1062 / Pharmacotherapy safety at the ambulant and in-patient interface on surgical wards

GERMANY
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
Medication / IV Fluids There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
There are often difficulties at the outpatient and inpatient interface in completely ascertaining a patient’s ambulant medication and converting it to the medication available in the hospital. Especially elderly patients and patients admitted for emergency reasons are often not able to report their medication appropriate. At this point a clinical pharmacist can support the surgeon organisationally. Moreover, he can positively contribute with his expertise in view of pharmacotherapies. The professional knowledge of the pharmacist and the interdisciplinary collaboration increase pharmacotherapy and patient safety.
Description of the Patient Safety Practice
 
When a surgical patient comes to the hospital, a pharmacist speaks with him and inquires the medication the patient takes at home. If the patient does not know the name or the dose of the drug, the pharmacist contacts the patients’ relatives, the family physician or the care home. Once the whole medication is known, the pharmacist converts the drugs into the hospital available drugs. The agent or the effects of the drugs should be similar. There are drugs, which cannot be switched into the hospital available drugs. In this case, the pharmacist orders these drugs immediately.
Nevertheless the pharmacist checks the dose, especially if there are organ dysfunctions, and interactions between the drugs. Occurring problems are discussed with the surgeon or if necessary with other physicians.
At the beginning the pharmacist gathers the medication of the patients of two surgical wards. Meanwhile the project could be expanded; six surgical wards and one plastic ward are under pharmaceutical care.
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
Unit or ward 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
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
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
Pharmacists
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
There is a web site: http://www.bergmannsheil.de/behandlungsspektrum/apotheke-klinische-pharmazie/stationsapotheker.html

and a booklet avaiable at the hospital.
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
Staff and management recognised the need for change
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Yes
Description of used incentives, if any.
The surgeons do not have to bother anymore about the home-medication of their patients. So they have more time for their tasks.
The nurses benefit from clear orders and fast delivery of lacking drugs.
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: Laura Simon
Country: GERMANY
Organisation: Bergmannsheil Bochum
E-mail: laura.simon@bergmannsheil.de
Phone: There is no specified text here
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