1251 / Audit on vascular access management

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
Surgical / Invasive procedures
Handling of catheters There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
This practice aimed at identifying major invasive procedures that are performed at the Nursing Home Di Lorenzo Spa and on the basis of a review of the relevant protocols; Subsequently FMECA methodology will be applied (Failure Mode and Criticality Analysis Eccects) on two procedures most recurrent. FMECA is a system, based on a logical and systematic methodology that allows to: • identify, • analyze, • assess, • communicate, • eliminate • monitor the risks associated with any activity or process in order to make the organization able to minimize losses and maximize opportunities
Description of the Patient Safety Practice
 
The number of daily care procedures that are performed on hospitalized patients, identify the nurse as the center of infection prevention and as a professional able to meet the needs of safe environment for all patients, especially patients who are mostly at risk. The responsibility that comes from managing important aspects of hospital infection control, that have a high impact on the hospital population, such as proper preparation of patients and materials for invasive procedures, proper and informed use of antiseptics and disinfectants, and sometimes even their choice for certain applications, and the training and the address of the new staff, make this a professional resource relevant in containment of hospital infections, derived among other things, by incorrect invasive procedures, performed so wrong not respecting the sterility and not following the best available scientific evidence. Without doubt one of the main problems felt by nurses is linked to poor performance in the manual (including the preparation of material to be used) procedure they are performing. Among the most important invasive procedures there is bladder catheterization, intravascular catheterization, surgical drainage, assisted ventilation and management of parenteral nutrition. Each of these activities is linked to a number of processes which require in-depth knowledge in order to ensure the adoption of uniform and consistent and effective measures in infection control. In order to carry out the audit, the procedures and protocols already in place for vascular access management, invasive procedures, patient safety and safety of the healthcare workers have been evaluated. During the following month, all the invasive procedures performed within the institution have been monitored. A monitoring group has been set up to support healthcare workers and monitor the improvement actions implemented after the audit. Working groups have also been set up to work on the main aspects regarding vascular access management. Based on this work, some recommendations have been drafted and distributed to all the units.
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, 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
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Health care context where the Patient Safety Practices was implemented
 
Nursing facility
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)
Nursing facility
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Nurses
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=5222
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
Strong knowledge in implementation
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
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
Others: 0
Not relevant: 0
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
10700
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Muzio Stornelli
Country: ITALY
Organisation: CASA DI CURA 'DI LORENZO'
E-mail: stornelli73@gmail.com
Phone: There is no specified text here
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