Speaker
Description
Workplace violence is a growing concern across all sectors. In response, and aligned with the BPG: Preventing Violence, Harassment, and Bullying Against Health Workers, SickKids developed the Comfort and Safety Bundle (CSB). The CSB is a screening tool to identify and mitigate risks of patient-related agitation and aggression.
The CSB takes a trauma-informed, systematic approach to safety, focusing on both the healthcare provider and patients. It uses a comprehensive framework to manage and prevent escalating events, advancing EDI by ensuring compassionate and culturally safe patient care. Objectives include increasing patient satisfaction, reducing behavioural risk events, and improving patient and staff safety.
The CSB includes the Comfort and Safety Screening Questions (CASQ) and a Comfort and Safety Plan (CASP) for all patients). Development involved extensive staff, patient, and family engagement, pilot projects, simulation exercises, and a phased implementation. Consultations with diverse groups ensured cultural safety and inclusivity.
The CSB has streamlined identifying patients at higher risk of behavioural events and developing personalized safety plans. Preliminary evaluation results indicate improved safety planning and increased leader awareness of risk, integrated into the EMR to facilitate accessibility and consistency in risk assessment and management.
The CSB demonstrates significant implications for safety in pediatric healthcare and the promotion of equity when performing sensitive assessments. Our work highlights the importance of a trauma-informed approach, key actor engagement, and continuous improvement in addressing workplace violence. This initiative sets a precedent for other facilities to adopt similar measures and showcases SickKids' commitment to creating inclusive and safe healthcare environments for all.
Participants will learn about the development, implementation, and outcomes of the CSB, gaining insights into how to leverage BPSO initiatives to advance EDI in their own organizations. This presentation will provide practical examples and tools adaptable to various healthcare settings to improve safety and inclusivity.
Author(s) Credentials and Title
Angie Lim, RN, PhD, MN, Clinical Nurse Specialist, Professional Practice
Darryl Yates, RN, MHSc, CHE, Executive Director, Clinical Services
Lyndsay Chapman, MSW, Prg Manager, Prevention of Workplace Violence
Sharon Lorber, MSW, Interprofessional Education Specialist, Mental Health Portfolio and Special Projects
Sarah Kaufman, RN, Professional Practice Lead, Comfort and Safety
Sangeeta Gupta, RN, MN, Professional Practice Lead, Comfort and Safety
What RNAO BPG or tool/toolkit is this work related to:
Preventing Violence, Harassment, and Bullying Against Health Workers
Keywords
workplace violence prevention, staff and patient safety, trauma-informed care
| Organization Name | Hospital for Sick Children |
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