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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 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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Malnutrition
There is no specified text here
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| Topic of the reported practice |
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Clinical guidelines or pathways
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Aim and the benefit of the Patient Safety Practice
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Malnutrition presents a rising problem in all hospitalized patients, especially in those who cannot feed themselves or need a major surgery. It is necessary to establish an algorithm for enteral and parenteral feeding based on individual patient needs and daily energy requirements as well as fluid losses. Furthermore, many patients refuse food and are in danger of malnutrition not directly related to gastrointestinal tract disorders.
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Description of the Patient Safety Practice
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This protocol is planned for patients who are staying in the hospital longer than 72h. On arrival, general patient data are collected as well as body height, weight, BMI, weight loss in the last 3 months, comorbidities and information on the predicted feeding regimen during in-hospital stay (peroral, enteral, parenteral and/or combination of all). During hospital stay, all meals are recorded and energy value is calculated. Especially important is the absolute food intake. This is calculated as the percentage of given meal that the patient actually eats, or if the feeding is through NG tube, the difference between the delivered food and the retention and/or vomited content. Furthermore, each patient will have his daily needs calculated, expressed as protein and non-protein calories. Then, the difference between these two values (input/output) will be calculated. The nurses will be instructed to alarm the physician if the actual intake is 0-25% of the necessary one during 48 consecutive hours, or 25-50% during 4 consecutive days. In this case, the feeding regime will be analyzed and the appropriate steps taken to ensure adequate energy delivery. Body weight loss as well as intensive care unit days, in-hospital days, mortality rates as well as patient satisfaction will be recorded.
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| Attachment of relevant written information and/or photos, as appropriate |
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, partly
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| Level of implementation of reported practice |
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Unit or ward 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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Effect not known or the intervention has not yet been evaluated
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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 |
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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Not known
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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
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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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Information about Patient Safety Practice will be publicly available to patients through brochures and on the hospital web site
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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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Yes
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| List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice |
Lack of knowledge on implementation strategies
No motivation among staff
Not sufficient human resources available
Staff or management did not recognise the need for change
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| List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice |
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There is no specified text here
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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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No
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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: Ivo Matić
Country: CROATIA
Organisation: OB "Dr. Josip Benčević", Slavonski Brod
E-mail: ivo.matic@bolnicasb.hr
Phone: There is no specified text here
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