828 / Nursing metrics in mental health care, putting patients back at the heart of their care and treatment

IRELAND
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
Communication
Patient involvement There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
Nursing metrics aim is to help nurses and carers deliver high quality care and measure its impact on patient experience and safety. It helps to follow evidence based best practice to deliver high quality outcomes for patients, measure what we do and our contribution to patient safety. They measure standards of care against real patient feedback and promote safe practice. Using technology nursing metrics can also support productivity, efficiency and decision-making by placing the patient at the centre of their care. Nursing Metrics provide a basic measurement of nursing care, where performance can be monitored against agreed standards or benchmarks. Nursing Metrics provides real time data as results are available immediately following data collection and individualised for each ward, thus a “snapshot” of metrics results is available to senior management.
Description of the Patient Safety Practice
 
Our Nursing Metrics pilot project commenced on the 28th November 2012 in the acute admission unit and a community day hospital and consisted of the following:
?    Patient experience/service user/family involvement
?    Medication Storage and Custody
?    Medication Administration
?    Provision of Information/Rights
?    Nursing Documentation
They are conducted on a monthly basis using testyourcare website, data will be collected using a sample size of 25% of the overall unit patient population. Results will be available immediately and individualised for each unit. The Clinical Nurse Manager 2 (CNM2)of each unit will be able to view their results. Nursing Management can access all results.
These nursing Metrics led to a significant improvement in the quality and safety of care provided within our organisation. It also highlighted areas of excellence and area’s for improvement. A sub group is in place in each area to look at outcomes and action plans to enhance the safety of patient care.
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, 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
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
 
Mental health care
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
 
Nurses
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 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
Information is available from the project manager and project co-ordinator. Brochures have also been developed.
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
Yes
Description of used incentives, if any.
Education and practice. Having a project manager and local co-ordinator supported by the Nursing & Midwifery Planning & Development Unit. Clinical Nurse Manager and Local teams support.
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: Rose Bennett
Country: IRELAND
Organisation: Health Service Executive North Dublin Mental Health Service
E-mail: rose.bennett@hse.ie
Phone: 00 353 1 883 6038
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