System and practice improvement

With its specialized research insight and analytical experience, the CMPA empowers the medical community to further improve healthcare quality and safety. We work with our healthcare partners to address identified gaps and promote knowledge in areas that have the potential for greatest positive impact.

Recommendations from the National Panel on Quality Improvement in Obstetrics

Obstetrical healthcare providers in Canada can now leverage a powerful set of recommendations to prioritize their quality improvement efforts. These recommendations come from the National Panel on Quality Improvement in Obstetrics and leverage multi-professional expertise applicable to the interprofessional environment of maternal healthcare in Canada.

The CMPA is proud to have co-lead the panel with the Society of Obstetricians and Gynaecologists of Canada (SOGC) alongside several key healthcare organizations and to have played a key role in the development of these recommendations.

Lefebvre G, Calder LA, De Gorter R, Bowman CL, Bell D, Bow M, et al. Recommendations from a National Panel on Quality Improvement in Obstetrics. J Obstet Gynaecol Canada [Internet]. 2019 May [cited 2019 May 9]; 41(5):653–9. Available from:

Delivery in Focus: Strengthening Obstetrical Care in Canada

This report by the CMPA and HIROC aims to advance patient safety and quality improvement in obstetrical care by identifying key areas of risk and offering mitigation strategies for healthcare providers and organizations.

The findings are based on a comprehensive analysis of CMPA and HIROC legal matters for in-hospital obstetrical care that occurred between 2004 and 2013.

Obstetrics Services In Canada: Advancing Quality and Strengthening Safety

Obstetrics Services in Canada: Advancing Quality and Strengthening Safety is a collaborative report by Accreditation Canada, the Healthcare Insurance Reciprocal of Canada (HIROC), the Canadian Medical Protective Association (CMPA), and Salus Global Corporation that profiles the quality and safety of obstetrics services in Canada from 2004 to 2015. Each organization is committed to health care safety and improving the performance of health care teams. Together, these four national organizations are using their detailed data to report on strengths, issues, and challenges in obstetrical care today.


Surgical Safety in Canada: A 10-year review of CMPA and HIROC medical-legal data

This is a retrospective analysis of Canadian surgical incident data which includes recommendations to advance knowledge in patient safety concepts and lead to system and practice improvements. The report was prepared jointly by the CMPA and the Healthcare Insurance Reciprocal of Canada (HIROC), in support of the Integrated Patient Safety Action Plan, a national initiative of the Canadian Patient Safety Institute and key healthcare stakeholders.

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Surgical safety checklists: A review of medical-legal data

In support of safe surgical care, this review of CMPA medical-legal data points to the continued relevance of the clinical issues that the Surgical Safety Checklist (SSCL) is intended to address, highlights some of the barriers to its effective use, and identifies priority areas for system and individual practice improvements.