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High Quality, Effective Virtual Rehabilitation After Joint Replacement
Traditionally, in-person supervised rehabilitation has been the standard of care following total knee arthroplasty (TKA) in order to optimize surgical outcomes (Davilla et al; 2019). During pandemic restrictions, our ability to offer in person postoperative treatment...
Read MoreEstablishing Behavioural Rounds in Alternate Level of Care Population
Behavioural rounds were developed to address the non pharmacological management of patients that experience behavioural and psychological symptoms of dementia (BPSD). BPSD symptoms are very challenging for patients, staff and caregivers to manage. They may include...
Read MoreCombined Heat and Power Generation
The Bayview Campus of Sunnybrook Health Sciences Centre in Toronto supports nearly 1100 patient beds and spans three million square feet. We installed an 8-megawatt gas turbine combined heat and power (CHP) generator with exhaust heat recovery to supply 85% of our...
Read MoreSimulation: Supporting Ontario Teams Transitioning to Team-Based Models (TBM)
Challenge • September 28, 2020, the Premier announces that Ontario has now entered Wave 2 of the COVID-19 pandemic. • The Ontario Critical Care COVID Command Centre has recommended augmenting critical care teams by implementing a team-based approach. • Time-sensitive:...
Read MoreHospital-based Violence Intervention Program – Breaking the Cycle of Violence with Empathy (BRAVE) Program
Research indicates that young people who are violently injured by stabbing or gunshot are nearly twice as likely to have a subsequent violent injury requiring hospital treatment within two years compared to their counterparts with non-violent injuries. Hospital-based...
Read MoreSupporting Staff COVID-19 Vaccine Confidence and Uptake
Sunnybrook Health Sciences Centre (SHSC) recognizes the importance of immunization of staff members in order to protect themselves, their colleagues and their patients. Despite the supporting evidence, many health care staff remain hesitant to get vaccinated against...
Read MoreUnderstanding Person-Centred Approaches to Care through the use Video Dramatizations/Vignettes and Applied Theatre
This leading practice is a health education tool that incorporates applied theatre featuring video vignettes; encouraging learning that is interactive and reflective in a safe environment. Through the generousity of a Sunnybrook PBRI Seed Grant, 20 video vignettes...
Read MoreIn Chair 4 Meals: Aspiration Prevention and the Importance of Positioning for Post-operative Patients
Post-operative aspiration can cause complications like re-intubation, pneumonia, and can quickly become life threatening if a person is unable to get enough oxygen. After four aspiration-related deaths on the surgical oncology inpatient unit in the summer of 2017, an...
Read MoreHydrate While You Wait
Hydrate While You Wait is a pre-operative hydration program that was first piloted on two surgical wards at Sunnybrook Health Sciences Centre in February 2019. The program is comprised of two main components – a clinical pathway and corresponding medical directive for...
Read MoreHand Hygiene Improvement Methods Preventing And Controlling Transmission (HH IMPACT) Group Electronic Monitoring
While hand hygiene (HH) rates have been consistently linked to patient safety and controlling rates of nosocomial infection, traditional, direct observation methods of measuring HH are highly subject to the Hawthorne effect, and even with extensive auditing programs,...
Read MoreLeading Practices are submitted by health organizations from around the world. The contents of the Leading Practices library do not reflect opinions or views of HSO or its affiliates. If you have questions, concerns or suggestions please email us at leadingpractices@healthstandards.org
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Health Standards Organization (HSO) and its affiliate, Accreditation Canada, have been identifying and publishing Leading Practices in the Leading Practices Library for over 15 years.
A Leading Practice is an innovative, people-centred, evidence-informed practice that has been implemented by teams in an organization. The leading practice has demonstrated a positive change related to safe and reliable care/service, accessible and appropriate care/service, and/or integrated care/service.
The Leading Practices Library is a knowledge-sharing resource and serves to recognize innovative practices that have been submitted and have undergone a review by peer reviewers. Leading Practices are shared with the public, policymakers and organizations who are interested in improving and making real quality and health system changes.
Practices that are recognized as Leading Practices are published in the Leading Practices Library. Leading Practices are also promoted through HSO mediums including newsletters, webinars, conferences, education materials, and affiliated accrediting bodies.
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