Reducing Hospital Harm: Establishing a Command Centre to Foster Situational Awareness

Humber River Hospital (HRH) implemented the world's first Command Centre (Generation 2) tiles to support early identification and real-time management of patients at risk of harm and clinical deterioration. To rescue patients and mitigate patient safety threats, situational awareness must be maximized. The development of the Generation 2 tiles was aligned with 18 out of 31 categories and clinical groupings of the Hospital Harm framework. Results of the 2019/20 Hospital Harm report (CIHI 2021) revealed that the overall rate of harm score for HRH was lower than that of peer hospitals, suggesting that there may be an association between the tiles and these patient outcomes.