1016 / In the patient footsteps - following the patient

DENMARK
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient safety culture / Patient safety climate
Education in Patient Safety There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
“Following the Patient” is a tool for the hospital leaders to make it easier for them to observe things from the patient’s perspective. It is meant as an ‘eye-opener’ and as a mean to show the leaders what patients experience when visiting the hospital.

By following the patient, the management should try to see the health care processes from the patients perspective, and should be aware of the following:
- if the patients are met with interest, respect and involvement
- if the hospital personel use the patients and relatives as resources, by involveing the patient in the health care processes
- if the communication between the patients, relatives and the health care professionels is clear and precise

By following the patient, the hospital management get informations about beeing a patient, e.g. in relation to communication (written and oral), waiting time, the patients posibility to navigate within the hospital, physical surroundings etc. Furthermore, it provides the possibility for the management to see how patient safety is integrated in clinical procedures, e.g. regarding patient identification, medication etc.

The benefits of the project includes renewed focus by the management on patient and relatives experience when they meet the health care system, including focus on communication and involvement etc.
Description of the Patient Safety Practice
 
A person from the head management accompanies the patient during the patient’s stay at the hospital (for e.g. a couple of hours) to see how the staff meets the patient and use the resources of the patient.

By the end of the stay ask the patient about the following:
- what went well?
- what came as a surprice? And why?
- what did not went well?
- should we do something different?
- Do you feel safe?
- etc. etc.

The same kind of questions could be ask to the health care professionals involved.

At the website there is available information about how to plan and do the exercise.

http://www.sikkerpatient.dk/fagfolk/i-patientens-fodspor.aspx
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
No
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Not relevant
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
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
 
Clinical 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 implementation of the Patient Safety Practices
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
Yes
List of sources where public information is accessible
http://www.sikkerpatient.dk/fagfolk/i-patientens-fodspor.aspx
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
Management support
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: 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: Simone Hald
Country: DENMARK
Organisation: Danish Society for Patient Safety
E-mail: simone.hald@patientsikkerhed.dk
Phone: There is no specified text here
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