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","text",[246],[91,62,76],[306,450,466,500],{"id":16,"_uid":307,"content":308,"component":449},"1fad2c12-9566-4b78-8337-f3f1a0bf8f8c",[309,343],{"_uid":310,"content":311,"component":342},"8f0cf422-d381-48c5-a61b-c2f9164b068e",{"type":12,"content":312},[313,320,332,337],{"type":314,"attrs":315,"content":317},"heading",{"level":316,"textAlign":53},2,[318],{"text":319,"type":302},"All Voices for Safer Care Blog Series",{"type":15,"attrs":321,"content":322},{"textAlign":53},[323,325,330],{"text":324,"type":302},"Safer care doesn’t happen by chance. The Canadian Patient Safety Week 2025 theme, ",{"text":326,"type":302,"marks":327},"All Voices for Safer Care",[328],{"type":329},"italic",{"text":331,"type":302},", reminds us that building safer healthcare systems isn’t the responsibility of one person or one role — it’s something we create together.",{"type":15,"attrs":333,"content":334},{"textAlign":53},[335],{"text":336,"type":302},"Throughout this blog series, we’re sharing the stories of champions for safer care from across Canada who are helping redefine what safer care looks like in their communities and settings: from point of care to leadership, from lived experience to learning systems.",{"type":15,"attrs":338,"content":339},{"textAlign":53},[340],{"text":341,"type":302},"Their insights show how building safer systems, supporting all roles, and listening with curiosity are essential steps toward safer, more equitable care for everyone.","simple-richtext",{"_uid":344,"content":345,"component":342},"dafe2301-a710-41ea-9c6d-502c9c7876ab",{"type":12,"content":346},[347,352,357,362,371,376,381,386,393,398,405,410,415,422,427,432,437,444],{"type":314,"attrs":348,"content":349},{"level":316,"textAlign":53},[350],{"text":351,"type":302},"Protecting mothers, babies and traditions: Delivering safer care through midwifery",{"type":15,"attrs":353,"content":354},{"textAlign":53},[355],{"text":356,"type":302},"Kenhtè:ke Midwives is a primary healthcare provider providing culturally-appropriate maternal and newborn care to Indigenous families living on the Tyendinaga Mohawk Territory and surrounding areas of southeastern Ontario including Kingston, Napanee, Belleville and Trenton. Tewahséhtha (Miranda Brant) is a Midwife and Erin Ferrant is Administrative Lead.",{"type":15,"attrs":358,"content":359},{"textAlign":53},[360],{"text":361,"type":302},"Kenhtè:ke Midwives serves all interested First Nations, Inuit and Métis families on Tyendinaga Mohawk Territory and surrounding areas, providing full-scope midwifery care grounded in cultural traditions and community connection. Recognizing that birth is a deeply vulnerable time, Kenhtè:ke Midwives works to protect clients from physical, emotional, and cultural harm by fostering trust, honouring traditions, and supporting individual needs. Through strong relationships and open communication, Kenhtè:ke Midwives ensures that every birth is safe, respectful, and centred on the whole person.",{"type":314,"attrs":363,"content":365},{"level":364,"textAlign":53},3,[366],{"text":367,"type":302,"marks":368},"Tell us a bit about Kenhtè:ke Midwives and the community you work with.",[369],{"type":370},"bold",{"type":15,"attrs":372,"content":373},{"textAlign":53},[374],{"text":375,"type":302},"We provide full scope midwifery care to anybody who identifies as First Nation, Inuit or Métis, whether it’s the mother, the father, or both. We do home births as well as clinic and hospital births – wherever the client feels safest.",{"type":15,"attrs":377,"content":378},{"textAlign":53},[379],{"text":380,"type":302},"Beyond midwifery, we are active in the community through programs and workshops that help people connect with our traditions and cultures, so they know we are a safe resource for every stage of life.",{"type":15,"attrs":382,"content":383},{"textAlign":53},[384],{"text":385,"type":302},"Tyendinaga is one of the largest Mohawk territories in Ontario, and we also serve a large off-territory community that lives within a three-hour radius of Tyendinaga.",{"type":314,"attrs":387,"content":388},{"level":364,"textAlign":53},[389],{"text":390,"type":302,"marks":391},"What does safe care mean to you?",[392],{"type":370},{"type":15,"attrs":394,"content":395},{"textAlign":53},[396],{"text":397,"type":302},"To our midwifery practice, safe care means ensuring every client is supported at all times, with attention to their physical, emotional and cultural needs – a whole-person approach where the client feels heard and understood. Our midwives feel a strong responsibility to protect clients, especially during hospital births off-territory, where unfamiliar environments and Western medical practices can add stress and create harm.",{"type":314,"attrs":399,"content":400},{"level":364,"textAlign":53},[401],{"text":402,"type":302,"marks":403},"How has your understanding of safety evolved over time?",[404],{"type":370},{"type":15,"attrs":406,"content":407},{"textAlign":53},[408],{"text":409,"type":302},"Advocating for the safety of our clients is a constant responsibility – it never truly ends, and it requires clear, ongoing communication at every level of care. Our work with the two closest hospitals to our territory is a good example. We’ve advocated really hard to be recognized as primary healthcare providers for our clients to ensure we are able to stay with our clients through their births, so that individual and cultural needs can be honoured.",{"type":15,"attrs":411,"content":412},{"textAlign":53},[413],{"text":414,"type":302},"For example, bringing home the placenta is a deeply important cultural practice for our people – and it is every patient’s right. Even a small breakdown in communication between care teams can result in that right being overlooked, which causes real harm. From upper management to floor staff, regular, respectful communication with hospital teams is essential to protecting clients from all forms of harm.",{"type":314,"attrs":416,"content":417},{"level":364,"textAlign":53},[418],{"text":419,"type":302,"marks":420},"Can you share something you or your team has done that made care safer?",[421],{"type":370},{"type":15,"attrs":423,"content":424},{"textAlign":53},[425],{"text":426,"type":302},"We have a memorandum of understanding in place with the two hospitals closest to our territory. These agreements formally recognize our midwives as healthcare providers, which means they can stay with clients at all times and ensure care addresses the whole person – not just the medical situation.",{"type":15,"attrs":428,"content":429},{"textAlign":53},[430],{"text":431,"type":302},"That recognition makes a real difference. Recently, a client’s baby was born prematurely. Because the mother’s midwife was able to stay by her side the entire time, she could advocate for immediate skin-to-skin contact before the baby went to the NICU because she knew the baby was safe and healthy enough to do so in that moment.",{"type":15,"attrs":433,"content":434},{"textAlign":53},[435],{"text":436,"type":302},"Even with these agreements in place, it can be a challenge to have hospital staff consistently recognize midwives’ role and authority, which is why we continue to prioritize strong, ongoing communication with our hospital partners.",{"type":314,"attrs":438,"content":439},{"level":364,"textAlign":53},[440],{"text":441,"type":302,"marks":442},"What’s one action people in roles like yours can take to support a culture of safety?",[443],{"type":370},{"type":15,"attrs":445,"content":446},{"textAlign":53},[447],{"text":448,"type":302},"Just talk! Talk and be open to looking at someone as a whole person, not just an individual with a specific health problem or need. The reason that brings someone into the hospital is not their whole story. They have a whole history, a whole story, a whole life outside of this one moment. You are now a part of their story. So, what is the impact you’re going to leave on them? How can you make their life better, and yours too?","wysiwyg-program",{"id":16,"_uid":451,"items":452,"component":465},"ad296d9a-abb2-4119-a393-7f516511a87b",[453],{"_uid":454,"image":455,"quote":457,"author":293,"component":464,"author_title":16},"c9d99e71-661e-4275-8afa-5b75dbd5beaa",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":456},{},{"type":12,"content":458},[459],{"type":15,"attrs":460,"content":461},{"textAlign":53},[462],{"text":463,"type":302},"“For many people, giving birth is one of the most powerful days of their life – a moment when they remember exactly who stood beside them. How do we make that moment better for them? What does the mother truly need? 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Healthcare Excellence Canada recognizes the vital work happening nationwide to ensure safer care. ",[570],{"_uid":285,"date":571,"image":572,"title":567,"author":16,"component":294,"description":578},"2024-10-18 00:00",{"id":573,"alt":574,"name":16,"focus":16,"title":575,"source":16,"filename":576,"copyright":16,"fieldtype":290,"meta_data":577,"is_external_url":292},114296389962841,"Photo of Vincent Dumez","CPSW Blog Vincent Dumez","https://a-ca.storyblok.com/f/850807391887861/53271b15b1/cpsw-blog-vincent-dumez.png",{"alt":574,"title":575,"source":16,"copyright":16},{"type":12,"content":579},[580],{"type":15,"attrs":581,"content":582},{"textAlign":53},[583],{"text":281,"type":302},[246],[76,32],[587,771],{"id":16,"_uid":307,"content":588,"component":449},[589,612],{"_uid":310,"content":590,"component":342},{"type":12,"content":591},[592,596,604,608],{"type":314,"attrs":593,"content":594},{"level":316,"textAlign":53},[595],{"text":319,"type":302},{"type":15,"attrs":597,"content":598},{"textAlign":53},[599,600,603],{"text":324,"type":302},{"text":326,"type":302,"marks":601},[602],{"type":329},{"text":331,"type":302},{"type":15,"attrs":605,"content":606},{"textAlign":53},[607],{"text":336,"type":302},{"type":15,"attrs":609,"content":610},{"textAlign":53},[611],{"text":341,"type":302},{"_uid":613,"content":614,"component":342},"18ee20be-ba76-420e-aa2a-df05953ea18e",{"type":12,"content":615},[616,620,625,648,653,658,663,668,673,678,683,688,693,698,711,716,721,726,731,736,741,746,751,756,761,766],{"type":314,"attrs":617,"content":618},{"level":316,"textAlign":53},[619],{"text":567,"type":302},{"type":15,"attrs":621,"content":622},{"textAlign":53},[623],{"text":624,"type":302},"“I am first and foremost a patient. An old patient.”",{"type":15,"attrs":626,"content":627},{"textAlign":53},[628,630,638,640,646],{"text":629,"type":302},"This is how Vincent Dumez introduces himself, even after a life devoted to championing causes, sharing lived wisdom and shouldering many responsibilities. Activist, educator, administrator, and co-founder of the patient-partner program at the ",{"text":631,"type":302,"marks":632},"Université de Montréal’s Faculty of Medicine",[633],{"type":497,"attrs":634},{"href":635,"uuid":53,"anchor":53,"custom":53,"target":636,"linktype":637},"https://medecine.umontreal.ca/","_blank","url",{"text":639,"type":302},", he also brings his voice and vision to several boards, including ",{"text":641,"type":302,"marks":642},"Accreditation Canada",[643],{"type":497,"attrs":644},{"href":645,"uuid":53,"anchor":53,"custom":53,"target":636,"linktype":637},"https://accreditation.ca/",{"text":647,"type":302},".",{"type":15,"attrs":649,"content":650},{"textAlign":53},[651],{"text":652,"type":302},"A long-time patient and a prominent advocate for patient partnership in Quebec and abroad, Vincent grew up with hemophilia, in constant dialogue with the healthcare system. Like many of his generation, he was impacted by the tainted blood scandal, a chapter in Canada’s history that laid bare deep fractures in safety.",{"type":15,"attrs":654,"content":655},{"textAlign":53},[656],{"text":657,"type":302},"From that collective wound, Vincent began a new path. Not to run from what happened but to seek understanding. To turn pain into knowledge and silence into dialogue. He chose to stay. To stay, and to act.",{"type":314,"attrs":659,"content":660},{"level":364,"textAlign":53},[661],{"text":662,"type":302},"Guiding the system with lived experience",{"type":15,"attrs":664,"content":665},{"textAlign":53},[666],{"text":667,"type":302},"What might have led to retreat or surrender became, for Vincent, a relentless will to understand and to spark action. Early on, he sought to bring a different voice to conversations about quality and safety in care: the voice of those who live it.",{"type":15,"attrs":669,"content":670},{"textAlign":53},[671],{"text":672,"type":302},"After years of community work, much of it alongside people living with HIV, Vincent crossed into the academic world with a clear purpose: to make the patient’s voice part of its fabric. At the Université de Montréal’s Faculty of Medicine, he helped create a patient-partnership program that ushered in a new current, one where lived experience itself became a source of learning. Today, patient partners sit in classrooms, shape quality-improvement work and take part in decision-making. Not on the sidelines, but at the heart of the team.",{"type":15,"attrs":674,"content":675},{"textAlign":53},[676],{"text":677,"type":302},"This model, now recognized in Quebec and abroad, rests on a simple idea: we cannot train competent clinicians without helping them understand what it means to live with an illness, a loss of autonomy, or a long and complex care journey.",{"type":15,"attrs":679,"content":680},{"textAlign":53},[681],{"text":682,"type":302},"For Vincent, safety is not something you declare. It is something you weave into the care relationship. It rests on discourse, on valuing everyone’s knowledge, and on sharing decisions.",{"type":314,"attrs":684,"content":685},{"level":364,"textAlign":53},[686],{"text":687,"type":302},"Giving experience a voice and meaning",{"type":15,"attrs":689,"content":690},{"textAlign":53},[691],{"text":692,"type":302},"Vincent has long defended an idea that still unsettles some: patients know. Over time, they develop a deep understanding of their body, their condition and the system that cares for them. They know what helps, what harms and what is missing.",{"type":15,"attrs":694,"content":695},{"textAlign":53},[696],{"text":697,"type":302},"Yet this knowledge often stays hidden, rarely named and even more rarely valued. To change this, Vincent helped lead the creation of the first international typology of patient knowledge. This work gives form and language to what patients know, including experiential medical knowledge, self-management skills, relational knowledge, system-navigation skills and cultural knowledge. In doing so, it recognizes patients not only as care recipients, but as knowledge-holders whose insight can guide safer care.",{"type":15,"attrs":699,"content":700},{"textAlign":53},[701,703,709],{"text":702,"type":302},"Vincent’s commitment to making patient knowledge visible has also found expression in practical tools. At the ",{"text":704,"type":302,"marks":705},"Centre of Excellence on Partnership with Patients and the Public",[706],{"type":497,"attrs":707},{"href":708,"uuid":53,"anchor":53,"custom":53,"target":636,"linktype":637},"https://ceppp.ca/",{"text":710,"type":302}," (CEPPP), he helped design learning paths tailored to different conditions. These resources support patients in understanding their health, asking informed questions, recognizing risks and taking an active role in decisions. Because a well-informed patient not only protects their own safety. They also help prevent avoidable complications and, in their own way, ease the pressure on care teams.",{"type":314,"attrs":712,"content":713},{"level":364,"textAlign":53},[714],{"text":715,"type":302},"Navigating risk, together",{"type":15,"attrs":717,"content":718},{"textAlign":53},[719],{"text":720,"type":302},"For Vincent, safety begins with a patient’s ability to understand what is happening to them, know who to turn to and make informed choices. That is why he insists on real, clear and equitable access to health information.",{"type":15,"attrs":722,"content":723},{"textAlign":53},[724],{"text":725,"type":302},"His commitment is also rooted in lived reality, in the experience of a patient who had to learn how to safeguard his own well-being. “For 35 years, I have forged a stance: to take an active role in my own safety.” Hospitalized many times, Vincent estimates he has personally avoided between five and ten adverse events, some potentially serious or even fatal. His safety net, he says, is knotted first by him and those closest to him.",{"type":15,"attrs":727,"content":728},{"textAlign":53},[729],{"text":730,"type":302},"He speaks of their essential role, recalling a moment when his father prevented a major safety breach during a hospital stay. Often, it is loved ones who spot the detail others overlook, who bring forgotten information back into view, who speak up when something feels amiss. Yet they are still too often regarded only as visitors, sometimes even as obstacles.",{"type":15,"attrs":732,"content":733},{"textAlign":53},[734],{"text":735,"type":302},"The more vulnerable a person is, whether young, older, in distress or weakened by pain, the more essential their loved ones become. Inviting them into clinical discussions, offering clear guidance and giving them space to intervene are all part of safe care.",{"type":314,"attrs":737,"content":738},{"level":364,"textAlign":53},[739],{"text":740,"type":302},"Fostering a shared culture of safety",{"type":15,"attrs":742,"content":743},{"textAlign":53},[744],{"text":745,"type":302},"Moving forward often begins with finding our community. For Vincent, patient associations, support groups and community organizations play a vital role in learning, offering comfort and turning lived experience into shared wisdom. They are spaces where fears, discoveries and questions are shared. Places to better understand oneself, to stand up for oneself, to act. Places where knowledge meets, grows and strengthens.",{"type":15,"attrs":747,"content":748},{"textAlign":53},[749],{"text":750,"type":302},"Seen this way, safety is not only the responsibility of the healthcare system. It becomes a culture, a collective commitment, a thread woven between patients, their loved ones, healthcare professionals, leaders, researchers and decision-makers.",{"type":15,"attrs":752,"content":753},{"textAlign":53},[754],{"text":755,"type":302},"Safety in care is never guaranteed. It is built and rebuilt every day, in every encounter. It requires rigour, but also humility. It depends on strong systems, but also on human connections. And it calls for shared responsibility.",{"type":15,"attrs":757,"content":758},{"textAlign":53},[759],{"text":760,"type":302},"To be informed. To listen. To ask questions. To speak up. To take part.",{"type":15,"attrs":762,"content":763},{"textAlign":53},[764],{"text":765,"type":302},"Whether we are healthcare professionals, patients, care partners or members of the public, each of us has a role to play in making care safer. 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It changes how we see it, and we cannot forget.",{"type":15,"attrs":856,"content":857},{"textAlign":53},[858],{"text":859,"type":302},"For Martin Beaumont, President and CEO of CHU de Québec – Université Laval and a board member of Healthcare Excellence Canada, the death of Joyce Echaquan was such a moment. Her passing provoked a profound reckoning across the health and social services network. This tragedy, heavy with grief, jolted collective awareness. It reminded us that dignity is not an abstract value but a daily obligation. 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For Beaumont, these tools remain essential, offering the metrics we track and compare. But they do not reveal the people, the relationships or the lived experiences behind the data.",{"type":15,"attrs":896,"content":897},{"textAlign":53},[898],{"text":899,"type":302},"At CHU de Québec – Université Laval, safety now includes what can’t be tallied: the climate among colleagues, the cohesion of teams, the trust and respect between patients and providers. The real shift, Beaumont says, is not abandoning data but adding a dimension that is both human and transformational, bringing real meaning to numbers and methods.",{"type":314,"attrs":901,"content":902},{"level":364,"textAlign":53},[903],{"text":904,"type":302},"Learning with and from others",{"type":15,"attrs":906,"content":907},{"textAlign":53},[908],{"text":909,"type":302},"Beaumont calls Healthcare Excellence Canada “an extraordinary school,” one that continues to shape his thinking. It was there he first encountered the language of truth, reconciliation and cultural safety. These ideas resonated deeply and gradually became levers for action within the organizations he leads.",{"type":15,"attrs":911,"content":912},{"textAlign":53},[913],{"text":914,"type":302},"Through shared learning with colleagues across the country, he saw both the scope of the challenge and the promise of progress. He noticed how some provinces were already adapting services for First Nations, Inuit and Métis communities. The lesson was clear: reconciliation can’t happen in isolation. It grows from shared perspectives, reciprocal partnerships and collective solutions.",{"type":314,"attrs":916,"content":917},{"level":364,"textAlign":53},[918],{"text":919,"type":302},"Putting convictions into practice",{"type":15,"attrs":921,"content":922},{"textAlign":53},[923],{"text":924,"type":302},"These lessons have taken shape in concrete ways at the CHU and across the Université Laval Integrated University Health and Social Services Network, which Beaumont chairs. A Cultural Safety Centre was created through close collaboration with communities and new hospitality rooms were developed for patients traveling from the North to receive cancer treatment.",{"type":15,"attrs":926,"content":927},{"textAlign":53},[928],{"text":929,"type":302},"Nearly 12,000 staff members, including clinicians, managers and support workers, have now received training in cultural safety. The goal is ambitious yet simple: to transform each encounter so that respect and openness become the hallmark of every interaction. Among the measures supporting this change is the creation of an Indigenous advisory committee. From this work, ten facilities in Eastern Quebec have adopted a standardized policy on cultural safety training.",{"type":15,"attrs":931,"content":932},{"textAlign":53},[933,935,944],{"text":934,"type":302},"That same resolve extends to a team participating in the ",{"text":936,"type":302,"marks":937},"EXTRA program",[938],{"type":497,"attrs":939},{"href":940,"uuid":941,"anchor":53,"custom":942,"target":943,"linktype":489},"/programs/extra","0d250e3b-c34d-45b6-8b49-1a309622bad9",{},"_self",{"text":945,"type":302},", which is embedding cultural safety strategies into EVAQ, Quebec’s aeromedical evacuation system. This work is a reminder that reconciliation extends beyond hospitals and into pre-hospital services, where each action carries weight.",{"type":314,"attrs":947,"content":948},{"level":364,"textAlign":53},[949],{"text":950,"type":302},"Trust as the cornerstone",{"type":15,"attrs":952,"content":953},{"textAlign":53},[954],{"text":955,"type":302},"For too long, many First Nations, Inuit and Métis have hesitated to step into health facilities, afraid of the judgement, stigma and stereotypes that they continue to experience within health systems. “They do not always come to us because they do not trust us, because they fear being judged,” Beaumont admits.",{"type":15,"attrs":957,"content":958},{"textAlign":53},[959],{"text":960,"type":302},"Ultimately, it is for First Nations, Inuit and Métis, not institutions, to decide if care feels safe.",{"type":15,"attrs":962,"content":963},{"textAlign":53},[964],{"text":965,"type":302},"Today, within the CHU de Québec – Université Laval and its network, signs of change are emerging. Families are making use of the spaces created for them. First Nations, Inuit and Métis advisory committee members continue to share their perspectives and contribute to new projects across the network.",{"id":16,"_uid":967,"items":968,"component":465},"c877475e-36ea-4fc3-9bd6-e5764aa20d06",[969],{"_uid":970,"image":971,"quote":973,"author":804,"component":464,"author_title":16},"1d4f00e8-170d-4354-b827-88f96ca9e2c5",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":972},{},{"type":12,"content":974},[975],{"type":15,"attrs":976,"content":977},{"textAlign":53},[978],{"text":979,"type":302},"“When you truly believe in something, you devote time, energy and resources. That is when change takes root, when it inspires and when it transforms.”",{"id":16,"_uid":981,"content":982,"component":449},"5563b6e7-3415-4639-a3d7-7798c8724d54",[983],{"_uid":984,"content":985,"component":342},"b0589128-258f-4502-80dd-560ace3525f0",{"type":12,"content":986},[987,992,997,1002,1007,1019,1024,1029],{"type":15,"attrs":988,"content":989},{"textAlign":53},[990],{"text":991,"type":302},"For Beaumont, reconciliation is not an aspiration, but a deep personal value and commitment or “zone d’obsession”. A commitment which compels him to dedicate time, resources and influence to make and sustain change. For him, that personal value and commitment grew into a constructive obsession, one that guides strategy, shapes priorities and drives change across his entire network.",{"type":15,"attrs":993,"content":994},{"textAlign":53},[995],{"text":996,"type":302},"The work goes beyond isolated projects; it is about weaving reconciliation into organizational culture and building trust step by step, through every decision and every action.",{"type":314,"attrs":998,"content":999},{"level":364,"textAlign":53},[1000],{"text":1001,"type":302},"The road ahead",{"type":15,"attrs":1003,"content":1004},{"textAlign":53},[1005],{"text":1006,"type":302},"Every training delivered, every project completed, every commitment honored becomes a promise kept. Trust is regained step by step, through listening deeply, asking questions and making space for all voices.",{"type":15,"attrs":1008,"content":1009},{"textAlign":53},[1010,1012,1014,1016,1017],{"text":1011,"type":302},"And in our own settings, are we ready to listen?",{"type":1013},"hard_break",{"text":1015,"type":302},"To create spaces where every voice matters?",{"type":1013},{"text":1018,"type":302},"To take the actions that allow trust to grow?",{"type":15,"attrs":1020,"content":1021},{"textAlign":53},[1022],{"text":1023,"type":302},"Cultural safety is not a destination reached once and for all. It is a challenging but necessary journey that transforms care relationships and, ultimately, lives.",{"type":15,"attrs":1025,"content":1026},{"textAlign":53},[1027],{"text":1028,"type":302},"It is up to us to continue walking that path.",{"type":15,"attrs":1030,"content":1031},{"textAlign":53},[1032,1038],{"text":1033,"type":302,"marks":1034},"Learn more about Joyce's Principle",[1035],{"type":497,"attrs":1036},{"href":1037,"uuid":53,"anchor":53,"custom":53,"target":636,"linktype":637},"https://principedejoyce.com/en/index",{"text":1039,"type":302},", which outlines commitments and actions to support cultural safety in healthcare in Quebec and Canada.",{"id":16,"cta":1041,"_uid":1045,"items":1046,"title":319,"component":525},[1042],{"_uid":1043,"link":1044,"label":511,"component":512},"b38b382b-3110-454b-92f3-5222a4efe650",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"e819dbc5-e600-40fa-a869-988fd6b5a167",[275,515,519,518,520,521,522,523,524],[143,115,129,150],"rebuilding-trust","updates/rebuilding-trust",-8850,[],"31c5d4f5-f239-4806-a57b-aeb5eb77f09f","2025-12-24T19:48:09.269Z",[],[1056],{"path":1057,"name":1058,"lang":541,"published":496},"actualites-et-perspectives/rebatir-la-confiance","Rebâtir la confiance ",{"name":1060,"created_at":1061,"published_at":1062,"updated_at":1063,"id":1064,"uuid":518,"content":1065,"slug":1233,"full_slug":1234,"sort_by_date":53,"position":1235,"tag_list":1236,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":1237,"first_published_at":1238,"release_id":53,"lang":535,"path":53,"alternates":1239,"default_full_slug":1234,"translated_slugs":1240},"From Hospital Hallways to Safer Spaces","2025-12-24T19:01:35.049Z","2026-02-26T01:19:30.327Z","2026-02-26T01:19:30.360Z",126620856554856,{"seo":1066,"_uid":282,"hero":1068,"types":1083,"topics":1084,"Noindex":292,"content":1085,"audience":1232,"component":527},{"_uid":278,"title":1067,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"From Hospital Hallways to Safer Spaces: Providing Comfort and Promoting Dignity for People Experiencing Homelessness | All Voices for Safer Care Blog Series",[1069],{"_uid":285,"date":1070,"image":1071,"title":1075,"author":1076,"component":294,"description":1077},"2025-10-08 00:00",{"id":1072,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1073,"copyright":16,"fieldtype":290,"meta_data":1074,"is_external_url":292},114296242592821,"https://a-ca.storyblok.com/f/850807391887861/336197489e/cpsw-blog-salvation-army-medavie.png",{"alt":16,"title":16,"source":16,"copyright":16},"From Hospital Hallways to Safer Spaces: Providing Comfort and Promoting Dignity for People Experiencing Homelessness","Ryan Omichinski, David Clare",{"type":12,"content":1078},[1079],{"type":15,"attrs":1080,"content":1081},{"textAlign":53},[1082],{"text":281,"type":302},[246],[46,76],[1086,1189,1205,1225],{"id":16,"_uid":307,"content":1087,"component":449},[1088,1111],{"_uid":310,"content":1089,"component":342},{"type":12,"content":1090},[1091,1095,1103,1107],{"type":314,"attrs":1092,"content":1093},{"level":316,"textAlign":53},[1094],{"text":319,"type":302},{"type":15,"attrs":1096,"content":1097},{"textAlign":53},[1098,1099,1102],{"text":324,"type":302},{"text":326,"type":302,"marks":1100},[1101],{"type":329},{"text":331,"type":302},{"type":15,"attrs":1104,"content":1105},{"textAlign":53},[1106],{"text":336,"type":302},{"type":15,"attrs":1108,"content":1109},{"textAlign":53},[1110],{"text":341,"type":302},{"_uid":1112,"content":1113,"component":342},"666f444f-5daa-47a0-b6e4-16242fc57ac7",{"type":12,"content":1114},[1115,1119,1124,1129,1144,1149,1154,1159,1164,1169,1174,1179,1184],{"type":314,"attrs":1116,"content":1117},{"level":316,"textAlign":53},[1118],{"text":1075,"type":302},{"type":15,"attrs":1120,"content":1121},{"textAlign":53},[1122],{"text":1123,"type":302},"Ryan Omichinski is the operations manager for mobile integrated health program at Medavie Health Services West, and David Clare is Housing Services Manager at the Salvation Army Crossroads in Saskatoon, Saskatchewan. The two are part of a pan-Canadian initiative to improve access to equity-oriented palliative care with and for people experiencing homelessness or vulnerable housing.",{"type":15,"attrs":1125,"content":1126},{"textAlign":53},[1127],{"text":1128,"type":302},"Many palliative care models don’t meet the needs of people experiencing homelessness or housing insecurity, where barriers to diagnosis and treatment often turn preventable conditions into life-threatening ones.",{"type":15,"attrs":1130,"content":1131},{"textAlign":53},[1132,1134,1142],{"text":1133,"type":302},"To break through these barriers, the Salvation Army Crossroads and Medavie Health Services have partnered to improve the safety of healthcare for people experiencing homelessness or vulnerable housing. This initiative is part of Healthcare Excellence Canada’s ",{"text":1135,"type":302,"marks":1136},"Improving Equity in Access to Palliative Care",[1137],{"type":497,"attrs":1138},{"href":1139,"uuid":1140,"anchor":53,"custom":1141,"target":943,"linktype":489},"/programs/improving-equity-in-access-to-palliative-care","a57a448f-4a8b-4c06-b2ad-a5872f325f97",{},{"text":1143,"type":302}," collaborative delivered in partnership with the Canadian Partnership Against Cancer. Medavie’s Ryan Omichinski and the Salvation Army’s David Clare speak to how they are bringing streamlined and dignified care closer to those using the Salvation Army’s shelter sites in Saskatoon.",{"type":15,"attrs":1145,"content":1146},{"textAlign":53},[1147],{"text":1148,"type":302},"In his time with the Salvation Army Crossroads, Housing Services Manager David Clare has come to understand two important things: first, that people generally want to receive support. And secondly, many people may decline that support at the time it is offered.",{"type":15,"attrs":1150,"content":1151},{"textAlign":53},[1152],{"text":1153,"type":302},"The two statements may seem contradictory, but the explanation is straightforward. “Our guests who have chosen not to access care at certain times have overwhelmingly told us it’s because they have had a bad experience – they’ve been ignored, had their needs dismissed, or felt they were being pushed out the door,” says David. “Because of that bad experience, they’re unlikely to return to a similar environment – a hospital emergency room, for example – because they don’t feel safe there.”",{"type":314,"attrs":1155,"content":1156},{"level":364,"textAlign":53},[1157],{"text":1158,"type":302},"Creating safer, more accessible care spaces",{"type":15,"attrs":1160,"content":1161},{"textAlign":53},[1162],{"text":1163,"type":302},"The role of physical space is just one aspect of the initiative that the Salvation Army Crossroads is undertaking with Medavie Health Services West. Their partnership embeds paramedicine services within the shelter, giving residents easier access to dignified and coordinated care. They’re also engaging the community they serve in planning a health clinic designed for the neighbourhood’s unique needs.",{"type":15,"attrs":1165,"content":1166},{"textAlign":53},[1167],{"text":1168,"type":302},"“Safer care begins with delivering healthcare where and when an individual needs or wants it, whether that's in a facility, their home, or another comfortable setting,” says Ryan Omichinski, Operations Manager for Mobile Integrated Health Programs at Medavie Health Services West. “Through our partnership with the Salvation Army Crossroads, we have the opportunity to provide a safe place and shelter for people experiencing structural barriers to receive medical care they may not otherwise have access to.”",{"type":314,"attrs":1170,"content":1171},{"level":364,"textAlign":53},[1172],{"text":1173,"type":302},"Redefining safety through empathy and dignity",{"type":15,"attrs":1175,"content":1176},{"textAlign":53},[1177],{"text":1178,"type":302},"David emphasizes that safer care is about more than the delivery of medical services. In shelter environments, care must also support foundational needs such as food, shelter, safety and belonging, in a way that upholds each person’s dignity. To do this well, providers must adopt a cultural and trauma-informed lens, ensuring that every interaction is grounded in empathy and respect. There must be trust between the patient and care team.",{"type":15,"attrs":1180,"content":1181},{"textAlign":53},[1182],{"text":1183,"type":302},"“Safety isn’t just about a practice of how you administer medication or other tasks,” adds Ryan. “More than policies and procedures, we need to find ways to bring our clients, patients, caregivers, families and those with lived experience into the decision-making process to truly allow individuals to feel safe.”",{"type":15,"attrs":1185,"content":1186},{"textAlign":53},[1187],{"text":1188,"type":302},"By shifting care from hospital hallways to safer spaces – and approaching each interaction with empathy, dignity, and meaningful support – David and Ryan are helping to rewrite what safety in healthcare means for people who have historically been faced with barriers to accessing the system.",{"id":16,"_uid":1190,"items":1191,"component":465},"aeff389b-3aaf-4657-bfb4-4d289ecb5a12",[1192],{"_uid":1193,"image":1194,"quote":1196,"author":1203,"component":464,"author_title":1204},"b9fa7cf2-1055-473f-b9e9-af1ae460ecf3",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":1195},{},{"type":12,"content":1197},[1198],{"type":15,"attrs":1199,"content":1200},{"textAlign":53},[1201],{"text":1202,"type":302},"“People generally want care, but creating a supportive space and engaging non-judgmentally is critical. Then, listen with intention: you’ll see and hear things you otherwise would have missed.”","David Clare","Housing Services Manager at Salvation Army in Saskatoon, Saskatchewan",{"id":16,"_uid":1206,"link":1207,"image":1213,"title":1215,"video_id":16,"component":1216,"media_type":1217,"description":1218,"video_title":16},"789dffdf-694e-4bb3-ab01-325215b247c4",[1208],{"_uid":1209,"link":1210,"label":1212,"component":512},"e1bbe8a5-0ed0-4dd0-8a4a-bacb2aa477ae",{"id":1140,"url":16,"linktype":489,"fieldtype":490,"cached_url":1211},"programs/improving-equity-in-access-to-palliative-care","Learn more",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":290,"meta_data":1214},{},"Promising practices for improving equity in access to palliative care ","info-block-program","none",{"type":12,"content":1219},[1220],{"type":15,"attrs":1221,"content":1222},{"textAlign":53},[1223],{"text":1224,"type":302},"Communities across Canada are improving access to safe and high-quality palliative care for people experiencing structural vulnerabilities.  ",{"id":16,"cta":1226,"_uid":1230,"items":1231,"title":319,"component":525},[1227],{"_uid":1228,"link":1229,"label":511,"component":512},"710f3e19-6e9a-4e7e-94b0-adcaba1ff024",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"e41e2f58-60ee-4067-8384-977f9e14a379",[515,275,517,519,520,521,522,523,524],[115,122,129],"from-hospital-hallways-to-safer-spaces","updates/from-hospital-hallways-to-safer-spaces",-8840,[],"c781df4f-3d96-4a96-9938-cf838a48005a","2025-12-24T19:51:41.064Z",[],[1241],{"path":1242,"name":1243,"lang":541,"published":496},"actualites-et-perspectives/loin-des-couloirs-d-hopitaux-vers-des-espaces-plus-surs","Loin des couloirs d’hôpitaux vers des espaces plus sûrs",{"name":1245,"created_at":1246,"published_at":1247,"updated_at":1248,"id":1249,"uuid":519,"content":1250,"slug":1537,"full_slug":1538,"sort_by_date":53,"position":1539,"tag_list":1540,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":1541,"first_published_at":1542,"release_id":53,"lang":535,"path":53,"alternates":1543,"default_full_slug":1538,"translated_slugs":1544},"From Silence to Safer Care","2025-12-24T19:01:45.111Z","2026-02-26T01:20:03.858Z","2026-02-26T01:20:03.889Z",126620897822057,{"seo":1251,"_uid":282,"hero":1253,"types":1267,"topics":1268,"Noindex":292,"content":1269,"audience":1536,"component":527},{"_uid":278,"title":1252,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"From Silence to Safer Care: Dignity and Inclusion for 2SLGBTQIA+ Older Adults | All Voices for Safer Care Blog Series",[1254],{"_uid":285,"date":1255,"image":1256,"title":1260,"author":16,"component":294,"description":1261},"2025-10-27 00:00",{"id":1257,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1258,"copyright":16,"fieldtype":290,"meta_data":1259,"is_external_url":292},126634133865350,"https://a-ca.storyblok.com/f/850807391887861/1688x1125/18de0f2653/cpsw-blog-darren-usher.png",{},"From Silence to Safer Care: Dignity and Inclusion for 2SLGBTQIA+ Older Adults",{"type":12,"content":1262},[1263],{"type":15,"attrs":1264,"content":1265},{"textAlign":53},[1266],{"text":281,"type":302},[246],[46,76],[1270,1529],{"id":16,"_uid":307,"content":1271,"component":449},[1272,1295],{"_uid":310,"content":1273,"component":342},{"type":12,"content":1274},[1275,1279,1287,1291],{"type":314,"attrs":1276,"content":1277},{"level":316,"textAlign":53},[1278],{"text":319,"type":302},{"type":15,"attrs":1280,"content":1281},{"textAlign":53},[1282,1283,1286],{"text":324,"type":302},{"text":326,"type":302,"marks":1284},[1285],{"type":329},{"text":331,"type":302},{"type":15,"attrs":1288,"content":1289},{"textAlign":53},[1290],{"text":336,"type":302},{"type":15,"attrs":1292,"content":1293},{"textAlign":53},[1294],{"text":341,"type":302},{"_uid":1296,"content":1297,"component":342},"cb43a3c4-ecc1-4a4f-aa81-61c43cf521cf",{"type":12,"content":1298},[1299,1304,1318,1323,1328,1335,1352,1357,1364,1390,1395,1400,1405,1412,1417,1422,1427,1432,1439,1444,1449,1454,1459,1466,1476,1481,1486,1491,1496,1503,1508,1513],{"type":314,"attrs":1300,"content":1302},{"level":316,"textAlign":1301},"left",[1303],{"text":1260,"type":302},{"type":15,"attrs":1305,"content":1306},{"textAlign":53},[1307,1314],{"text":1308,"type":302,"marks":1309},"Content note: This story discusses experiences of trauma, discrimination, and other sensitive topics that may be distressing to some readers.",[1310,1313],{"type":1311,"attrs":1312},"textStyle",{"color":16},{"type":329},{"text":1315,"type":302,"marks":1316}," ",[1317],{"type":329},{"type":15,"attrs":1319,"content":1320},{"textAlign":1301},[1321],{"text":1322,"type":302},"Some wounds never show on the surface. They live quietly in the way a person lowers their voice or glances around before speaking their truth. ",{"type":15,"attrs":1324,"content":1325},{"textAlign":1301},[1326],{"text":1327,"type":302},"Darren Usher has dedicated himself to tending those invisible injuries, the ones left by decades of being silenced, shamed, and forgotten. As Chair of Dignity Seniors Society in British Columbia, he works with and for 2SLGBTQIA+ seniors to make care safer, more inclusive and rooted in dignity. For him, safety begins with connection – with being seen, heard, and free to be yourself.",{"type":314,"attrs":1329,"content":1330},{"level":364,"textAlign":1301},[1331],{"text":1332,"type":302,"marks":1333},"“Safer,” not “safe”",[1334],{"type":370},{"type":15,"attrs":1336,"content":1337},{"textAlign":1301},[1338,1340,1344,1346,1350],{"text":1339,"type":302},"When asked what safe care means for 2SLGBTQIA+ seniors, Darren takes a long pause before answering. “I’ve never liked the word",{"text":1341,"type":302,"marks":1342}," safe",[1343],{"type":329},{"text":1345,"type":302},",” he says. “It promises too much. I prefer ",{"text":1347,"type":302,"marks":1348},"safer.",[1349],{"type":329},{"text":1351,"type":302},"”",{"type":15,"attrs":1353,"content":1354},{"textAlign":1301},[1355],{"text":1356,"type":302},"Safety, he explains, grows with each person, shaped by trust, experience and care. “When care is culturally appropriate,” he adds, “it becomes safer by default. But that only happens when providers take the time to listen and learn. You can’t meet one trans person and assume you understand everyone – each person defines what safety means to them.”",{"type":314,"attrs":1358,"content":1359},{"level":364,"textAlign":1301},[1360],{"text":1361,"type":302,"marks":1362},"Meeting people where they are",[1363],{"type":370},{"type":15,"attrs":1365,"content":1366},{"textAlign":1301},[1367,1372,1384,1389],{"text":1368,"type":302,"marks":1369},"That belief underpins Dignity Seniors Society’s trauma-informed, strengths-based approach – especially through We Are Familee, a volunteer-led initiative that helps 2SLGBTQIA+ older adults to age in place, supported in part by Healthcare Excellence Canada through the ",[1370],{"type":1311,"attrs":1371},{"color":16},{"text":1373,"type":302,"marks":1374},"Enabling Aging in Place",[1375,1380,1382],{"type":497,"attrs":1376},{"href":1377,"uuid":1378,"anchor":53,"custom":1379,"target":943,"linktype":489},"/programs/enabling-aging-in-place","55ec5ec1-cdad-4ca3-8923-16d512d9201d",{},{"type":1311,"attrs":1381},{"color":16},{"type":1383},"underline",{"text":1385,"type":302,"marks":1386}," collaborative.",[1387],{"type":1311,"attrs":1388},{"color":16},{"text":1315,"type":302},{"type":15,"attrs":1391,"content":1392},{"textAlign":1301},[1393],{"text":1394,"type":302},"“It’s about not making the participant fit your program, but making your program fit the participant,” Darren explains. “It requires flexibility. You build around the person’s pace and needs, not the volunteer’s schedule.”",{"type":15,"attrs":1396,"content":1397},{"textAlign":1301},[1398],{"text":1399,"type":302},"The change, he says, can be slow at first but deeply meaningful. “Some participants who were bed-bound at the start are now active and engaged months later. They rediscover that their community cares about them. That’s powerful.”",{"type":15,"attrs":1401,"content":1402},{"textAlign":1301},[1403],{"text":1404,"type":302},"For many, those small acts of connection – a weekly visit, a shared meal, a conversation – are not just kindness; they are lifelines.",{"type":314,"attrs":1406,"content":1407},{"level":364,"textAlign":1301},[1408],{"text":1409,"type":302,"marks":1410},"The weight of isolation",[1411],{"type":370},{"type":15,"attrs":1413,"content":1414},{"textAlign":1301},[1415],{"text":1416,"type":302},"Darren doesn’t soften the truth. Isolation, he says, leaves marks that go far beyond loneliness.",{"type":15,"attrs":1418,"content":1419},{"textAlign":1301},[1420],{"text":1421,"type":302},"“Our older adults lived through decades when being gay was illegal, when it was called a mental illness. You learn to protect yourself. You become invisible.”",{"type":15,"attrs":1423,"content":1424},{"textAlign":1301},[1425],{"text":1426,"type":302},"That instinct to hide doesn’t disappear with age. In long-term care, Darren often meets community members sitting quietly at the edges of rooms, listening while others share stories about children and grandchildren. “They edit themselves,” he says, “because they assume no one wants to hear their stories.”",{"type":15,"attrs":1428,"content":1429},{"textAlign":1301},[1430],{"text":1431,"type":302},"That invisibility, Darren explains, is not neutrality – it’s a response to harm. And when people silence themselves out of fear, it deepens the very isolation that endangers their wellbeing.",{"type":314,"attrs":1433,"content":1434},{"level":364,"textAlign":1301},[1435],{"text":1436,"type":302,"marks":1437},"What service providers can do",[1438],{"type":370},{"type":15,"attrs":1440,"content":1441},{"textAlign":1301},[1442],{"text":1443,"type":302},"For Darren, inclusion begins with something simple: giving people the space to say and be who they are. He believes safety grows from recognition, from being invited to share and trusted to be heard.",{"type":15,"attrs":1445,"content":1446},{"textAlign":1301},[1447],{"text":1448,"type":302},"“Provide that opportunity on intake forms, in documentation, in conversation,” he says. “And do it for everyone. When it’s a standard practice, it tells our older adults that you understand.”",{"type":15,"attrs":1450,"content":1451},{"textAlign":1301},[1452],{"text":1453,"type":302},"Many will not share right away. “They may not fill in the box the first time,” Darren says. “But each time you ask, you’re opening a door. You’re showing that you care. The more doors you open, the more trust you build.”",{"type":15,"attrs":1455,"content":1456},{"textAlign":1301},[1457],{"text":1458,"type":302},"Small gestures, he adds, can signal safety long before words are exchanged – introducing yourself with your pronouns, for instance, or acknowledging a person’s partner when you greet them. “It tells people you see them,” he says. “That you want to get it right.”",{"type":314,"attrs":1460,"content":1461},{"level":364,"textAlign":1301},[1462],{"text":1463,"type":302,"marks":1464},"From the silent cohort to the pride cohort",[1465],{"type":370},{"type":15,"attrs":1467,"content":1468},{"textAlign":1301},[1469,1471,1475],{"text":1470,"type":302},"Part of Dignity Seniors Society’s work is understanding generational differences. Darren describes many of the people they serve as belonging to what researchers call the",{"text":1472,"type":302,"marks":1473}," silent cohort",[1474],{"type":329},{"text":647,"type":302},{"type":15,"attrs":1477,"content":1478},{"textAlign":1301},[1479],{"text":1480,"type":302},"“They grew up before decriminalization, before homosexuality was removed from the DSM,” he says, referring to the Diagnostic and Statistical Manual of Mental Disorders, where it was once listed as a mental illness. “They learned to hide. They still call their partner of forty years their ‘friend’ or ‘flatmate.’ We often feel so much socially induced shame,” he says.",{"type":15,"attrs":1482,"content":1483},{"textAlign":1301},[1484],{"text":1485,"type":302},"He sees this as a matter of social justice. “We have a responsibility as a society to repair the damage we did in the 1950s and ’60s,” he says. “Many went through conversion therapy, electric shock therapy, even lobotomies. Those who didn’t still heard the stories. That fear stayed with them.”",{"type":15,"attrs":1487,"content":1488},{"textAlign":1301},[1489],{"text":1490,"type":302},"But change, Darren notes, is already taking shape. “The pride cohort – those who came of age after legalization – are entering the system now. They won’t hide. They won’t be silent. They’ll be activists. And our job is to prepare service providers to meet those activists, because they will demand change.”",{"type":15,"attrs":1492,"content":1493},{"textAlign":1301},[1494],{"text":1495,"type":302},"This shift, he says, will challenge healthcare systems to evolve – to design care with people, not for them, and to ensure that every interaction upholds dignity and equity.",{"type":314,"attrs":1497,"content":1498},{"level":364,"textAlign":1301},[1499],{"text":1500,"type":302,"marks":1501},"Looking ahead",[1502],{"type":370},{"type":15,"attrs":1504,"content":1505},{"textAlign":1301},[1506],{"text":1507,"type":302},"For Darren, the work is both personal and collective – an act of repair and of possibility. Each conversation, each act of care, helps rebuild trust in systems that once caused harm.",{"type":15,"attrs":1509,"content":1510},{"textAlign":1301},[1511],{"text":1512,"type":302},"He knows change takes time. But he also sees proof every day that it’s happening – in the voices that no longer whisper, and in the quiet certainty that no one should have to hide to be cared for.",{"type":15,"attrs":1514,"content":1515},{"textAlign":1301},[1516,1521,1528],{"text":1517,"type":302,"marks":1518},"To learn more about Dignity Seniors Society and its work to support 2SLGBTQIA+ older adults, visit ",[1519],{"type":1311,"attrs":1520},{"color":16},{"text":1522,"type":302,"marks":1523},"dignityseniors.org",[1524],{"type":497,"attrs":1525},{"href":1526,"uuid":53,"anchor":53,"custom":1527,"target":636,"linktype":637},"https://www.dignityseniors.org/",{},{"text":647,"type":302},{"id":16,"cta":1530,"_uid":1534,"items":1535,"title":319,"component":525},[1531],{"_uid":1532,"link":1533,"label":511,"component":512},"586d7a19-0ac7-4486-ba22-9db365fb901e",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"34930f05-d378-433a-94e4-5c6cd167094e",[522,523,524,515,275,517,518,520,521],[115,143,122,129,150],"from-silence-to-safer-care","updates/from-silence-to-safer-care",-8830,[],"011de6db-c20b-4bcd-8f96-5b8498e477ae","2025-12-24T19:58:11.437Z",[],[1545],{"path":1546,"name":1547,"lang":541,"published":496},"actualites-et-perspectives/du-silence-a-des-soins-plus-surs","Du silence à des soins plus sûrs",{"name":1549,"created_at":1550,"published_at":1551,"updated_at":1552,"id":1553,"uuid":520,"content":1554,"slug":1701,"full_slug":1702,"sort_by_date":53,"position":1703,"tag_list":1704,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":1705,"first_published_at":1706,"release_id":53,"lang":535,"path":53,"alternates":1707,"default_full_slug":1702,"translated_slugs":1708},"Beyond Compliance","2025-12-24T19:01:55.033Z","2026-02-26T01:20:47.898Z","2026-02-26T01:20:47.940Z",126620938413418,{"seo":1555,"_uid":282,"hero":1557,"types":1571,"topics":1572,"Noindex":292,"content":1573,"audience":1700,"component":527},{"_uid":278,"title":1556,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"Beyond Compliance: Sandra Young on How Standards, Collaboration, and Curiosity Drive Safer Care | All Voices for Safer Care Blog Series",[1558],{"_uid":285,"date":1255,"image":1559,"title":1563,"author":1564,"component":294,"description":1565},{"id":1560,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1561,"copyright":16,"fieldtype":290,"meta_data":1562,"is_external_url":292},126635253617543,"https://a-ca.storyblok.com/f/850807391887861/1688x1125/8cd0119919/cpsw-blog-sandra-young.png",{},"Beyond Compliance: Sandra Young on How Standards, Collaboration, and Curiosity Drive Safer Care ","Sandra Young",{"type":12,"content":1566},[1567],{"type":15,"attrs":1568,"content":1569},{"textAlign":53},[1570],{"text":301,"type":302},[246],[76,39],[1574,1693],{"id":16,"_uid":307,"content":1575,"component":449},[1576,1600],{"_uid":310,"content":1577,"component":342},{"type":12,"content":1578},[1579,1583,1592,1596],{"type":314,"attrs":1580,"content":1581},{"level":316,"textAlign":53},[1582],{"text":319,"type":302},{"type":15,"attrs":1584,"content":1585},{"textAlign":53},[1586,1587,1590],{"text":324,"type":302},{"text":326,"type":302,"marks":1588},[1589],{"type":329},{"text":1591,"type":302},", reminds us that building safer healthcare systems isn’t the responsibility of one person or one role – it’s something we create together.",{"type":15,"attrs":1593,"content":1594},{"textAlign":53},[1595],{"text":336,"type":302},{"type":15,"attrs":1597,"content":1598},{"textAlign":53},[1599],{"text":341,"type":302},{"_uid":1601,"content":1602,"component":342},"506b24fa-3476-45f7-872c-ee0fc7f85057",{"type":12,"content":1603},[1604,1609,1614,1619,1624,1629,1633,1638,1643,1647,1652,1657,1661,1666,1670,1675,1680],{"type":314,"attrs":1605,"content":1606},{"level":316,"textAlign":53},[1607],{"text":1608,"type":302},"Beyond Compliance: Sandra Young on How Standards, Collaboration, and Curiosity Drive Safer Care",{"type":15,"attrs":1610,"content":1611},{"textAlign":53},[1612],{"text":1613,"type":302},"All Voices for Safer Care reminds us that safer health care is not created by a single person or organization – it’s built together. By elevating every voice, from patients and caregivers to providers and system leaders, we can create the trust, curiosity and collaboration needed for meaningful change. ",{"type":15,"attrs":1615,"content":1616},{"textAlign":53},[1617],{"text":1618,"type":302},"Sandra Young, Executive Director of Standards & Education at Health Standards Organization (HSO), is one of those voices. Her work is helping turn standards into resilient systems that keep patients, providers and communities safer and more equitable every day.",{"type":314,"attrs":1620,"content":1621},{"level":364,"textAlign":53},[1622],{"text":1623,"type":302},"Tell us a bit about your role and the community or organization(s) you work with.",{"type":15,"attrs":1625,"content":1626},{"textAlign":53},[1627],{"text":1628,"type":302},"As Executive Director of Standards and Education at Health Standards Organization, I’m proud to work alongside a highly skilled team for Canada’s only Standards Development Organization dedicated to health and social services. National Standards of Canada truly are significant levers for system wide change and come to life through our affiliate Accreditation Canada. One of the things I value most about HSO is our inclusive and people-centred approach. At the heart of our work are our highly valued technical committee members, who lead the standards development process. On these committees, you’ll find not only clinicians, administrators and academics, but also patients, caregivers and community partners. All perspectives are essential to shaping our shared understanding of the health care system, so we can co-produce relevant and meaningful standards, grounded in the evidence.",{"type":314,"attrs":1630,"content":1631},{"level":364,"textAlign":53},[1632],{"text":390,"type":302},{"type":15,"attrs":1634,"content":1635},{"textAlign":53},[1636],{"text":1637,"type":302},"For me, safer care is about reducing the risk of harm. It’s not realistic to expect zero harm, but we can always strive for ongoing, continuous quality improvement and shared learning, while focusing on proactive, safe and reliable practices. Safe care recognizes that the experience of our patients and providers is inextricably bound, and to quote our CEO – there is no quality and safety without a healthy and safe workforce.",{"type":15,"attrs":1639,"content":1640},{"textAlign":53},[1641],{"text":1642,"type":302},"Safer care is also about recognizing that harm is not only physical but includes psychological and cultural harm. I cannot overstate the significance of active and visible leadership to cultivate a culture of safety where teams feel safe to speak up for safety and understanding what happened, not who did it, to support shared learning.",{"type":314,"attrs":1644,"content":1645},{"level":364,"textAlign":53},[1646],{"text":402,"type":302},{"type":15,"attrs":1648,"content":1649},{"textAlign":53},[1650],{"text":1651,"type":302},"I have worked in health care for 36 years where reporting of hazards, close calls and safety events predominated safety procedures. It wasn’t until I became a Nurse Practitioner that I learned about optimizing human factors and received training in systems analysis. The first time I was exposed to safe and reliable practices was in 2012 from Allan Frankel. At HSO we have put patient safety on the front burner and balanced our approach to Patient Safety I – or retrospectively analyzing when things go wrong and Patient Safety II – proactively emphasizing what is going right - in the release of Required Safety Practices this past spring. Safety isn’t just about avoiding errors; it’s about building reliable and resilient people and systems.",{"type":15,"attrs":1653,"content":1654},{"textAlign":53},[1655],{"text":1656,"type":302},"This shift has been transformative. In the past, safety was often about compliance – making sure policies were followed and incidents were reported. Now, we’re focused on building systems that can adapt and thrive in complexity. For example, our Required Safety Practices (RSPs) are designed to help organizations anticipate challenges, rather than reacting to problems. We encourage teams to learn from what goes well, not just from mistakes, and to share those lessons across the system.",{"type":314,"attrs":1658,"content":1659},{"level":364,"textAlign":53},[1660],{"text":419,"type":302},{"type":15,"attrs":1662,"content":1663},{"textAlign":53},[1664],{"text":1665,"type":302},"I come back to the Required Safety Practices (RSPs) as evidence-informed, measurable safety imperatives designed to prevent, respond to, and manage physical, psychological, and cultural harm. We have added accountabilities at all levels of the organization, as safety is everyone’s business, and included measuring and monitoring. While we have streamlined from 38 to 24 RSPs reducing operational burden for organizations, we have also added four new RSPs that address emerging and current safety risks: 1) opioid stewardship, 2) health equity, 3) early recognition and response to acute clinical deterioration, and 4) partnering with clients to improve safety.",{"type":314,"attrs":1667,"content":1668},{"level":364,"textAlign":53},[1669],{"text":441,"type":302},{"type":15,"attrs":1671,"content":1672},{"textAlign":53},[1673],{"text":1674,"type":302},"Collaboration and integration. We are better together. When national organizations come together to influence change this provides standardization and reliability across the system. And in turn when these standards are scalable from the 15-bed hospice to the provincial health system then local outcomes roll up into broad impact. Integration of care across teams, sites, and sectors reduces fragmentation, improves outcomes and most importantly reduces harm. We all know the greatest risk for patients is at times of transition, when we learn from the patient and provider experience during information or care transfers - we can close the gaps of risks. Everyone has a role to play, and every voice matters.",{"type":15,"attrs":1676,"content":1677},{"textAlign":53},[1678],{"text":1679,"type":302},"Together, we can turn standards into action and build safer systems for everyone.",{"type":15,"attrs":1681,"content":1682},{"textAlign":53},[1683,1685,1691],{"text":1684,"type":302},"Explore HSO’s standards and join the quality improvement community at: ",{"text":1686,"type":302,"marks":1687},"www.healthstandards.org",[1688],{"type":497,"attrs":1689},{"href":1690,"uuid":53,"anchor":53,"custom":53,"target":636,"linktype":637},"http://www.healthstandards.org/",{"text":1692,"type":302},".  ",{"id":16,"cta":1694,"_uid":1698,"items":1699,"title":319,"component":525},[1695],{"_uid":1696,"link":1697,"label":511,"component":512},"c77edcee-bfb4-493f-8bf2-6e5d95d518e8",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"68ef298d-2c6a-4475-b158-df0ff1813b4b",[522,523,524,515,516,275,517,518,519,521],[136,143,150],"beyond-compliance","updates/beyond-compliance",-8820,[],"4416d25e-9a97-496b-ae8c-bf3151c82417","2025-12-24T20:02:57.505Z",[],[1709],{"path":1710,"name":1711,"lang":541,"published":496},"actualites-et-perspectives/au-dela-de-la-conformite","Au-delà de la conformité",{"name":1713,"created_at":1714,"published_at":1715,"updated_at":1716,"id":1717,"uuid":521,"content":1718,"slug":1924,"full_slug":1925,"sort_by_date":53,"position":1926,"tag_list":1927,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":1928,"first_published_at":1929,"release_id":53,"lang":535,"path":53,"alternates":1930,"default_full_slug":1925,"translated_slugs":1931},"Closing the Safety Gap","2025-12-24T19:02:32.149Z","2026-02-26T01:21:28.132Z","2026-02-26T01:21:28.152Z",126621090452843,{"Seo":1719,"seo":1723,"_uid":282,"hero":1725,"types":1739,"topics":1740,"Noindex":292,"content":1741,"audience":1923,"component":527},[1720],{"_uid":1721,"Noindex":292,"component":1722},"6ee796a1-4de1-4cc2-b378-1eda97ba2ba2","Seo settings",{"_uid":278,"title":1724,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"Closing the Safety Gap: Improving Children’s Pain Management Across Canada",[1726],{"_uid":285,"date":1727,"image":1728,"title":1724,"author":1732,"component":294,"description":1733},"2025-11-03 00:00",{"id":1729,"alt":16,"name":16,"focus":16,"title":16,"source":16,"filename":1730,"copyright":16,"fieldtype":290,"meta_data":1731,"is_external_url":292},126636303831945,"https://a-ca.storyblok.com/f/850807391887861/8010x4503/3e6ac79ed7/skip-blog-submission-accompanying-graphic.jpg",{},"Solutions for Kids in Pain",{"type":12,"content":1734},[1735],{"type":15,"attrs":1736,"content":1737},{"textAlign":53},[1738],{"text":281,"type":302},[246],[46,76,39],[1742,1916],{"id":16,"_uid":307,"content":1743,"component":449},[1744,1767],{"_uid":310,"content":1745,"component":342},{"type":12,"content":1746},[1747,1751,1759,1763],{"type":314,"attrs":1748,"content":1749},{"level":316,"textAlign":53},[1750],{"text":319,"type":302},{"type":15,"attrs":1752,"content":1753},{"textAlign":53},[1754,1755,1758],{"text":324,"type":302},{"text":326,"type":302,"marks":1756},[1757],{"type":329},{"text":331,"type":302},{"type":15,"attrs":1760,"content":1761},{"textAlign":53},[1762],{"text":336,"type":302},{"type":15,"attrs":1764,"content":1765},{"textAlign":53},[1766],{"text":341,"type":302},{"_uid":1601,"content":1768,"component":342},{"type":12,"content":1769},[1770,1774,1779,1784,1789,1794,1801,1806,1811,1818,1841,1846,1851,1858,1863,1868,1873,1880,1885,1890,1911],{"type":314,"attrs":1771,"content":1772},{"level":316,"textAlign":53},[1773],{"text":1724,"type":302},{"type":15,"attrs":1775,"content":1776},{"textAlign":53},[1777],{"text":1778,"type":302},"At the heart of safer care is the belief that everyone deserves to be heard and supported — especially children. When children visit the hospital, families trust that they will receive the best available care that treats their child’s illness and manages their pain. But too often, children’s pain is missed or minimized, presenting a safety gap that comes with serious, lasting consequences. ",{"type":15,"attrs":1780,"content":1781},{"textAlign":53},[1782],{"text":1783,"type":302},"Children in Canadian hospitals undergo an average of six painful procedures per day. For babies in neonatal intensive care, that number increases to fourteen.",{"type":15,"attrs":1785,"content":1786},{"textAlign":53},[1787],{"text":1788,"type":302},"Research shows that two-thirds of these procedures are performed without any pain management. On top of that, one in four children who have major surgery develop chronic pain. When children’s pain is ignored, it represents a silent safety failure that can follow them into adulthood. Poorly managed pain can delay healing, increase sensitivity, affect neurodevelopment, and lead to avoidance of healthcare later in life. It is also linked to depression, anxiety, suicidality, and harmful substance use.",{"type":15,"attrs":1790,"content":1791},{"textAlign":53},[1792],{"text":1793,"type":302},"These preventable outcomes reveal a broader, systemic issue in pediatric care. When pain is inadequately treated, children experience measurable and preventable harm and that constitutes a patient safety incident.",{"type":314,"attrs":1795,"content":1796},{"level":364,"textAlign":53},[1797],{"text":1798,"type":302,"marks":1799},"Recognizing children’s pain as a patient safety incident",[1800],{"type":370},{"type":15,"attrs":1802,"content":1803},{"textAlign":53},[1804],{"text":1805,"type":302},"A patient safety incident occurs when care is provided or omitted in a way that could lead to, or has already caused, unnecessary harm. Examples include not using topical analgesics before a vaccination or IV insertion or delaying pain relief after major surgery.",{"type":15,"attrs":1807,"content":1808},{"textAlign":53},[1809],{"text":1810,"type":302},"Canada now has a guideline to recognize unmanaged pediatric pain as equally critical to patient safety.",{"type":314,"attrs":1812,"content":1813},{"level":364,"textAlign":53},[1814],{"text":1815,"type":302,"marks":1816},"Leading the way: Canada’s Pediatric Pain Management Health Standard",[1817],{"type":370},{"type":15,"attrs":1819,"content":1820},{"textAlign":53},[1821,1826,1833,1835,1840],{"text":1822,"type":302,"marks":1823},"Pediatric pain management is essential to every child health encounter and key to delivering safe, high-quality, person-centered care. The release of the ",[1824],{"type":1311,"attrs":1825},{"color":16},{"text":1827,"type":302,"marks":1828},"Pediatric Pain Management health standard",[1829],{"type":497,"attrs":1830},{"href":1831,"uuid":53,"anchor":53,"custom":1832,"target":636,"linktype":637},"https://healthstandards.org/standard/pediatric-pain-management-can-hso-13200-2023-e/",{},{"text":1834,"type":302}," (CAN/HSO 13200:2023)",{"text":1836,"type":302,"marks":1837}," in April 2023 marked a significant milestone in Canadian healthcare. ",[1838],{"type":1311,"attrs":1839},{"color":16},{"text":1315,"type":302},{"type":15,"attrs":1842,"content":1843},{"textAlign":53},[1844],{"text":1845,"type":302},"Developed by Solutions for Kids in Pain (SKIP) in collaboration with the Health Standards Organization (HSO), this standard is the first of its kind globally. As a National Standard of Canada, it guides the delivery of quality, equitable pain care for children in all Canadian hospital settings, from children’s hospitals to rehabilitation and community hospitals. It applies across all areas of care, including inpatient, outpatient, diagnostic and emergency services. The standard emphasizes equity as part of quality care, including anti-racist, anti-oppression and trauma-informed approaches. Importantly, it also outlines criteria to classify under- and untreated pain in children as a patient safety incident.",{"type":15,"attrs":1847,"content":1848},{"textAlign":53},[1849],{"text":1850,"type":302},"Since its release, uptake has been strong. As of Sept 16th, 2025, it has been downloaded more than 2,900 times across 78 countries, with over 1,600 downloads from Canada alone, having been accessed in every province and two territories. This broad national and international interest signals a shared recognition that pediatric pain management is not only a clinical priority but a matter of health equity and patient safety. The standard directly responds to Health Canada’s 2021 ‘Action Plan for Pain in Canada’, which called for consistent access to timely, evidence-based and person-centred pain care for all people in Canada. By setting a national benchmark, the standard aims to close gaps in care and ensure that all children, regardless of where they live or receive treatment, have access to the best possible pain care.",{"type":314,"attrs":1852,"content":1853},{"level":364,"textAlign":53},[1854],{"text":1855,"type":302,"marks":1856},"Solutions for Kids in Pain (SKIP): Accelerating change through collaboration",[1857],{"type":370},{"type":15,"attrs":1859,"content":1860},{"textAlign":53},[1861],{"text":1862,"type":302},"Solutions for Kids in Pain (SKIP) is a national knowledge mobilization network dedicated to improving children’s pain management. SKIP brings together patients, families, health professionals and decision-makers to drive change through coordination and collaboration.",{"type":15,"attrs":1864,"content":1865},{"textAlign":53},[1866],{"text":1867,"type":302},"SKIP has led a series of engagement and implementation activities involving more than one hundred families, health professionals and leaders from across the country. Their insights are helping shape an implementation roadmap that aims to bring high-quality pain management to children everywhere by equipping hospitals and communities with the tools they need.",{"type":15,"attrs":1869,"content":1870},{"textAlign":53},[1871],{"text":1872,"type":302},"This work includes developing a highly requested Implementation Guide and other tailored resources that help hospitals assess current practices and plan for improvement. SKIP is also fostering a coordinated, community-driven approach by sharing hospital success stories, centring patient and family experiences and supporting training through early adopters.",{"type":314,"attrs":1874,"content":1875},{"level":364,"textAlign":53},[1876],{"text":1877,"type":302,"marks":1878},"Fueling a culture shift toward safer care",[1879],{"type":370},{"type":15,"attrs":1881,"content":1882},{"textAlign":53},[1883],{"text":1884,"type":302},"Partnerships are a cornerstone of SKIP’s approach. Working in lockstep with its national network, patient and family partners, and organizations such as the Health Standards Organization, Accreditation Canada, and Children's Healthcare Canada, SKIP aims to fuel a broader culture shift that makes pediatric pain management synonymous with patient safety.",{"type":15,"attrs":1886,"content":1887},{"textAlign":53},[1888],{"text":1889,"type":302},"Everyone has a role to play in closing the safety gap for kids in pain. Whether you work in a hospital, care for a child living with pain, or shape healthcare policy, you can help raise awareness about this critical issue and the evidence-based tools available to improve care.",{"type":15,"attrs":1891,"content":1892},{"textAlign":53},[1893,1898,1905,1910],{"text":1894,"type":302,"marks":1895},"Visit ",[1896],{"type":1311,"attrs":1897},{"color":16},{"text":1899,"type":302,"marks":1900},"kidsinpain.ca",[1901],{"type":497,"attrs":1902},{"href":1903,"uuid":53,"anchor":53,"custom":1904,"target":636,"linktype":637},"http://kidsinpain.ca/",{},{"text":1906,"type":302,"marks":1907}," to learn more about the Pediatric Pain Management Health Standard and discover resources to help your team take action.",[1908],{"type":1311,"attrs":1909},{"color":16},{"text":1315,"type":302},{"type":15,"attrs":1912,"content":1913},{"textAlign":53},[1914],{"text":1915,"type":302},"Together, we can make safer care for children a shared reality — one where every child’s voice, experience and comfort truly matter.",{"id":16,"cta":1917,"_uid":1921,"items":1922,"title":319,"component":525},[1918],{"_uid":1919,"link":1920,"label":511,"component":512},"d762adc9-1cf5-4230-965c-af9e5b05ac40",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"15a24df2-b2e4-4df4-94e4-7b17460da880",[515,275,517,518,521,522,523,524],[143,122,129,136,150],"closing-the-safety-gap","updates/closing-the-safety-gap",-8810,[],"fdd946d1-114b-4c76-99b9-e20771697f7c","2025-12-24T20:06:14.721Z",[],[1932],{"path":1933,"name":1934,"lang":541,"published":496},"actualites-et-perspectives/combler-les-ecarts-en-matiere-de-securite","Combler les écarts en matière de sécurité",{"name":1936,"created_at":1937,"published_at":1938,"updated_at":1939,"id":1940,"uuid":522,"content":1941,"slug":2031,"full_slug":2032,"sort_by_date":53,"position":2033,"tag_list":2034,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":2035,"first_published_at":2036,"release_id":53,"lang":535,"path":53,"alternates":2037,"default_full_slug":2032,"translated_slugs":2038},"Baseline Chiropractic and Wellness Centre ","2025-12-24T18:55:23.760Z","2026-02-26T01:16:58.825Z","2026-02-26T01:16:58.842Z",126619335796065,{"seo":1942,"_uid":282,"hero":1944,"types":1958,"topics":1959,"Noindex":292,"content":1960,"audience":2030,"component":527},{"_uid":278,"title":1943,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"Baseline Chiropractic and Wellness Centre",[1945],{"_uid":285,"date":571,"image":1946,"title":1943,"author":16,"component":294,"description":1952},{"id":1947,"alt":1948,"name":16,"focus":16,"title":1949,"source":16,"filename":1950,"copyright":16,"fieldtype":290,"meta_data":1951,"is_external_url":292},114296171125795,"Dr. Kelly Fleck from the Chiropractic Association of Alberta","Dr","https://a-ca.storyblok.com/f/850807391887861/e0ad634493/dr.png",{"alt":1948,"title":1949,"source":16,"copyright":16},{"type":12,"content":1953},[1954],{"type":15,"attrs":1955,"content":1956},{"textAlign":53},[1957],{"text":281,"type":302},[246],[76,98],[1961,2023],{"id":16,"_uid":307,"content":1962,"component":449},[1963,1986],{"_uid":310,"content":1964,"component":342},{"type":12,"content":1965},[1966,1970,1978,1982],{"type":314,"attrs":1967,"content":1968},{"level":316,"textAlign":53},[1969],{"text":319,"type":302},{"type":15,"attrs":1971,"content":1972},{"textAlign":53},[1973,1974,1977],{"text":324,"type":302},{"text":326,"type":302,"marks":1975},[1976],{"type":329},{"text":331,"type":302},{"type":15,"attrs":1979,"content":1980},{"textAlign":53},[1981],{"text":336,"type":302},{"type":15,"attrs":1983,"content":1984},{"textAlign":53},[1985],{"text":341,"type":302},{"_uid":1601,"content":1987,"component":342},{"type":12,"content":1988},[1989,1993,1998,2003,2008,2013,2018],{"type":314,"attrs":1990,"content":1991},{"level":316,"textAlign":53},[1992],{"text":1943,"type":302},{"type":15,"attrs":1994,"content":1995},{"textAlign":53},[1996],{"text":1997,"type":302},"Dr. Kelly Fleck and his team at Baseline Chiropractic and Wellness Centre in Sherwood Park, Alberta, realized that to fully integrate musculoskeletal care into primary care, they needed to expand their approach to patient safety. After participating in Healthcare Excellence Canada's (HEC) Rethinking Patient Safety Action Series, they developed a comprehensive patient safety strategy for their clinic. This initiative was supported by the Chiropractic Association of Alberta, which has advocated for a national patient safety strategy for chiropractic care.",{"type":15,"attrs":1999,"content":2000},{"textAlign":53},[2001],{"text":2002,"type":302},"Through a series of chiropractic roundtable meetings, stakeholders discussed the concept of harm, how and why they should broaden their view of harm and what they could do to bring it into the wider discussion across their profession.",{"type":15,"attrs":2004,"content":2005},{"textAlign":53},[2006],{"text":2007,"type":302},"Dr. Fleck and his team also identified four key strategies for reducing harm and enhancing safety in their clinic: strengthening patient consent processes, updating emergency first aid procedures, launching a lunch-and-learn series on providing care that meets the needs of underserved communities and enhancing collaboration with other healthcare providers.",{"type":15,"attrs":2009,"content":2010},{"textAlign":53},[2011],{"text":2012,"type":302},"These discussions and activities brought patient safety to the forefront at Baseline and have inspired ongoing daily huddles where safety concerns and updates are discussed. It’s given a voice to the diverse experiences of both patients and practitioners and fostered an environment of safety and trust.",{"type":15,"attrs":2014,"content":2015},{"textAlign":53},[2016],{"text":2017,"type":302},"Dr. Fleck believes a culture of no shame, no blame, is required to move the chiropractic profession forward and to ensure harmful events are properly reported and learned from. When these events are viewed as learning opportunities rather than shameful mistakes, it inspires a culture of progress and an environment of supportive teamwork.",{"type":15,"attrs":2019,"content":2020},{"textAlign":53},[2021],{"text":2022,"type":302},"Dr. Kelly Fleck and the Chiropractic Association of Alberta hope to inspire the chiropractic community to unite at a national level, advocating for a more robust approach to patient safety. Through courageous leadership and a commitment to elevating the patient’s voice, they aim to make patient safety a standard in chiropractic care. 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Michelle Wile is the Health Service Manager for Women and Children’s, Midwifery and Ambulatory Care at SSRH in Bridgewater, N.S. and Rebecca Parks is a Quality Improvement and Patient Safety Leader in the Western Zone of Nova Scotia. This viewpoint, alongside a Healthcare Excellence Canada’s (HEC) Action Series focus on rewiring thoughts on harm, led to a discussion-based initiative within South Shore.",{"type":15,"attrs":2107,"content":2108},{"textAlign":53},[2109],{"text":2110,"type":302},"Rebecca and Michelle wanted to deepen their understanding of patients’ perceptions and experiences around harm and provide safer working conditions for their staff. Since they deeply value the knowledge and experiences, they decided a discussion-based approach would offer the most insight into their patients’ concerns and would be the natural starting point for reducing harm. The first step was daily staff safety huddles run by Wendy Young (Team Lead for Women and Children’s at SSRH), where they could openly discuss their concerns and help to focus on prevention of harm that was identified by staff. They then moved on to conversations with patients, asking them what they needed in order to feel safe.",{"type":15,"attrs":2112,"content":2113},{"textAlign":53},[2114],{"text":2115,"type":302},"Two main themes emerged from these discussions. They recognized that language barriers between patients and staff were creating challenges to safe and effective care, and more robust support was needed. Language identification cards are in the process of being printed, they connected with a language coordinator, and a language app is being installed on all Nova Scotia Health unit phones. Staff also reported an increase in diversity with their patient population and wanted to support cultural needs in terms of care. This led to education and collaboration with a Mi’kmaw Indigenous Patient Navigator and an Organizational Development Consultant, providing resources and support staff.",{"type":15,"attrs":2117,"content":2118},{"textAlign":53},[2119],{"text":2120,"type":302},"Some patients also reported a feeling of stigma around some of the medication and monitoring practices, particularly families with a history of opioid use disorders. Staff received and processed this information and worked to improve their communication and clarify expectations with patients at the onset of treatment. Staff were also more able to provide the necessary support and resources for patients and their families.",{"type":15,"attrs":2122,"content":2123},{"textAlign":53},[2124],{"text":2125,"type":302},"Asking patients and staff what they needed to feel safe led to simple yet impactful changes around the unit that improved communication between staff and increased patient satisfaction. Rebecca and Wendy shared their experience and findings at a Nova Scotia Health Western Zone Quality Summit in the hopes it will spread throughout their healthcare zone. They’ve continued their work within South Shore, gathering more stories from staff and patients. Their next goal is to make these safety questions standard at the time of admittance and to include the birthing unit so they can better understand what their patients need to feel safe at the time of delivery.",{"type":15,"attrs":2127,"content":2128},{"textAlign":53},[2129],{"text":2130,"type":302},"The team at South Shore embodies the principles of listen, learn and act. They’re a great example of including patients in the conversation about their own care and safety. By valuing patients as the holders of knowledge, they empower them to be active participants in their own care. This sense of collaboration and agency allows patients to feel confident and improves their emotional and psychological safety.",{"id":16,"cta":2132,"_uid":2136,"items":2137,"title":319,"component":525},[2133],{"_uid":2134,"link":2135,"label":511,"component":512},"4a4c6280-f493-4169-8d46-4aaa5d6d9092",{"id":505,"url":16,"linktype":489,"fieldtype":490,"cached_url":506},"36d09cf0-7d4d-4072-b893-ac0a15e18beb",[522,524,515,275,517,518,519,520,521],[129,143,150],"nova-scotia-health","updates/nova-scotia-health",-8800,[],"db008d37-2ebd-45b5-95a2-1a903dc58046","2025-12-24T19:23:54.370Z",[],[2147],{"path":2148,"name":2149,"lang":541,"published":496},"actualites-et-perspectives/sante-nouvelle-ecosse","Santé Nouvelle-Écosse",{"name":2151,"created_at":2152,"published_at":2153,"updated_at":2154,"id":2155,"uuid":524,"content":2156,"slug":2264,"full_slug":2265,"sort_by_date":53,"position":2266,"tag_list":2267,"is_startpage":292,"parent_id":532,"meta_data":53,"group_id":2268,"first_published_at":2269,"release_id":53,"lang":535,"path":53,"alternates":2270,"default_full_slug":2265,"translated_slugs":2271},"Summerset Manor","2025-12-24T19:00:43.751Z","2026-03-25T21:35:24.553Z","2026-03-25T21:35:24.568Z",126620646446435,{"Seo":2157,"seo":2160,"_uid":282,"hero":2162,"types":2175,"topics":2176,"Noindex":292,"content":2177,"audience":2263,"component":527},[2158],{"_uid":2159,"Noindex":292,"component":1722},"c61cdbd5-935f-47e4-9824-16679243c2dc",{"_uid":278,"title":2161,"plugin":280,"og_image":16,"og_title":16,"description":281,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"Summerset Manor | All Voices for Safer Care Blog Series",[2163],{"_uid":285,"date":571,"image":2164,"title":2151,"author":16,"component":294,"description":2169},{"id":2165,"alt":2166,"name":16,"focus":16,"title":16,"source":16,"filename":2167,"copyright":16,"fieldtype":290,"meta_data":2168,"is_external_url":292},114296174136357,"Photo of staff, Kelsey Goodwin-Coughlin at Summerset Manor in Summerside, PEI.","https://a-ca.storyblok.com/f/850807391887861/8487b03b81/3a8a0231.jpg",{"alt":2166,"title":16,"source":16,"copyright":16},{"type":12,"content":2170},[2171],{"type":15,"attrs":2172,"content":2173},{"textAlign":53},[2174],{"text":281,"type":302},[246],[76,98],[2178,2256],{"id":16,"_uid":307,"content":2179,"component":449},[2180,2203],{"_uid":310,"content":2181,"component":342},{"type":12,"content":2182},[2183,2187,2195,2199],{"type":314,"attrs":2184,"content":2185},{"level":316,"textAlign":53},[2186],{"text":319,"type":302},{"type":15,"attrs":2188,"content":2189},{"textAlign":53},[2190,2191,2194],{"text":324,"type":302},{"text":326,"type":302,"marks":2192},[2193],{"type":329},{"text":331,"type":302},{"type":15,"attrs":2196,"content":2197},{"textAlign":53},[2198],{"text":336,"type":302},{"type":15,"attrs":2200,"content":2201},{"textAlign":53},[2202],{"text":341,"type":302},{"_uid":2204,"content":2205,"component":342},"532907ee-cc58-4a9f-81d7-403a2e88d187",{"type":12,"content":2206},[2207,2211,2216,2221,2226,2231,2236,2241,2246,2251],{"type":314,"attrs":2208,"content":2209},{"level":316,"textAlign":53},[2210],{"text":2151,"type":302},{"type":15,"attrs":2212,"content":2213},{"textAlign":53},[2214],{"text":2215,"type":302},"Kelsey Goodwin-Coughlin is a Clinical Resource Nurse representing the team at Summerset Manor, a long-term care facility in Summerside, P.E.I. At Summerset, they take a person-centred holistic approach to care and patient safety is central to their mission.",{"type":15,"attrs":2217,"content":2218},{"textAlign":53},[2219],{"text":2220,"type":302},"Kelsey was a resident care worker at Summerset for ten years before returning to school for her Bachelor of Science in Nursing. She returned to Summerset as an RN Supervisor and is now their Clinical Resource Nurse. Kelsey and the Summerset team’s work is inspired by their residents and they strive to provide them with the highest quality of life possible.",{"type":15,"attrs":2222,"content":2223},{"textAlign":53},[2224],{"text":2225,"type":302},"The team at Summerset realized that their residents' quality of life was closely connected to having a sense of purpose and feeling like they belong. This led to the creation of several purposeful spaces throughout the manor, such as a workshop, salon, cafe and “Main Street.” These spaces provide residents with familiarity and a sense of routine, as well as meaningful, sensory-driven interactions and a deeper sense of community. Summerset is made up of a collection of households, with 13 or 14 residents in each, along with a mixture of these common areas for residents to freely explore.",{"type":15,"attrs":2227,"content":2228},{"textAlign":53},[2229],{"text":2230,"type":302},"Three of the households at Summerset are ‘dementia households’, where residents living with dementia stay within their household for their own safety. Summerset recently expanded the environment of two of these households, so residents now have an indoor park to explore. They also have two bilingual households, ensuring that French-speaking residents can receive care in their preferred language. Kelsey notes that as individuals age, they often feel more comfortable using their first language. Providing care in that language can help ensure they receive safe and effective support tailored to their needs.",{"type":15,"attrs":2232,"content":2233},{"textAlign":53},[2234],{"text":2235,"type":302},"Summerset is the only public home in P.E.I. with a therapeutic dementia worker. This worker's role is to understand the unique needs of residents with dementia and collaborate with their families to create personalized care plans. Tabatha Gallant is the therapeutic dementia worker at Summerset, and she takes a holistic approach to her work. Her main goal is to enhance the quality of life for residents, and she enjoys the detective work involved in discovering the best ways to support them.",{"type":15,"attrs":2237,"content":2238},{"textAlign":53},[2239],{"text":2240,"type":302},"Tabatha carefully observes the residents and often finds creative ways to help them without using medication. By including residents with dementia in daily activities at the manor, she helps establish a routine that gives them a sense of purpose and encourages meaningful interactions with staff.",{"type":15,"attrs":2242,"content":2243},{"textAlign":53},[2244],{"text":2245,"type":302},"Tabatha has led the development of a Snoezelen Room at Summerset. A Snoezelen Room uses sensory activities to help stimulate residents who may not be able to enjoy their favorite activities anymore. It also offers a calming space where residents can relax and take some time for themselves.",{"type":15,"attrs":2247,"content":2248},{"textAlign":53},[2249],{"text":2250,"type":302},"Summerset offers personalized meal options and a wide range of recreational activities. They've also started using virtual reality to enhance the experience for residents. This use of technology is an exciting innovation that can help inspire energy and a sense of adventure in older adults. Summerset is continuously growing its team by hiring specialized staff like Tabatha, who use their knowledge and skills to enrich the lives of the residents.",{"type":15,"attrs":2252,"content":2253},{"textAlign":53},[2254],{"text":2255,"type":302},"The team at Summerset show how a person-centered approach can make a meaningful impact. By prioritizing the physical, psychological, social and emotional safety of the residents, their loved ones and staff, they are creating a supportive environment that enhances healthcare quality and safety. 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