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972 / Awareness campaign on Patient Safety: 12 months, 12 proposals

SPAIN
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
Implementation of Patient Safety initiatives / Activities
Patient safety culture / Patient safety climate There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Patient safety is one of the aims, by which clinical care process takes place.(Primum non nocere).Sites, such as, Intensive Care Units (ICU), given the severity of the disease, complexity of multiple treatments and interventions , are more vulnerable to adverse events . This has prompted ICU professionals to develop these ICU tools to enhance and improve safety.
The purposes of the tool " Twelve months, twelve proposals " :

1.To promote a safety culture within each unit.
2.To facilitate access to all levels Security.
3.To address relevant issues of each service.
4.To promote staff participation by suggesting topics and giving talks.
5.To promote relationship between the different personnel levels.
6.To promote relationship with other department to stress common issues.

Description of the Patient Safety Practice
 
Although this tool was originated in Burns Unit of “Hospital Universitario La Paz” in 2009, it was recapitulated and used in ICU settings of the Madrid’s area during the National Pneumonia Project Zero 2011 between months of April to December 2012.

The purposes of the tool " Twelve months, twelve proposals " :

1-To promote a safety culture within each unit.
2-To facilitate access to all levels Security.
3-To address relevant issues of each service.
4-To promote staff participation by suggesting topics and giving talks.
5-To promote relationship between the different personnel levels.
6-To promote relationship with other department to stress common issues.

In order to achieve this:

1.Every month is devoted to a single specific issue to improve safety.
2.Each subject functions as update and reminder to all members of the unit.
3.For graphical disclosure/view, we will use pop -up in computers of the department or a poster placed in the meeting with nursing to be seen by all staff.
4.Small group discussions will be organized in each nursing shift to answer questions .
5.Topics will be given by the ICU staff (either by common interest or issues where global security improvement is needed)

Items used in twelve months, twelve proposals were:
1 Hand Hygiene.
2 Patient identification
3 Safety of inter-hospital transfer of patients.
4 Management of cardiac arrest
5 Management of central lines
6 Tracheotomy patient management
7 Management Central nervous system drains
8 Falls prevention and performance against
9 Safe blood derivates transfusion
10 Disclosure of external disaster plan
11 Activation of self-protection plan
12 To implement policy of hospital without pain.

This tool is not limited to Critical Units , but is exportable to other hospital areas allowing it to adapt to the needs of each particular Service .
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, fully
Level of implementation of reported practice
Regional or national level
Specific and measurable outcome for the reported practice were defined
Not known
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
Qualitative
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
Health care assistants
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
No
List of sources where public information is accessible
There is no specified text here
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
Motivated staff
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
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: Maria Jose Asensio Martin
Country: SPAIN
Organisation: University Hospital La Paz
E-mail: mj_asensio@yahoo.es
Phone: +34 629249576
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