Clinical Improvement

We lead and support work that aims to improve quality of care in numerous clinical
areas. For example, we lead initiatives that align with the evolving priorities of British
Columbia’s health care system, such as our Call for Less Antipsychotics in
Residential Care and our support of the province’s National Surgical
Quality Improvement Program teams. From 2010 to 2016, we supported
change management and provided leadership within the Clinical Care
Management (CCM) initiative, in partnership with the Ministry of Health and the
province’s health authorities.
Through CCM we helped the system reduce clinical variation and implement best
practices by developing inter-professional networks, communities of practice and
improvement collaboratives. In residential care, for example, medication
reconciliation is now performed reliably 96% of the time, reducing the risk of
medication errors for residents.
And across the province, surgical checklist completion rates improved steadily
since 2012 from 67% to 92%. Health professionals from almost every intensive care
unit in BC have formed a provincial community of practice to work together on
improving critical care, and voluntary stroke improvement collaboratives
resulted in detectable improvement in the provincial rate of acute thrombolytic
treatment for ischemic stroke patients.
Physicians, pharmacists, nurses and others worked together to decrease risk of
clots: provincial venous thromboembolism prophylaxis rates increased
significantly to 98% in critical care units, 93% in surgical units, and 86% in medical
units. And provincial hand hygiene compliance rates are now exceeding the
target performance of 80%.
In September 2014, we collaborated with the Michael Smith Foundation for Health
Research to study the implementation of CCM. Led by InSource Research, the
study’s findings help BC better understand and manage large scale change while
improving transformation within the province’s health care system moving forward.
You can download the report here.
Learn more about our current clinical improvement initiatives by clicking on a topic to
the left

https://bcpsqc.ca/clinical-improvement/

Key contact
Shari McKeown,

Director, Clinical Improvement

BCPSQC

smckeown@bcpsqc.ca

778.477.4440