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736 / Assessing clinical and economic effectiveness of a multidisciplinary program for preventing patient falls in hospital

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient falls
Communication There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Falls are a public health problem worldwide. Hospitalization increases the risk of falling due to unfamiliar environment, medical conditions and treatments received. Femoral fracture is the most serious complication: in 20% of cases, this type of fracture leads to immobility, and from 14% to 36% of cases leads to death within 1 year. Outcomes related to falls are source of increased costs for hospitals because of prolonged hospitalization and the necessary diagnostic and therapeutic procedures, as well as the possible legal consequences for the hospital itself and health professionals.
Description of the Patient Safety Practice
 
Since 2010, IRCCS Rizzoli Orthopaedic Institute in Bologna, has launched a program of multifactorial interventions for the prevention of accidental falls for patients admitted. The program included the training of health professionals, the application of tools for assessing the risk of falling for adult patients (Morse Scale) and the personal assistance of patients at risk and information activities aimed at patients and their families/care-givers. The multidimensional assessment of the program was carried out by monitoring the process and outcome indicators to measure the effectiveness of prevention and adherence to procedures, administration of a satisfaction questionnaire to parents of pediatric patients to measure the quality and understanding of the information provided and cost-effectiveness analysis for the economic evaluation. The evaluations showed a significant reduction in damage for patients and claims as a result of accidental falls, a good adherence of health personnel to procedures and a high quality of information activities provided to patients and families. The cost-effectiveness analysis showed the overall economic sustainability of the program implemented.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Health care assistants
Therapists
Clinical manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During implementation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/practicesdetail.aspx
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Regular data feed back to involved staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
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
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 300
External consultants: 0
Support staff: 15
Managerial staff: 5
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 70
External consultants: 5
Support staff: 0
Managerial staff: 3
Others: 0
Not relevant: 0
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
69231.75
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Patrizio Di Denia
Country: ITALY
Organisation: IRCCS Rizzoli Orthopaedic Institute in Bologna
E-mail: patrizio.didenia@ior.it
Phone: 051-6366043
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