1124 / Food Safety measures

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Infection control / Prevention of surgical site infections
There is no specified text here There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
The practice is aimed at improving food safety measures in hospital, idenfitying in a timely manner cases that are due to hospital exposure and cases that are not, but require hospitalization.
Description of the Patient Safety Practice
 
In February 2014 three hospitalized persons in Palmanova (Italy ) showed symptoms of listeriosis and Listeria monocytogenes was found in their blood cultures. According to the incubation period all patients might have been exposed to contaminated food during hospitalization other than to the domestic exposure.
The microbiologic survey of food and leftover samples collected home and in hospital, and of environment samples from the hospital kitchen resulted in L. monocytogenes being isolated in some samples from both setting . After molecular typing of isolates (PFGE) the hypothesis of a listeriosis outbreak in hospital setting was rejected for none of patient pulsotypes was found among the isolates from the hospital environment.
Food safety legislation covers all foods from primary production to retail. However an hospital setting is peculiar for several categories of people that are at higher risk of acquiring infections, including food borne infections, are hosted and cared here. We aimed to improve the patient food safety during hospitalization.
Our experience allowed us to
-    empower the network of people with skills for the management of hospital acquired infections and food safety. We timely emailed the outbreak-team with updates on clinical ongoing of hospitalized persons and on results of microbiological testing of samples of human and food origin. We also organized a debriefing and a workshop on food borne zoonoses.
-    activate temporary measures for risk mitigation addressing foods suspected of microbiologic contaminations and procedures for food preparation/distribution/consumption of the hospital kitchen or ward that might have been a critical point despite compliance to HACCP food safety policy .
-    educate and inform patients’ relatives on good hygiene practices in order to handle the risk of listeria contamination at home
-    suggest to elderly, especially with impaired immune systems or hospitalized, to avoid consumption of food that despite being incapable to support L. monocytogenes growth may contain low amount of the bacteria
We will use the incidence of listeriosis human case in same area and same settings as indicator of intervention effectiveness of the practice. Baseline of our study is the number of events per year over past five years.
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
Institution 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
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
Yes
Specification of implementation in another health care setting(s)
Primary care
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
Dieticians/ Nutritionists
Clinical manager
Risk 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)
Relative(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=5013
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
Motivated 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
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: Claudia Giuliani
Country: ITALY
Organisation: AAS BASSA FRIULANA
E-mail: claudia.giuliani@ass5.sanita.fvg.it
Phone: There is no specified text here
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