Patient Safety Learning
Critical incidents and other patient safety incidents are reviewed to identify ways in which the health care system might change so that health care delivery can be made safer.
The lessons learned from these reviews are shared in several ways to help improve safety across the health system:
- With the patient or family through the disclosure process.
- Within the health authority, including with the care teams involved, relevant program areas, and throughout the health authority.
- Provincially, when the system learning has broader relevance for preventing similar events and patient harm in the future.
Sharing what is learned helps strengthen the system and supports safe care for everyone.
Patient Safety Learning Advisories (PSLAs)
Since November 2014, the department has shared provincial Patient Safety Learning Advisories (PSLAs) to make important lessons and recommendations available to a wider public audience and to promote learning across Manitoba’s health care system. These advisories are now posted by Shared Health, in collaboration with Manitoba’s health authorities.
Provincial PSLAs are intended to supplement — not replace — the learning and communication that occur within each region or facility where the incident and review took place. Provincial PSLAs share lessons that may help improve care across Manitoba and are provided alongside any learning or program specific updates issued by individual health authorities.
To learn more, visit:
Patient Safety Learning – Shared Health
PSLAs created prior to Shared Health and Health System Transformation remain available under Archived PSLAs. These documents are provided in PDF format and are currently available in English only.
