1196 / Patient safey and online applications: Upgrade Patient's Safety App

SPAIN
Classification of the PSP
Type of Patient Safety Practice Potentially Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Education in Patient Safety
Patient safety culture / Patient safety climate There is no specified text here
Topic of the reported practice
Professional learning program on quality and safety
Aim and the benefit of the Patient Safety Practice
 
The patient’s safety is considered “a priority in health care, an activity every time more complex, involving potential risks and where there is no system that can guarantee the absence of adverse events, as it is an activity where you combine factors inherent to the system and human activities”.
Our Organization wondered which are the minimum safety requirements we want the professionals to fulfil. A multidisciplinary team has offered an answer, led by the Patient’s Safety Functional Unit and which has resulted in an informative online application called Actualiza Seguridad Pacientes (Upgrade Patient´s Safety).
Description of the Patient Safety Practice
 
" Actualiza Seguridad Pacientes" is part of the Project Accreditation in Patient´s security for health professionals, financed with a grant from the Society of Care Quality of Murcia (SOMUCA) in 2013 and 2014, for Projects in Care Quality´s research. Different experienced professionals agreed the contents. The department of informatics from the Training and Health Research Foundation of Murcia (FFIS), designed and developed the application as a website platform, accessible from any device (PC, Mac, Smartphone, Tablet…). The platform is within the trusted sites of the Health Service of Murcia and complies with the current laws, in terms of protection of personal data and website accessibility. The objectives pursued and its purposes are on the start-up page, and the professional must accept the data protection policy. It has nine sections, two common to all professionals and seven specific ones, depending on the professional activity they work in or will in a future. Common sections: 1. Basic safety principles. 2. Empowerment of the patient. And seven specific sections: 3. Action and caution in the surgical area. 4. Leadership. 5. Hospitalized patients care. 6. Best practices in medication use. 7. Safety of critically ill patients. 8. Transfusion guarantees. 9. Safety at the Health Centre. The current version is targeted to physicians, pharmacists and nurses, it will be adapted more ahead to other professionals. The average time to complete it is an hour. Some of the contents that have been developed in each section are summarized in the list below: 1. Basic principals of safety, where we approach the identification of patients, hand hygiene, information to the patients, prevention of infections, diagnostic tests, security incident reporting in the Reporting and Learning System for SP, etc 2. Empowerment of the patient. We expose very briefly, how we should move within patients that are “informed, motivated and prepared” and how to accept these active patients throughout their disease. 3. Action and caution in the surgical area, is about adjusted scheduling, clothing use, surgical safety checklist, labelling the administration ways, ordering maintenance of the carts of anaesthesia and communication while transferring the patient. 4. Leadership: Strategies, projects and programs of security, diffusion and promotion of systems of incident detection for learning and detection of risks, monitoring and assessment of products, materials or equipment related to the safety of the patients, in the acquisition, use or possible incidents, and participation and impulse of Safety Committees. 5. Hospitalized patients care: preventing pressure ulcers, prevention of central venous catheter bacteraemia, isolation measures, bladder catheterization, preparation for diagnostic tests, diet and nutrition, interdisciplinary consultations and hospital discharge reports. 6. Best practices in medication use. Secure administration, high-risk medications, medication errors and pharmacosurveillance 7. Security of the critically ill patients: prevention of pneumonia associated with mechanical ventilation, cardiopulmonary resuscitation, severe sepsis, acute coronary syndrome, acute renal failure, sedation-analgesia, muscle relaxation and vasoactive drugs. 8. Transfusion guarantees: filling in the application of transfusion/pre-transfusion testing, informed consent, patient and sample identification for pre-transfusion testing, checking data of application and sample in the laboratory, positive identification at the bedside of the patient when we are performing the blood group, checking vital signs before and during the transfusion, positive identification of the patient by two different people before starting the transfusion, fill in the transfusion report, diagnosis, treatment and analysis of transfusion reactions. 9. Security at the Health Centre: Quality of the medical report data, consultation to the hospital, home care and sampling by health professionals. Each section ends with two or four multiple-choice questions and documentation in pdf, which can be downloaded or viewed. Finally, there is a survey of perceived quality.
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
Yes, partly
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
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
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
 
Primary care
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
 
Physicians
Nurses
Pharmacists
Clinical manager
Quality 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
No
List of sources where public information is accessible
There is no specified text here
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
Management support
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: Ascensión Sánchez
Country: SPAIN
Organisation: Hospital General Universitario Reina Sofía de Murcia
E-mail: ascension.sanchez@carm.es
Phone: 606800808
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