usak escort elazig escort

806 / Prevention of Suicide in Acute Psychiatric Inpatient Departments/Units

NORWAY
Classification of the PSP
Type of Patient Safety Practice Potentially Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Analysis of risk and harm
Implementation of Patient Safety initiatives / Activities There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
It is an important health policy goal to reduce the number of suicides and suicide attempts among patients in mental health care and to ensure that patients with suicidal tendencies are proper treated and safeguarded. The purpose of this clinical practice is to prevent suicide linked to residence in acute psychiatric inpatient departments/units.
Description of the Patient Safety Practice
 
The bundle of interventions for the prevention of suicide will help to ensure good practice for patients with suicidal risk associated with residence in acute psychiatric inpatient services.
A task force has suggested five interventions for the prevention of suicide associated with stays in acute psychiatric inpatient services. These interventions have been tested and evaluated in two pilot projects from November 2012 - February 2013. The pilot projects were conducted at Oslo University Hospital (OUS), Acute Psychiatric Department, and the Nord-Trondelag Health Trust, Hospital of Levanger, Psychiatric Clinic. The evaluation reports from these projects will be made available on the campaign website as soon as they have been completed. Having summarized the experiences, the following bundle of interventions has been defined:
1. Specialist evaluation within a day
•    Structured diagnostic process, such as MINI, use of templates for admission notes and other accepted tools
2. Implementation of Safeguards
•    Observation
•    Securing rooms and surroundings
3. Suicide Risk Assessment (SRA) according to national guidelines
•    Upon admission
•    Before leave
•    Before discharge / transfer
4. Planning for leave
•    No leave before SRA, treatment plan established and relatives involved
5. Measures at discharge
•    “Crisis plan” for patients, relatives and partners
•    “Appointment in hand”
•    Involve families in the discharge process
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
Suicide_Norway.docx
Checklist suicide.docx
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, partly
Level of implementation of reported practice
Unit or ward 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
Not relevant
Evaluation of a "positive" effect of the reported practice on Patient Safety
Not relevant
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
The pilot is summarizing the experiences. This will be avaiable at the website for the campaign.

The first results show that the bundle of pratices is implemented without extensive problems or barriers, the compliance to the bundle is judged as increasing and thus good.
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Mental health care
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Not relevant
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
Social workers
Administrative support (secretary, clerk, receptionist etc.)
Clinical manager
Quality manager
Risk manager
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 representative(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
Not known
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
Yes
List of sources where public information is accessible
http://www.pasientsikkerhetskampanjen.no/
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.
Not known or not relevant
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
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
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: Marie Brudevik
Country: NORWAY
Organisation: Norwegian Knowledge Centre for the Health Service
E-mail: post@pasientsikkerhetsprogrammet.no
Phone: +47 930 59 389
Print
Top
Anne Bebek cicicocuk Bebek, Çocuk, Genç
eos nedir