will work with our partners and health-care providers across the province to put them in place.
Four guiding principles will inform a coordinated, client-centred and provincial approach to quality. They are: respect for every individual; accountability; value; and continuous improvement and learning.
Patient Safety and Patient Harm
Health systems around the world are increasingly focused on improving patient safety by reducing both harm and error in the delivery of care.
Errors and harmful events can happen, even in health systems where leaders and staff are educated about quality, patient safety and improvement, and where an emphasis is placed on investigating and managing risks and responding to and learning from events.
Many of these events are deemed preventable, prompting increased focus within the health system on the adoption of consistent vision and demonstrated leadership (leaders model key values), gathering and examination of quality data and performance metrics (measures are monitored and provide continuous feedback to support improvement), identification and implementation of learning opportunities (incident management systems investigate and manage risks as well as processes to learn from events), and establishment of standardized processes, methods and tools (continuous improvement and adherence to standards of accreditation and licensing bodies). All in the pursuit of improved outcomes.
Enhancing the skills of providers throughout the health system will give them the knowledge and tools to improve quality of care. This requires healthy environments with cohesive teamwork, strong communication and a focus on delivering care that is client-centred, culturally safe and where providers, patients and family members are all encouraged to “Ask Questions, Speak Up, and Challenge the Status Quo.”