962 / Improved Procedure and Protocol for Infection Provision

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Communication
Infection control / Prevention of surgical site infections There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
Healthcare associated infections and the spread of pathogenic microorganisms (alert organisms) in hospital and local healthcare organizations, at the National and Local level, are important and increasing risk factors with high clinical, economic and human impact. Thus, the Local Health Autority of Pescara, with a view to improving strategies for infection prevention and control, promoted implementation of a procedure for reporting infection/colonization by sentinel microorganisms and a protocol for continuous epidemiological surveillance on infections, sentinel microorganisms and antibiotic resistance.
Description of the Patient Safety Practice
 
The procedure implemented concerns reporting of Alert microorganisms by both, the laboratory of microbiology and the operative units, through filling in a specific form with the aim of informing the epidemiological group about the microbiological data. This is followed by an inspection by the Epidemiological Group in the operative unit concerned to verify the conditions of the patient and the prevention measures implemented. Once the data are collected the Epidemiological Group carries out a series of "safety and Infection control walkaround" to assess:
- availability of materials and devices required to manage cases of inferction;
- implementation of precautionary measures to be adopted by the healthcare staff.
The specify objectives achieved through the practice are:
1. to promptly identify cases of infection that require timely and targeted intervention to limit its spread;
2. early detection of sentinel pathogens to prevent their spread in Local Health Authority of Pescara;
3 to ensure a rapid response of the Epidemiological Operations Group (GOE), in UO / Departments concerned for the implementation of revention and control measures
4. to unify and standardize the procedures for reporting known or suspected nosocomial infection
5. to store and process data related to infection
The novelty of the practice is the integrated approach to infection control activities


promote awareness of risk factors potentially hazardous to public health.
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
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution 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
There is no specified text here
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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
Yes
Specification of implementation in another health care setting(s)
Disability service
Successful implementation's level  of this Patient Safety Practice across settings
No, not known or not relevant
Involved health care staff
 
Physicians
Nurses
Health care assistants
Pharmacists
Therapists
Dieticians/ Nutritionists
Clinical support
Scientific staff / researchers
Technical support / technician
Environmental support (Housekeeping)
Clinical manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
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://buonepratiche.agenas.it/practicesedit.aspx?id=4509
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.
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
Staff and management recognised the need for change
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
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: Dalia Palmieri
Country: ITALY
Organisation: ASL Pescara
E-mail: dalia.palmieri@ausl.pe.it
Phone: 0039-085-4252359
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