1245 / A study on quality improvement and patient safety data flow

ITALY
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
Reporting and learning systems
There is no specified text here There is no specified text here
Topic of the reported practice
Incident reporting and learning system
Aim and the benefit of the Patient Safety Practice
 
To determine whether health care quality is appropriate, safe, efficient, cost-effective and accessibile, organizations must measure the quality of care they provide. Health care organizations are fundamentally obligated to be accountable for the quality of the clinical and support services they provide and many governments and other institutional entities are working to facilitate the sharing of performance data among organizations. So, the organizations must understand: - what information to measure and how to measure it, - how to in interpret data, - how to monitor care through measures on an ongoing basis The aim of this study is to analyze how the data and measures are managed at Udine University Hospital and in particular to assess the relevance given to quality and patient safety measures in the hospital's information assets. Specifically, the goals are: 1. to know what data are permanently available and managed by the hospital; 2. to identify what data and what measures are used for management purposes and which are more precisely defined as measures of quality improvement and patient safety; 3. to understand the complexity in the management process of the data and information: a) what tools are used and who is involved for the input of data and information; b) what tools are used and who is involved in the processing, analysis, aggregation and representation of the data; 4. to identify ways, means and times of communication adopted by the hospital to return data and information; 5. to investigate whether the data and the measures being systematically monitored respond to JCI standards; 6. to observe which data have the characteristics to be adopted as benchmark measures, particularly those related to quality and patient safety areas.
Description of the Patient Safety Practice
 
The study was conducted during the months of February and March 2013, together with a retropsective study on the hospital situation in 2012. The methods include: 1. preliminary literature review and survey about the programs already existing within the institution: this was done by interviewing managers and people in charge of the different programs; 2. colleciton of the relevant information available within the institution through: a) consultation of hospital databases; b) the consultation of official documents, rules and procedures concerning the planning and implementation of hospital programs and activities aimed at improving the quality and patient safety (Annual Hospital Plan, Budget Plan, Policy and safety procedures, reporting tools, etc.). 3. collection of data and information necessary to achieve the objective of the study. Data were collected on Excel (ver. 2007) and classified according to the following categories: a) area of the data, b) primary source of the data, c) person who recorded the data, d) person who managed the data (collection, validation, analysis, report), e) tool for data management and analysis, f) time of report, g) tool of report, h) internal target, i) external target, j) type of data / measure, k) dimension of quality, l) Joint Commission International (JCI) chapters (2011 version) , m) characteristics of international benchmark for patient safety measures. The analysis and representation of the data was performed using Microsoft Office – Excel ver.2007.
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
Not relevant
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
Not known
Specification of implementation in another health care setting(s)
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Successful implementation's level  of this Patient Safety Practice across settings
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Involved health care staff
 
Quality manager
Risk manager
Other or not relevant
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=4972
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
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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
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Contact information
 
Name: Carla Londero
Country: ITALY
Organisation: AZIENDA OSPEDALIERO-UNIVERSITARIA UDINE
E-mail: londero.carla@aoud.sanita.fvg.it
Phone: There is no specified text here
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