Page 18 - 2022 DMOH Year-End Review Summary

UHN Local Impact

Award Winners 2022

Congratulations to the Cancer Program Transfer of Accountability Interprofessional Working
Group (Cancer Program TOA WG) for being recognized with a UHN Local Impact Award for Quality
and Safety – Team. Recognizing their important QI work to improve the consistency, quality and
sustainability of best TOA practices for cancer patients, this multi-year work has led to significant
improvements in quality outcomes. To highlight, there has been a reduction in TOA serious safety
events as illustrated in our SSER rate, which decreased from 1.25 to 0.14 (June 2016 vs June 2022).
There has also been a significant decrease in real-time reporting of TOA concerns at the Cancer
Program site huddle; reduced from 10 to 3 TOA concerns/month (September 2021 – September
2022). Inpatient physician handover rounds are occurring with 100% attendance, with an efficient
review of over 40-50 inpatients in 25 minutes on weekdays, focused on the sickest patients. In addi-
tion, fidelity audits showed 86% compliance with the I-PASS tool in handovers, in Medical Oncology
units. Verbal TOA has been hardwired into care within inpatient units and is a leading practice for
clinicians with proven patient safety outcomes.

In a very effective manner, the Cancer Program TOA WG has been able to lead important initiatives
improving quality of inpatient care that can be an example for all. They have been a highly effec-
tive group, and we would like to extend our sincerest congratulations for their achievements and
continuous efforts.

This Working Group is chaired by Dr. Neesha Dhani and includes the following DMOH members:
Victoria Glinsky, Ishan Acharya, Katharyn Go, Vikas Gupta, Anet Julius, Alyssa Macedo, Lesley
Moody, Enrique Sanz Garcia, Santhosh Thyagu, Auro Viswabandya, and Chloe Yang.

18  Division of Medical Oncology & Hematology