Quality Improvement Plan
Tillsonburg District Memorial Hospital is committed to creating an environment that is safe for patients. Like all Ontario hospitals, TDMH maintains transparency and accountability by publicly reporting patient safety quality indicators.
Quality Improvement Plan Narrative 2018 / 2019
Quality Improvement Workplan 2018 / 2019
On October 24, 2005 the Ministry of Health and Long Term Care launched a web site that publishes data on wait times for key surgical procedures at Ontario hospitals. Measuring hospital specific wait-times will give hospitals and the government a fact-and-evidence basis from which we can identify ways to increase efficiency and standardize best practices, and target funding to improve patient access.
By visiting www.health.gov.on.ca and clicking on the Wait Times link, Ontarians can see how long patients are waiting for treatment in the five key services that are part of the government's Wait Time Strategy: cataract surgery, cancer surgery, hip and knee replacements, select cardiac procedures and MRI and CT scans.
Wait times are categorized on the website by procedure, hospital and Local Health Integration Network (LHIN) - beginning with data as of July 2005. This information is updated regularly.
(please click on the item below for more information)
TDMH is fortunate to have a dedicated team who pride themselves in the care they provide their patients. This is not always done through the obvious ways people see each day but through the concerted efforts of those working behind the scenes. Once such group is the Patient Safety and Safe Moves Committee who meet monthly to discuss patient safety related concerns. Members are well represented from various areas of the hospital including Nursing (front line staff, Executive and Clinical Leader), Nurse Educator, Environmental Services, Rehab Services, Volunteer services, Occupational Health & Wellness and Infection Prevention & Control.
The committees’ role is to
- Provide a venue to share patient safety concerns
- Identify areas for improvement related to patient safety
- Participate in an annual review of the patient safety plan
- Review patient safety occurrence trends
- Provide ideas and support for educational opportunities related to new and existing safe moves equipment at TDMH
- Participate in identification of future safe moves/safety equipment needs in preparation for budget planning
- Review/monitor equipment recalls/ concerns/trends to support team member and patient safety
- Share information with colleagues throughout the organization related to Patient Safety and Safe Moves
- Assist in the review of the accreditation standards and Required Organizational Practices (ROPs) related to patient safety
- Assist in identifying at least one patient safety related prospective analysis to be performed annually
- Assist the co-chairs with maintaining and updating safe moves manual, patient safety policies and procedures
- Forward recommendations/concerns to Leadership team and Patient Safety Quality of Care Committee
Your Role in Patient Safety:
There are many ways in which patients and visitors can help keep patients safe. You can be a good visitor by:
- Abiding by the visiting rules. Visiting during designated visiting hours (2pm – 8 pm) allows the interdisciplinary team to provide the care required for recovery from illness. Visiting is restricted to two visitors per patient. Congestion beyond this not only disturbs other patients in the room but also increases the safety risk of others. If you are visiting multiple patients (for instances, if you are a pastor), sanitize your hands before and after seeing each patient. Do not share the communion cup. Lay the wafer on a paper towel (not directly on the patient’s table). Visit the person in isolation last and follow the precautions specified.
- Sanitizing hands before and after visiting. The hand sanitizers in patient rooms are for everyone – sanitize your hands when entering and leaving the room of the person you are visiting to avoid brining in and carrying out germs. Insist that health care providers do the same before caring for your loved one. Clean your hands after sneezing, coughing, touching your eyes, nose or mouth, after using the restroom and before and after eating and drinking. Cover your cough or sneeze with a tissue or your sleeve, and do not sit on patient beds or handle their equipment. Read and follow any instructions posted outside the patient’s room.
- Stay home if you are sick. Do not visit the Hospital if you are sick or have had any ill symptoms within the last three days including nausea, vomiting, diarrhea, fever (or feeling feverish), uncontrolled cough or rash.
- Check first before you bring food, send flowers or take the kids. While flowers, young visitors and home-baked goodies spread cheer, they may not be allowed, so check with the nurse first. If you change the water in a vase of flowers, be sure to wash your hands afterward. Bringing food is risky because the patient may be on a special diet or the food could spoil or make the patient sick. Likewise, check with the nurse about the rules for children visiting. If you bring youngsters, don’t let them play on the floor or bed and have them wash their hands as they enter and leave the room. Make sure the child is free from symptoms of infection (e.g. runny nose, sore throat, rash, cough, etc.).
- Observing/Abiding by Special Precautions. If the person you are visiting is on “Isolation Precautions”, they will have a sign outside their door by the room number. Talk to the nurse before entering the room to find out what steps you will have to take, such as wearing a mask or other protective clothing. Also ask for any educational materials that may be available.
- Don’t contribute to the clutter. Limit the patient’s personal items. Less clutter eases the critical job of cleaning hospital rooms. Keep patient items off the floor and away from waste containers.
- Back at home. Keep the patient healthy back at home. Follow discharge instructions and eliminate germs from the patient’s environment by using disinfectants such as sprays and wipes to clean hard surfaces often. Ask for special instructions if the patient had a drug-resistant infection such as MRSA, VRE or C. difficile.
Patient Safety Handout - Patient and Family Role in Ensuring Patient Safety