1065 / The Involving Interdisciplinary Ward Round

DENMARK
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
Patient involvement
There is no specified text here There is no specified text here
Topic of the reported practice
Patient involvement
Aim and the benefit of the Patient Safety Practice
 
The aim of the Interdisciplinary Ward Round (IIWR) is to involve patients and relatives in the ward round. Clear and direct communication is essential for avoiding misunderstandings and thereby increasing safety. The purpose of IIWR is to involve patients and relatives in exchange of information, that the patient is included in all processes in the course of treatment, and to describe common goals for the coming weeks. Patient empowerment is essential in stroke rehabilitation. We therefore developed the Involving Interdisciplinary Ward Round (IIWR) replacing the traditional ward round and interdisciplinary conference. The aim was to involve patients and relatives in all the processes of the interdisciplinary work and decisions.The benefits of the IIWR: - Involvement of patients and relatives - The patients can decide which areas that are important to them and need to be prioritised - Matching of expectations as fundament for constructive collaboration between health care professionals, patients and relatives - Early focus on safe discharge - Increased interdisciplinary consultations - Time is saved on planning and coordination - Increased patient and relatives satisfaction.
The project was done at a Stroke Unit at a Danish Hospital.
Description of the Patient Safety Practice
 
The IIWR takes place weekly on the same day and lasts 30 min/patient. It includes the patient, relatives and the contact person from the involved professionals: physician, nurse, physio -, occupational - and speech therapist and neuropsychologist if relevant. All information, discussions and decisions are managed with focus on involving the patient. Each specialist is preparing mono-disciplinary. Pre-ward multidisciplinary discussion without the patient is not allowed. The patient is asked to be prepared for the IIWR by collecting all (not acute) questions.
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
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Yes
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
Both/mixed (qualitative and quantitative)
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
Yes
Specification of implementation in another health care setting(s)
Hospital
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities across different health care settings
Involved health care staff
 
Physicians
Nurses
Therapists
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
The IIWR is described in the info-material given to the patient and relatives on arrival to the department. It is stated that they freely can choose to have an ordinary ward round (no one has chosen this until now - start 01.02.2012).

The IIWR has been described in national journals for doctors, nurses, managers and patients organisations.
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 drive was to involve the patients and relatives, and have clear communication to minimize misunderstandings. The satisfaction from patient and relatives and increased quality of the interdisciplinary work supported the implementation.
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: Helle K Iversen
Country: DENMARK
Organisation: Stroke Unit, Department of Neurology, Glostrup Hospital, University of Copenhagen
E-mail: helle.iversen.01@regionh.dk
Phone: +45 24238196
Print
Top
At la sikisen cesaretli kadina 50 cm at yarragi giriyor hayvanli porno izle
sirinevler escort sirinevler escort atakoy escort mecidiyekoy escort etiler escort atasehir escort capa escort
usak escort elazig escort
sex filme
porno
sirinevler escort beylikduzu escort atakoy escort sisli escort atakoy escort sisli escort sirinevler escort beylikduzu escort halkali escort halkali escort istanbul escort beylikduzu escort beylikduzu escort sirinevler escort sirinevler escort beylikd�z� escort �i�li escort �irinevler escort avrupa yakasi escort �apa escort beylikd�z� escort