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902 / Reduce risks associated to high risk medications use in paediatric emergency care

SPAIN
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
Identification of risk and harm
Implementation of Patient Safety initiatives / Activities There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Improvement of quality control of medication in paediatric emergency care based on the identification of high risk medicine procedures during two years. Implementation of a group of measures destined to reduce risks associated to handling, preparing and administrating high risk medications. Main benefit is to increase patient safety, by improving the management of potentially dangerous medications with specific protocols.
Description of the Patient Safety Practice
 
There is a working group formed by three paediatric emergency care paediatricians and a pharmacologist, whose aim is to identify high risk medications and to develop specific protocols of management. Implementing measures such as using syringes of a different colour, double-checking of doses of dangerous medications before administration, ensuring correct identification of medications…
-Our department is a paediatric emergency care unit, in a tertiary hospital, located in Gran Canaria (Canary Islands, Spain). Our staff is composed of 11 paediatricians, 30 nurses and 20 assistant nurses. We also have three paediatric interns on duty every day. Total population of the island: 800.000 inhabitants (133.000 under 16 in the last census population).
-Patients are blind to these interventions, without an active role, and only receive an increase of quality of attention.
-Expected results: reducing the number of adverse events related to the use of potentially dangerous medications in the paediatric emergency care department. Improving the quality of attention by increasing patient safety practice.
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
No
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
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
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
Pharmacists
Technical support / technician
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
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
Short description of the service users' level of involvement
User-led, where the service users control the development and implementation of the PSP
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
In the paper
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.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Equipment was not enhanced or new
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
Yes
Description of used incentives, if any.
Too more application, Specially trained staff, publicity.
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
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 2
External consultants: 1
Support staff: 1
Managerial staff: 1
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 2
External consultants: 1
Support staff: 1
Managerial staff: 1
Others: 0
Not relevant: 0
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
5000
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Svetlana Pavlovic
Country: SPAIN
Organisation: CHUIMI
E-mail: spavnes@gobiernodecanarias.org
Phone: +34928444987
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