746 / Preventing the potential risks related to patient transfer

SPAIN
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Handover situations / Transfer of patients
Other There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
Predicting the potential risk that may occur in the transfer to a new hospital opening a Polyvalent intensive care unit. Avoid potential risks and events that could affect the patient during the course of the transfer. Safety of critical patients was maintained during transport to the new intensive care unit.
Description of the Patient Safety Practice
 
The transfer took place on a single day, but preparations were made in different stages, over several weeks.
We designed a risk management plan that would minimize the occurrence of safety incidents. This plan was developed in different phases
1. First Phase
- Recommend improvements to better visualize architectural character to patients.
- Establishment of a management unit, consisting of a medical coordinator and nursing.
- Risk analysis and implementation of safety barriers:
*Review and development of all necessary equipment for the move.
*Developing checklists in which you would check, what material had to move the patient, the equipment of the new unit.
*Classification of patients according to severity criteria.
*Planning each professional activity during transfer.
*Development of a communication plan with ICU practitioners and other hospitals.
*Attendance at briefings promoted by Nursing Directorate and the Technical Office.
*Briefings for professionals in the unit.
2. Previous day
- Resolution of outstanding issues in the new unit replacement stores, lack of equipment.
- Meeting management unit with ICU transfer service manager to establish strategies and calculate the time.
- Delivery checklists for professionals.
- Review all the medical equipment necessary for the journey.
- Coordination with life support vehicles. All patients move with doctor and nurse responsible for the patient.
3. Day of transfer
- The night shift starts preparing for the removal.
- The morning shift starts at 7:30 their schedule.
- Duplication of service. Supporting nursing staff.
- Clinic session with unit manager and supervisor, for the assessment of patients and to establish the priority of the transfer.
- Relocation coordinators are responsible for communicating to staff the starting order for patients to the new hospital
- Regular communication between the two hospitals and ambulances.
RESULTS
The constitution of the management unit, the analysis of potential failures and effects to identify risks that could be produced, the use of checklists and communication strategy used has been the critical success factors to achieve these results and ensure participation and satisfaction of the professionals of the unit.
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
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Regional or national level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
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
Both/mixed (qualitative and 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
Other or not relevant
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)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
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
Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
There is no specified text here
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
Sharing of progress information among 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
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: Celia Díaz
Country: SPAIN
Organisation: Hospital Universitario de Burgos, Castile and León
E-mail: celiadtt@telefonica.net
Phone: There is no specified text here
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