Those kinds of improvements are necessary before the city can launch a bike share program, he said. But he said the idea is in reach, and could be implemented within two or going to continue and the fact is we're not well prepared for it" said Dr Sholom Glouberman president of the Patients' Association of Canada'Kaleidoscope' of careDiane Doran the scientific director of the University of Toronto's Nursing Health Services Research Unit notes that patients often deal with a rotating cast of nurses and personal-care workers each with their own style of delivering carePatients can "encounter this kaleidoscope of different care providers" she says and this can increasethe risk of communication breakdownsDoran was one of the co-leads on the two-year Safety at Home study whichfound that the most serious adverse events experienced by patients in the home are falls medication errors and infections- which are many of the same risks encountered in hospitalsThat finding spurred the Canadian Patient Safety Institute an Edmonton-based non-profit agency that funded part of the study to start adapting some ofits safety tools for hospitals to the home environmentTheorganization is now in the process ofrefocussing its campaigns on everything from washing hands to keeping medications straight so that both home-care workers and family caregivers can understand them better"It's crucial that we do everything we can to ensure that environment is safe" said the institute's CEO Hugh MacLeod "Because if we don't the consequence will be we will have significant traffic to our ERs"Canada 'way behind'MacLeod says the organization has vowed to prioritize home-care safety issues over the next five years-a sign of the times"There has been a very significant shift from acute care to home care" he says?Nov 1vs FinalUTA 84, Oct 23at FinalPHO 98, TOR 110F/(OT)Wed, Dec 23at FinalTOR 99.

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