1138 / From Recognition to the Medication Reconciliation: the validation of a prescription form for a safe pharmacological therapy

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
Medication / IV Fluids
There is no specified text here There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
The accurate knowledge about the patient's pharmacological therapy is a fundamental step in order to guaranty the safety in the medication prescription and for the consequent caring appropriateness. The medications' recognition is a systematic process, performed by medical staff, that consists in the collection of complete and accurate information about medications and other products (including non-conventional drugs) taken by the patient. The Recognition and Reconciliation are important clinical patient-centred activities, which have to precede the prescription. The new prescription or any changes to the previous treatments, resulting from medication Reconciliation, must be documented and communicated to the parties and stakeholders interested in the process of care.
Description of the Patient Safety Practice
 
In March 2010, in the Emilia-Romagna Region, the Recommendation "Safety in drug therapy: the Recognition like premise for the Prescription" has been issued. As early as 2010, the Teaching Hospital of Parma (Italy), with the Nursing Services Directorate, conducted a survey through the administration of a questionnaire addressed to all nurses' coordinators (n=74), in order to explore the procedures followed in the Clinical Units and to assess how really these come close to the indications contained in the Recommendation Regional. The information obtained have highlighted that many information effectively were detected by the health professionals, although not in a uniform manner (the information source, the anthropometric parameters as well as the products freely taken by the patient often were not documented). The tools that have emerged being used in order to perform Medication Recognition were dissimilar and the Medication Recognition process was mainly carried out by multiple professionals, through the use of more than one instrument, with more overlaps, redundancies and risks. Starting from this results, at the University Hospital of Parma, a shared tool has been constructed and validated in order to avoid duplications, obtaining complete and accurate information, also by guaranteeing traceability to the process and improving the safety of prescriptions.
Since April 2013, in occasion of the "Clinical Audit Program in the Clinical Management of Drug Safety" (promoted by the Health and Social Agency of the Emilia Romagna Region), the Teaching Hospital of Parma has performed with professionals of the Geriatrics-Rehabilitation Department, an Audit specific for the evaluation of the Medication Recognition-Reconciliation. The Clinical Audit has found that 89.2% of the total Medical Records actually analyzed (n = 232) contains the "medication Recognition and Reconciliation" form. The 72.8% of these forms, included in the Medical Records, was filled in all the fields, with only a 5.6% of forms which are not been filled in the "Alert" section. The professionals of the Teaching Hospital of Parma, after having collaborated on the preparation and dissemination of a unique form for medication Recognition-Reconciliation, have appropriated of the methodology Clinical Audit, which gave evidence of the proper application of the form and also made possible further improvement actions.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
The Reconciliation Tool.pdf
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
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
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 local/national health systems
Involved health care staff
 
Physicians
Nurses
Pharmacists
Clinical manager
Risk manager
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
http://buonepratiche.agenas.it/questionnaire.aspx?id=4646
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
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: Giovanna Campaniello
Country: ITALY
Organisation: AZIENDA OSPEDALIERA DI PARMA
E-mail: gcampaniello@ao.pr.it
Phone: There is no specified text here
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