1231 / Prevalence study on Bundle for CAUTI and SSI

0
Type of Patient Safety Practice
Clinical Risk Management Practice (CRMP)  
“Best fit” category of the reported practice
Implementation of Patient Safety initiatives / Activities
Surveillance of Patient Safety
Topic of the reported practice
Quality management system
Aim and the benefit of the Patient Safety Practice
In order to implement the procedures, relating to the application of Bundle about the Catheterization-Associated Urinary Tract Infections (CAUTI) and Surgical Site Infections (SSI), a study of prevalence has been carried out in some departments of the hospitals belonging to ASL Roma B, with the aim of defining a “starting point” (baseline).
Description of the Patient Safety Practice
Based on evidence from literature and practice, the application of Bundle is very important in reducing Healthcare Associated Infections (HAIs). In view of a rewrite of the procedures for the bladder catheterization and reduction of surgical site infections, the prevalence study has been set. The study has highlighted the need for implementing instruments, such as Bundle, through specific procedures and widespread training of healthcare workers. We have collected more than 230 CAUTI bundle and 100 SSI bundle questionnaires with the aim of defining a “starting point”. The data collected will be analyzed by descriptive statistics of the sample (excel), in anticipation with the second phase of the study: implementation of procedures and formation of operators. Specific indicators that will be used for the evaluation: Number of bladder catheters for patients and bed-days; Number of collection bags for catheters. Regarding the reduction of the ICA: number of infections / urine cultures performed. AUDIT with evaluation of health records
Attachment of relevant written information and/or photos, as appropriate
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
Not relevant
A baseline measurement before implementation of the reported practice was obtained
Yes
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
Not relevant
Enclosure of a reference or attachment in case of published evaluation’s results
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
Yes
Specification of implementation in another health care setting(s)
Home care
Successful implementation’s level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
Physicians
Nurses
Pharmacists
Clinical support
Scientific staff / researchers
Environmental support (Housekeeping)
Clinical manager
Quality 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
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.
Not known or not relevant
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
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
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:
External consultants:
Support staff:
Managerial staff:
Others:
Not relevant:
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff:
External consultants:
Support staff:
Managerial staff:
Others:
Not relevant:
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