Methodology of collection of implementation tools


In order to facilitate the implementation of the Safe Clinical Practices (SCPs) which were selected during the course of the PaSQ project tool boxes were compiled listing implementation tools.

The gathering of these tools was conducted on the one hand through a literature/web search, aiming to identify the most important tools offered by major international institutions, and through the questioning of PaSQ National Contact Points and EU stakeholders. The questionnaire used for this can be found here. It also states the inclusion criteria for the selected implementation tools. We would like to thank the following PaSQ Member States for submitting implementation tools: Austria, Belgium, Bulgaria, Denmark, France, Germany, Hungary, Ireland, Italy, Netherlands, Spain, UK.

For the SCP Paediatric Early Warning Scores, it was decided that only the implementation tools developed by the NHS Institute for Innovation and Improvement (NHS III) would be included in the tool box; no further tools were collected for this SCP.

Implementation tools can be classified into specific and generic implementation tools:

Specific implementation tools are activities, guidelines, education programmes, and means to support the implementation of Safe Clinical Practices (SCPs) in European Healthcare Organisations (HCOs) e.g.: implementation guides, documentation and evaluation tools, posters, videos, information leaflets for patients and healthcare professionals. According to its area of application a specific tool can furthermore be classified into various categories. The following  categories were developed during the WHO “Clean Care is Safer Care” campaign:

  • Tool for system change: Such tools ensure that the health care facility has the necessary infrastructure in place to allow health care workers to practice a safe clinical practice.
  • Tool for training and education: All health care workers require clear and comprehensive training and education on the importance of a safe clinical practice and the correct procedures needed to exercise it.
  • Tool for reminding staff in the workplace: Reminders in the workplace are important to prompt health care workers to practice a safe clinical practice. Posters and pocket leaflets are among the most common types of reminders.
  • Tool for evaluation and feedback: Evaluation is a vital element during the implementation and execution of patient safety procedures. Continuous monitoring is needed in order to measure the changes which have been induced by the SCP implementation. It ensures that the interventions have been effective in improving the safety of clinical practices.
  • Tool for promotion of a safety culture: These tools help create an environment with an increased awareness about patient safety issues. They make sure that improving the safety of clinical practices is being considered as a high priority at all levels.
  • Tool for information of patients and relatives: Patients and their relatives need to gather proper information about a safe clinical practice. Tools classified as such aim at achieving this.

Generic implementation tools are activities, educational materials, guidelines, protocols and means that assist the broad process of implementation. They are not specifically linked to one of the SCPs e.g. tools for patient involvement, tools supporting the implementation on a higher level, information on implementation barriers and drivers.