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Classification of the PSP |
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Type of Patient Safety Practice
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Not Evaluated
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Clinical Practice (CP)
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Related practices from PaSQ database
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| "Best fit" category of the reported practice |
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Patient identification
Medication / IV Fluids
There is no specified text here
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| Topic of the reported practice |
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Clinical risk management
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Aim and the benefit of the Patient Safety Practice
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The aim of the project is to prevent inappropriate medication/medication errors at a plastic surgery ward in Denmark (Aarhus University Hospital, Denmark) and to get an overview an assessment of the departments adverse events. The benefit of the project is to use a systematic method to medication errors, ensure patient safety and quality of care at ward level. There has been developed a generic guide for doing a medical tracer which can be used at different wards (not only plastic surgery). It is important to involve the management of the ward in the planning of the tracing.
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Description of the Patient Safety Practice
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The patient safety practice refers to the set-up of a medical tracer at the plastic surgery ward. A tracer is a systematic review of the treatment and care provided at the ward. In this project, the focus was on medication. The practice involves a systematic review of the adverse events reported during the hospital stay (medical errors) with the aim of assessing the risk for new events and the prevention of those that already occurred. On the basis of the tracing the following interventions were systematic implemented at the ward: patient identification (when and how); medical labeling; the patients storage/safe-keeping of medicine in dispensing packages. The planning of a medical tracing should be done by quality and patient safety coordinator of the ward/hospital or together with another ward. It is important that the results of the tracing are presented for the management in order to make sure that following initiatives are implemented.
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| Attachment of relevant written information and/or photos, as appropriate |
There is no specified text here
There is no specified text here
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Effectiveness of the Patient Safety Practice
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| Degree of implementation of reported practice |
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Yes, partly
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| Level of implementation of reported practice |
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Unit or ward level
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| Specific and measurable outcome for the reported practice were defined |
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Not known
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| A baseline measurement before implementation of the reported practice was obtained |
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No
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| A measurement after full implementation of the reported practice was obtained |
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No
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| Evaluation of a "positive" effect of the reported practice on Patient Safety |
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Effect not known or the intervention has not yet been evaluated
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| Type of before-and after evaluation |
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There is no specified text here
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| Enclosure of a reference or attachment in case of published evaluation's results |
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
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Hospital
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Transferability
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| Successful implementation of this Patient Safety Practice in other health care settings than above stated |
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No
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| Specification of implementation in another health care setting(s) |
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Hospital
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| Successful implementation's level of this Patient Safety Practice across settings |
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There is no specified text here
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Involved health care staff
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Physicians
Nurses
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Patient Involvement
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| Direct service user's involvement as integral part of this Patient Safety Practice |
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No
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| Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice |
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There is no specified text here
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| Point of time in which service user or their reprasentatives' involvement takes place |
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There is no specified text here
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| Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice |
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There is no specified text here
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| Short description of the service users' level of involvement |
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There is no specified text here
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| Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users |
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No
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| List of sources where public information is accessible |
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There is no specified text here
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Implementation of the Patient Safety Practice
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| Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice |
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No
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| Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc. |
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No
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| List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice |
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There is no specified text here
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| List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice |
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Strong knowledge in implementation
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| Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice |
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Yes
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| Description of used incentives, if any. |
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Accreditation
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| 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 |
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Yes
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Costs of the Patient Safety Practices
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| Completion of cost calculation related to this Patient Safety Practice |
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No
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| 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
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| 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
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| Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice |
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There is no specified text here
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| Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice |
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There is no specified text here
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Contact information
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Name: Lene Norboge
Country: DENMARK
Organisation: Aarhus University Hospital
E-mail: lene.noerboege@aarhus.rm.dk
Phone: There is no specified text here
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