1150 / The medication recognition and reconciliation at the ASL Avezzano-Sulmona-L'Aquila

ITALY
Classification of the PSP
Type of Patient Safety Practice Not Implemented
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Carrying out Patient Safety campaigns
Implementation of Patient Safety initiatives / Activities There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
OBJECTIVES • Improving the safety and quality of care in health facilities company, for the prevention of death, coma or severe damage arising from errors in therapy • Development of interventions and implementations of competence • Adoption of corporate procedure developed • Promotion activities targeted training • Definition of timing and scope of application BENEFITS • Reduce harms caused by adverse drug events • Reduce spending on medication
Description of the Patient Safety Practice
 
The increase of chronic diseases and specialization of care have resulted in an increase in the complexity of therapy (polypharmacy) and its management (different medications prescribed by different professionals in different contexts, hospital and / or outpatient). This complexity brings with it an increased risk of adverse events, especially when therapy is changed at the interface between the various facilities (hospital, community) and between the various professionals. On such occasions, in fact, incomplete requirements or changes made without precise knowledge of patient care can lead to confusion for the patient or hiring mistakes with serious repercussions for their health and safety. The basic objective will be the implementation of the procedure of "Recognition and Reconciliation of therapy," to ensure proper management of drugs and medical devices (DM) in all its phases, from prescription to administration, to ensure the quality and safety of the care provided. Recognition and reconciliation are to be made every time there is a transition in care or every time there is a change in the therapy. Recognition must be carried out at the moment of taking charge of the patient or within 24 hours. Documentation related to recognition should include: trade name/drug substance, pharmaceutical form; • dosage; • daily dose and route of administration; • mode of administration • date when the therapy began • date and time of the latest dose • any other information considered relevant. The source where the information come from should also be documented, for example: • patient: verbally, or by showing the list or the packaging of products. • caregiver (specifying the identity): verbally, or by showing the list or the packaging of products. • documentation of the care provider, specifying the identity and affiliation. Reconciliation shoule be shared with the other professionals involved in the care of patient.
The outcomes of the recognition/reconciliation process should be shared with the patient or relative/caregiver, who should be informed about the changes made to the therapy and the reasons why they were made.
Organizational solutions will be adopted, training and prevention will be carried out with the active involvement of all health professionals involved (doctors, dentists, nurses, midwives and pharmacists).
Methods used for evaluating results:
• Verify the annual cost / year of drug therapy and previous succesiva reconnaissance / reconciliation • Check semiannual cost / semester of previous drug therapy and succesiva the recognition / reconciliation • Control sample, the presence in the medical record of the patients, the tab for the recognition / reconciliation of medications
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
No
Level of implementation of reported practice
There is no specified text here
Specific and measurable outcome for the reported practice were defined
There is no specified text here
A baseline measurement before implementation of the reported practice was obtained
There is no specified text here
A measurement after full implementation of the reported practice was obtained
There is no specified text here
Evaluation of a "positive" effect of the reported practice on Patient Safety
There is no specified text here
Type of before-and after evaluation
There is no specified text here
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
 
There is no specified text here
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
 
Physicians
Nurses
Pharmacists
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
Yes
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=4907
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.
Not known or not relevant
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
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
There is no specified text here
Contact information
 
Name: ALFONSO DI SIPIO
Country: ITALY
Organisation: There is no specified text here
E-mail: adisipio@asl1abruzzo.it
Phone: There is no specified text here
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