984 / Patient safety visits

CROATIA
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Communication
Other There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Practice „Patient safety visits“ improves communication between frontline staff, Quality improvement unit staff and hospital management and also improves staff education about reporting adverse events and patient safety issues in hospital. The main aim of the practice is to improve open and honest communication about patient safety during the visits in a visible manner that lead to cultural changes.
Description of the Patient Safety Practice
 
Head Nurse of the Quality Improvement Unit of MERKUR University hospital conducts weekly patient safety visits to different areas of the hospital including patient care areas. The visits involve one or two nurses in the area, other available staff (physicians and other disciplines) and hospitalized patients. During the visits all participants discuss safety concerns and have opportunity to find solutions for everyday safety issues.
Patient safety visits takes for 45 to 60 minutes per unit. Responses to questions and other comments mentioned during patient safety visits by staff and patients were recorded. Although staff members and patients were not anonymous to the members during the visits, no comment was labeled with a staff member’s name unless the staff member requested feedback. If someone requested direct feedback, the participants name was recorded because they received answers to their comments.

Examples of questions asked during the patient safety visits:
- What is your biggest safety concern on your unit?
- What is one thing that you think could happen today that would improve patient safety on your unit?
- Do you know how to report about adverse event?
- Is there anything we could do to prevent the next adverse event?
- Were you able to care for your patients during your last three shifts as safely as possible? If not, what were the barriers?
- Have there been any „near misses“ that almost caused patient harm but did not?
- (To patients:) Do you feel safe in our hospital?
- (To patients:) In your opinion what would make the patient safety more effective?

After every Patient safety visit, Head Nurse of Quality Improvement Unit discuss the findings with Unit leadership and assign priorities. Results of patient safety visits are discussed and plans for improvement are made on Quality Improvement Unit meetings. Final reports are sent to the hospital management and when possible changes were made. Concerns are related to the equipment, to the work environment, to staffing and communication. After beginning of this practice more staff know how to report adverse events and can describe how the information is used.
This practice is transferable throughout the hospital and all hospital wards.
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
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Not relevant
A measurement after full implementation of the reported practice was obtained
Not relevant
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
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
Not known
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
Clinical manager
Quality manager
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
Patient(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
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Not known
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
Regular data feed back to involved 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: Smiljana Kolundžić
Country: CROATIA
Organisation: KB Merkur
E-mail: smiljana.kolundzic@kb-merkur.hr
Phone: There is no specified text here
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