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741 / Hospital Inpatient Waste Identification Tool

DENMARK
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
System resilience
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Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
The risk of experiencing an AE while at hospital increase with the number of days patients are admitted to hospital.
Identifying routines that prolong patient stay at hospitals without adding to the quality of care the patient receive should be avoided.
The Waste Identification Tool help identifying these routines and bring awareness to the situation hence encourage to action; the tool is designed to provide a snap¬shot of potential areas of waste within a hospital, as identified by frontline clinical staff.
Description of the Patient Safety Practice
 
The Waste Identification Tool consists of five modules — Ward Module, Patient Care Module, Diagnosis Module, Treatment Module, and Patient Module — that qualitatively identify opportunities for waste reduction. When applying the tool a snap¬shot of potential areas of waste within a hospital, as identified by frontline clinical staff is identified. Once this snapshot is obtained, representatives of the hospital’s frontline clinical staff, finance department, and leadership engage in a process of enriched review and analysis of Waste Identification Tool findings to prioritize waste reduction initiatives that will result in cost savings for the organization. The attached white paper from IHI describes the Hospital Inpatient Waste Identification Tool, instructs users in how to make best use of it, and offers methods for using Waste Identification Tool findings to inform strate¬gic decisions that will remove waste.

We evaluated the tool in a DK setting, among other comments, the following qualitative feedback was received:

The Waste tool is an invaluable and very time efficient method to open discussions within the department about workflow and utilization of resources".
"It does not take a long time to apply the tool, about half an hour to an hour per. unit. The department shall make such a consultant and staff nurse available. It must be someone who knows the patients and can tell about the local work procedures".
"The tool identifies quite quickly work patterns which are not appropriate. It is easy to see that there is something which can be improved”.
Attachment of relevant written information and/or photos, as appropriate
536_WP4_IHI Hospital Inpatient Waste Identification Tool White Paper 2011.pdf
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, partly
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Not known
A baseline measurement before implementation of the reported practice was obtained
Not relevant
A measurement after full implementation of the reported practice was obtained
Not relevant
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
There is no specified text here
Enclosure of a reference or attachment in case of published evaluation's results
so far nothing have been published in english regarding the danish implementation.


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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
Yes
Specification of implementation in another health care setting(s)
Mental health care
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Nurses
Health care assistants
Economist
Scientific staff / researchers
Administrative support (secretary, clerk, receptionist etc.)
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
results public available
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
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
Management support
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
No
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
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
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Lars Aaskilde
Country: DENMARK
Organisation: Danish Society for Patient Safety
E-mail: lars.aaskilde@patientsikkerhed.dk
Phone: +4521429674
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