1146 / Pressure ulcers prevention

ITALY
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
Decubitus ulcers
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
 
In many countries, the reduction in the incidence of Pressure Ulcers (UdP) has been identified as a priority for interventions to improve the quality of care services. The good regional practice identifies the minimum requirements for this problem solving, identifying the key elements in the targeted prevention in order to establish the degree of risk of ulcer the individual patient is exposed to, with the aim of planning specific interventions. In collaboration with the Association for the Study of Nursing Wound Care and the Italian Association of Cutaneous Ulcers.
Description of the Patient Safety Practice
 
Based on the indications suggested by the Regional Good Practice USL 4 Prato has taken steps to implement a system of assessment, prevention, and treatment of patients at risk of pressure ulcers through: 1. the spread of good practice in all relevant staff; 2. setting up a general procedure for the adoption of formal good practice; 3. the implementation of the regional indications for the prevention and management of pressure ulcers, according to the responsibilities identified and in particular: - The identification of those at risk through the systematic use of validated rating scales; - The re-evaluation of risk every 7 days - The management of those at risk through the use of an appropriate prevention plan; - Informing and educating the patient at risk and people assistance through information brochures; - The assessment of pain by a validated scale; - A proper evaluation and treatment of injuries based on the general condition of the subject and their characteristics; - The provision of safeguards for medication recommended by the Region of Tuscany Guidelines; - Appropriate use of surface-decubitus; - Proper treatment and prevention of complications - Continuity of care - Training for the management of patients at risk for pressure ulcers or carriers.

INDICATORS: % Of patients at risk assessed for pressure ulcers Numerator: number of patients at risk assessed for pressure ulcers Denominator: Number of patients at risk % Of assessed at-risk patients for whom there is evidence of the application of means of preventing and / or appropriate treatment Numerator: Assessed at-risk patients for which there is evidence of the application of means of preventing and / or appropriate treatment Denominator: Number of assessed at-risk patients
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
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
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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
Quality 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
Other
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=4842
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.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Lack of sharing of progress information among involved staff
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
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
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Contact information
 
Name: Patrizia Cini
Country: ITALY
Organisation: There is no specified text here
E-mail: pcini@usl4.toscana.it
Phone: There is no specified text here
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