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Classification of the PSP |
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Type of Patient Safety Practice
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Safe
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Clinical Practice (CP)
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Related practices from PaSQ database
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| "Best fit" category of the reported practice |
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Documentation
Infection control / Prevention of surgical site infections
There is no specified text here
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| Topic of the reported practice |
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Quality improvement project
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Aim and the benefit of the Patient Safety Practice
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The practice herein described aims to combine scientific and methodological reference with operational indications in order to work towards continuous quality improvement. Therefore, we have been participating in a project aiming at surgical site infections surveillance in arthroplasty, which allowed to set an improvement pathway for surgical site infections prevention. Thanks to the participation in this project, we identified areas for improvement in antibiotic prophylaxis.
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Description of the Patient Safety Practice
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'An ad hoc working group was set up to draft a proposal for evidence-based guidelines to rationalize the use of antibiotics in surgical prophylaxis. Once the guidelines were approved, a checklist was developed to monitor their implementation. A sample of medical records are assessed every month. Following the implementation of the guidelines, the prolonged prophylaxis of antibiotics was no longer practiced. Furthermore there was a reduction in the use of non-recommended molecules. There are still errors related to administration timing, antibiotic dosage and use of a short term prophylaxis for intervention where it is not recommended.
A cost-benefit analysis of the use of antibiotics before and after the review of the guidelines and training activities is in progress. The antibiotics consumption data are verified by the Department of Pharmacy and transferred to the Medical Department . These data are compared with the findings ofproper application contained in the Guidelines.
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| Attachment of relevant written information and/or photos, as appropriate |
There is no specified text here
There is no specified text here
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Effectiveness of the Patient Safety Practice
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| Degree of implementation of reported practice |
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Yes, fully
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| Level of implementation of reported practice |
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Institution level
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| Specific and measurable outcome for the reported practice were defined |
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Yes
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| A baseline measurement before implementation of the reported practice was obtained |
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Yes
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| A measurement after full implementation of the reported practice was obtained |
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Yes
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| Evaluation of a "positive" effect of the reported practice on Patient Safety |
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The evaluation showed improvements in Patient Safety outcomes
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| Type of before-and after evaluation |
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Both/mixed (qualitative and quantitative)
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| Enclosure of a reference or attachment in case of published evaluation's results |
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
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Hospital
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Transferability
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| Successful implementation of this Patient Safety Practice in other health care settings than above stated |
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No
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| Specification of implementation in another health care setting(s) |
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There is no specified text here
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| Successful implementation's level of this Patient Safety Practice across settings |
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There is no specified text here
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Involved health care staff
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Physicians
Clinical manager
Risk manager
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Patient Involvement
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| Direct service user's involvement as integral part of this Patient Safety Practice |
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No
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| Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice |
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There is no specified text here
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| Point of time in which service user or their reprasentatives' involvement takes place |
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There is no specified text here
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| Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice |
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There is no specified text here
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| Short description of the service users' level of involvement |
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There is no specified text here
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| Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users |
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Yes
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| List of sources where public information is accessible |
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http://buonepratiche.agenas.it/practicesedit.aspx?id=4305
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Implementation of the Patient Safety Practice
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| Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice |
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No
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| Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc. |
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No
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| List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice |
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There is no specified text here
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| List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice |
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Motivated staff
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| Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice |
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No
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| Description of used incentives, if any. |
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There is no specified text here
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| Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice |
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Yes
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Costs of the Patient Safety Practices
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| Completion of cost calculation related to this Patient Safety Practice |
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No
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| Total number of person days required to implement this Patient Safety Practice |
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
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| Total number of person days required for training as preparation for implementation of this Patient Safety Practice |
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
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| Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice |
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There is no specified text here
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| Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice |
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There is no specified text here
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Contact information
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Name: Marta Nobile
Country: ITALY
Organisation: A.O. IST.ORTOPEDICO GAETANO PINI-MILANO
E-mail: marta.nobile@gpini.it
Phone: There is no specified text here
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