Patient Safety Steering Team

Terms of Reference

The Cornerstones that we build and the Connections that we make in Caring about our patient’s safety.

Purpose:

The purpose of the Patient Safety Steering Team is to establish patient safety outcomes and strategies to achieve the outcomes.

Specific Responsibilities:

1.  Identify initiatives to achieve the patient safety outcomes and recommend corporate patient safety initiatives to the Executive Team for decision.

2.  Monitor the status and effectiveness of the corporate patient safety initiatives and 90-day action plans.

3.  Ensure the coordination of all activities and strategies within the strategic Cornerstones of the Patient Safety Model.

4.  Ensure alignment and integration of the activities of the corporate Patient Safety Initiative Teams.

5.  Identify and eliminate barriers to successful achievement of HHS goals and objectives for Patient Safety.

6.  Develop and monitor Patient Safety indicators, identify opportunities for improvement, make recommendations for action and monitor progress of improvement efforts at a corporate level.

7.  Develop policies and standards for system wide improvement of Patient Safety.

8.  Report activities and progress to the Executive Team, Operations Committee, MAC, PAC and Quality of Care Committee.


Reporting Relationship/Accountability:

Quality Steering Team

Linkages:

Executive Team

Operations Committee

MAC

PAC

Pharmacy and Therapeutics

Quality of Care Committee

Patient Safety Initiative Teams

Membership:

President and Chief Executive Officer (Chair)

Executive Vice President Clinical Operations

Vice President Medical

Chair Medical Advisory Committee

President of McMaster Children’s Hospital

Vice President, Professional Affairs and Chief Nursing Executive

Integrated Vice President Patient Services

Integrated Vice President Clinical Support and Hospital Services

Assistant Vice President Organizational Effectiveness

Assistant Vice President of Clinical Appropriateness and Efficiency

Director Clinical Support Services

Director of a Clinical Program

Director, Public Relations and Communications

Director of Corporate and Medical Affairs

Chair Death Review Committee

Service Manager

Clinical Manager

Manager Quality

Patient Safety Specialists

Consultation Resources:

Appropriate programs and services will be consulted as related issues arise.

Meetings:

A 2 hour meeting will be held every month or at the call of the Chair.

Minutes:

Minutes will be distributed to members.

Sub- Committee:

Clinical Environment and Equipment Safety Working Group

Term:

The terms for the Committee and Sub-Committee are ongoing. The continuing need for the Committee and Sub- Committee will be determined each June.

Patient Safety Steering Committee: Terms of Reference

(Revised December 8, 2005)

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