1121 / An educational approach to improve the application of the patient identification’s procedure.

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Implementation of Patient Safety initiatives / Activities
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
 
In 2013, an educational programme was performed, involving personnel of selected operative units of the Academic Hospital of Udine. This programme aimed at improving the application of the patient identification’s procedure. This procedure regards the use of identification wristband and the identification of patients before: each administration of drug therapy, each administration of blood and / or blood components, taking samples of blood and / or other biological samples, performing any surgical or invasive procedure and every time the patient is transffered or arrives at the ward.
Description of the Patient Safety Practice
 
The course lasted from June 2013 to December 2013, and was set into two main sessions: - a two hours frontal lesson, held by the Risk Management Group of the hospital, where personnel has been divided into small groups ; - A 16 hours training session (where a tutor, selected staff membership, evaluated the right application of the identification procedure in his/her ward among every participants of the course working with him/her). The 14 wards involved have been identified trough a score of priorities defined by two parameters: - frequency of reported adverse events involving the patient identification, - severity of the damage -related to the adverse event-. The educational programme involved 366 employees (nurses, pediatric nurses, health technicians in medical radiology, and other auxiliary personnel), including 31 tutors. During lessons, the importance of the correct application of the patient's identification procedure was underlined discussing adverse events and watching a short educational film, self-produced in 2011 and based on a true adverse event involving regarding errors in patient identification.
In order to evaluate the results of the educational programme, the Clinical Risk Management Group, before and after the intervention, conducted interviews, to personnel and patient and performed on-site observations. The Clinical Risk Management Group conducted 149 on-site observations (56 pre-intervention and 93 post-intervention). Results show that at the first survey (before the intervention) 73% (41/56) of the observed identification procedures were properly performed, 68% (27/40) of the interviewed personnel answered correctly the questions regarding the application of the patient identification procedure and 71% (74/104) of interviewed patients referred a methodical application of this procedure by the personnel. The second survey (after the intervention) showed that 92% (86/93) of the observed identification procedures were properly performed, 86% (35/41) of the interviewed personnel answered correctly the questions regarding the application of the patient identification procedure and 82% (93/113)of interviewed patients referred a methodical application of this procedure by the personnel. A Chi-square test was performed to analyze data but results were considered to be not statistically significant (p>0.05).
Attachment of relevant written information and/or photos, as appropriate
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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
Yes
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
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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
 
Nurses
Health care assistants
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 application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
Short description of the service users' level of involvement
Not known
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://buonepratiche.agenas.it/questionnaire.aspx?id=4744
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
Sharing of progress information among involved staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
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
No
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: Lucrezia Grillone Luigi Castriotta
Country: ITALY
Organisation: AZIENDA OSPEDALIERO-UNIVERSITARIA UDINE
E-mail: lucrezia.grillone@uniud.it; castriotta.luigi@aoud.sanita.fvg.it
Phone: +39 0432559601
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