1267 / Improving patient confidentiality in a psychiatric unit

SPAIN
Classification of the PSP
Type of Patient Safety Practice Not Proven Effective
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient safety culture / Patient safety climate
Carrying out Patient Safety campaigns There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Patient confidentiality is a basic and shared principle of medical practice. This is of particular importance to matters related to Mental Health, where patients entrust the professionals sensitive information relating to their personal life.

In the last 12 years, in the Psychiatry Unit of the Hospital Clínico de Zaragoza, we have tried to improve patient confidentiality in a non-structured way with different procedures: individual and group activities to increase professionals' awareness, review and control of vulnerable points, restriction of access to areas with clinical records, use of specific wastepaper baskets for confidential documents, selection of information discussed with patient's family, etc.

The goal of this Patient Safety Practice is to improve the usual practice on the protection of patient confidentiality with a structured quality program.
Description of the Patient Safety Practice
 
Main Goals:
-To know professionals' opinion about weak points on the protection of patient confidentiality.
-To increase professional awareness on risk for patient confidentiality.
-To select concrete and feasible acts and measures to improve patient confidentiality.

Method and Implementation:
-Design of the interview by the work group, focused on significant points related to patient confidentiality. February 2015.
-Assessment of professionals' opinion (n=40). Interview is applied to members of every professional category working in the different settings of the Psychiatry Unit, with special attention to professionals with a charge of responsibility. Mars-April 2015.
-Analysis of answers by the work group and selection of weak points on the protection of patient confidentiality. May 2015.
-Discussion of results with the Head of the Psychiatry Unit and development of a Plan of action, including concrete and feasible acts and measures to improve patient confidentiality (about 10). June-July 2015.
-Association of the Plan with an icon and a slogan simple and clear. June-July 2015.
-Presentation of the Plan to all professional members of the Psychiatry Unit, through a brief PowerPoint presentation and delivery of brochures containing the icon, the slogan and the 10 acts to protect patient confidentiality. September 2015.
-To mark with signpost, containing the icon and the slogan of the Plan, the most vulnerable areas regarding patient confidentiality in the Psychiatry Unit. September-November 2015.

Evaluation. December 2015
-Re-assessment of the professionals interviewed with an open question, addressed to know if they have made any change in their routinely practice to improve the protection of patient confidentiality, and if they have, to describe such changes.
Impact Indicator: % of professionals that report they have made some change.
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
Unit or ward 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
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
 
Mental health care
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)
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
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
Brochures, Posters
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
Not sufficient financial resources available
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
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 16
External consultants: 0
Support staff: 0
Managerial staff: 1
Others: 1
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 2
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
200
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Isabel Irigoyen Recalde
Country: SPAIN
Organisation: Hospital Clínico Universitario Zaragoza
E-mail: hdpa.hcu@salud.aragon.es
Phone: There is no specified text here
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