934 / Medication Management Chart Box

GERMANY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Methods for literacy and patient involvement
Implementation of Patient Safety initiatives / Activities There is no specified text here
Topic of the reported practice
Patient empowerment
Aim and the benefit of the Patient Safety Practice
 
The patient safety practice is dealing with medication management, compliance and limitation of multimedication in either community-dwelling-elderly or in elder patients in need of care via care-givers. Exposition to multimedication, harmful self-medication and non-compliance are to reduce. The communication process between elder patients or their care-givers and their GPs is supported by helpful materials including 6 simple rules for safer medication management, medication plan and an interview sheet to enhance GP´s talk. Aim was to improve patients´health literacy and their relationship to the General Practice. The GP is supported by efficient materials (Flow-Chart, Cockroft-Gault-Formel).
Description of the Patient Safety Practice
 
Purpose: To improve elder patients' health literacy and competence in managing their own or their relatives' medication in need of care.

Method: A medication management chart box, including:
• 6 simple rules for safer medication management
• Medication plan
• An interview sheet to enhance GP´s talk
• Materials supporting the GP like Cockroft-Gault-Formula and
• A Flow-Chart to tailor medication to the individual patient

Dissemination is possible by diverse multiplicators like general practices, hospitals, nursing homes and health care points in the community like the Department for Health and Consumer Protection of the City of Hamburg (BGV) or platforms like “Community Action for Health: Development and Implementation of a Disease Prevention and Health Promotion Program for the Elderly in Hamburg” (Pakt für Prävention).
Evaluation: The materials were developed and tested in different preventative programs embedded in LUCAS (Active health Promotion in Old Age, MobiC, Home Visits etc.): www.geriatrie-forschung.de

201403050253062483_WP4_Checkliste_Multimedikation_LUCAS_2014.pdf
Attachment of relevant written information and/or photos, as appropriate
201403050253062483_WP4_Checkliste_Multimedikation_LUCAS_2014.pdf
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
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
Yes
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
Baseline:
Anders J, Pröfener F, Dapp U, Golgert S, Daubmann A, Wegscheider K, Renteln-Kruse von W, Minder CE    Grauzonen von Gesundheit und Handlungsfähigkeit. Erfassung und Aufschlüsselung durch erweiterte Assessments in der Longitudinalen Urbanen Cohorten-Alters-Studie (LUCAS) Z Gerontol Geriat 2012, 45: 271-278

LUCAS-consortium:
Renteln-Kruse von W, Dapp U, Anders J, Pröfener F, Schmidt S, Deneke C, Fertmann R, Hasford J, Minder C. The LUCAS* consortium: objectives of interdisciplinary research on selected aspects of ageing and health care for older people in an urban community. Z Gerontol Geriatr. 2011; 44:250-5. doi: 10.1007/s00391-011-0224-z.

Active health promotion in old age:
Dapp U, Anders JA, von Renteln-Kruse W, Meier-Baumgartner HP. Active health promotion in old age: methodology of a preventive intervention programme provided by an interdisziplinary health advisory team for independent older people. J Public Health, 2005; 13: 122-127.
doi: 10.1007/s10389-004-0097-3

There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Primary care
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Disability service
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities across different health care settings
Involved health care staff
 
Physicians
Nurses
Pharmacists
Therapists
Social workers
Dieticians/ Nutritionists
Scientific staff / researchers
Quality 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
Other
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
During the 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
Yes
List of sources where public information is accessible
Web-Site: LUCAS Subproject 3: Mobility & Assessment: http://www.albertinen.de/kranken haeuser/geriatrische_klinik/leistungs spektrum/lucas/teilprojekt3

City of Hamburg: Public Health Information Service: http://www.hamburg.de/ contentblob/3092126/data/ pdf-gesundheit-aelterer-menschen-in-hamburg-2.pdf
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
Involvement of service users
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Yes
Description of used incentives, if any.
Psychodynamic Empowerment and information based on geriatric assessment
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
No
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
Not relevant
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: Jennifer Anders
Country: GERMANY
Organisation: Albertinen-Haus, Geriatrics Centre, University of Hamburg
E-mail: jenny.anders@albertinen.de
Phone: ++49-40-5581-1682
Print
Top