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Classification of the PSP |
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Type of Patient Safety Practice
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Not Evaluated
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Clinical Risk Management Practice (CRMP)
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Related practices from PaSQ database
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| "Best fit" category of the reported practice |
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Patient safety culture / Patient safety climate
There is no specified text here
There is no specified text here
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| Topic of the reported practice |
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Patient safety system
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Aim and the benefit of the Patient Safety Practice
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The aim of the program was to map the processes shown to be particularly critical in the hospital. In particular, the following areas have been identified: Patient identification, Communication of critical values, Informed consent, Safety of surgical patient, Patient falls, Pain, Nutrition, Trasport of patient, Good use of blood, Confidentially information of patient.
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Description of the Patient Safety Practice
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In 2013, the University Hospital of Udine, starting from the previous experiences with the Joint Commission International, has launched a program for the monitoring of certain themes focused on treatment and patient care. It has been used the tracer methodology that is "an evaluation system to measure the quality of care and services provided by a health care organization from the perspective of the patient, through his experience". The traces, therefore, provide a way to evaluate a health care system and its procedures. The program was coordinated by the Accreditation, Clinical Risk Management and Performance Assessment Unit. The tracer was made in the period between July and September 2013. It has been involved a team of various professionals who participated to a specific course. Each observer was given a checklist specific to the subject matter of tracer. It has been prepared a set of 11 checklist with YES or NO as possible answer with a field for eventual comments. Each checklist was characterized by a series of items. Totally, 89 items were checked. Observers collected information by consulting documents, direct observation in the ward and interview to staff or patient. The data were collected and processed through the Excel program (Microsoft office 2007).
During the observation period 115 tracer were made and 26 wards have been visited(65%). A total of 27 health workers have been involved, including two ward directors, five doctors, nine medical residents, a biologist, eight nurses and two laboratory technicians. Each tracer was carried out according to a schedule and it required about an hour for each health professional. The results showed that the subjects who achieved a good compliance (= 80%) were: patient identification, communication of critical values, expression of informed consent, patient safety surgery, pain, good use of the blood. While the areas in need of improvement actions were: patient falls (56%), nutrition (34%), internal transport (60%), confidentially information of patient (43%). Part of these data have been supported by the existence of data in the institution and regional databases.
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| Attachment of relevant written information and/or photos, as appropriate |
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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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No
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| A measurement after full implementation of the reported practice was obtained |
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No
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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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There is no specified text here
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| Enclosure of a reference or attachment in case of published evaluation's results |
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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
Nurses
Clinical manager
Quality 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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Yes
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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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Patient(s)
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| Point of time in which service user or their reprasentatives' involvement takes place |
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During the application of the Patient Safety Practice
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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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No
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| Short description of the service users' level of involvement |
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Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
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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/questionnaire.aspx?id=5067
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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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Specially trained 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: Adriana Moccia
Country: ITALY
Organisation: AZIENDA OSPEDALIERO-UNIVERSITARIA UDINE
E-mail: adriamoccia@aoud.sanita.fvg.it
Phone: There is no specified text here
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