1271 / Checklist for patients undergoing cardiological interventions

SPAIN
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Identification of risk and harm
Implementation of Patient Safety initiatives / Activities There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
The aim is to reduce adverse events derivatives of cardiological risky procedures, adopting a checklist with the characteristics of the techniques developed in the cardiology área, that identifies and intercepts potential risks to the patient prior to cardiac test WHO, the World Assembly in 2008, under the slogan "Safe Surgery Saves Lives" lays down guidelines to ensure patient safety in surgical procedures. One of the most important decisions was to establish a checklist for safe surgery. This list has been adopted by a majority of countries (which includes almost all the developed) and Scientific Societies. - The usefulness of these checklists has been proven in various studies and its main objective is to prevent errors or adverse events resulting from surgery or risky procedures by studying certain aspects of easy checking.
Description of the Patient Safety Practice
 
1. DEFINITION The checklist of the cardiological techniques is a record that summarizes the most important aspects that should be checked in every procedure developed by the Cardiology Unit that requires the Informed Consent of the patients because of the implications for their security. 2. RECORD DESCRIPTION - The R05 PGC 07 Patient Safety: The Checklist is a record that should be completed in all cases that a procedure, which requires the consent of the patient, is made. - Consists of 6 sections: The first collects patient demographics, the date and identification of professionals who will develop the procedure. The second identifies the technique. The third consider certain aspects about the patient before starting the procedure. The fourth is related to the test before performing the technique, the equipment, consumables and medication necessary, including, also, those devices or medications that needed just in case of an event not desired. The fifth includes the aspects before discharge the patient from the cardiological area where technique has made and is focused on analyzing the state of the patient at the time of discharge and about the information given regarding the procedure performed and subsequent statements of self - management. The sixth aspect includes the signatures of those responsible of the procedure. 3. WORK INSTRUCTIONS - Registration must be completed in all cases of cardiac procedures developed in our Unit, in any areas (technical, hospitalization, consultations or others not dependent of the Cardiology Unit but in which it is assumed, even partially, responsible for patient safety). -Special-cases: in case the cardiologist helps other units and in which patient safety is not our responsibility, members of the Unit will comply with established protocols there (Drains pericardial made by Intensive care, in which it asks us guided by echo ...). -For Other techniques (right heart catheterization, transesophageal studies outside the unit, subcutaneous implant heart monitors ...), please complete the appropriate checklist, for which the collaboration of the nursing unit will be asked wherever the technique is performed. - In the first paragraph stated the demographics of the patient (the patient will respond, or his relatives when this is not possible, the name and age) will be made. SIP and the number room will be recorded. If we have identification label we will stick in the corresponding area. Paragraphs of date and identification of the nurse and the cardiologist shall be completed. - In the second section the box for the procedure that will be developed will be pointed out: P: Pacient; F: Family; Y: Yes; N: No; NA: Not Applicable; R: Removed; TEE: TranEsophageal Echocardiography; DobutaSE: Dobutamine Stress Echocardiography; StressE: Stress Echocardiography; ExcerTest: Exercise Test; Fleca: Flecainide test; PeriPunc: peripherical punction; ECVO/ECVI: electrical Cardioversion outside (O) inside (I); ICM: Implantable Cardiac Monitoring; Cathe: Right catheterism. If some other technique not included in the above takes place will be specified in the box "others" - The third section will be filled with patient’s help, before starting the procedure. The way, the patient has been identified, indicating whether the data has been confirmed by the (P) or with family or companions (F) is specified. If the confirmation has been through by family, the reason should be specified. If the patient suffer from cognitive impairment the indication of yes (Y) is filed or not (N). If the test requires fasting status is confirmed (Y) and if the box does not require fasting (NA) will be indicated. In case of to be required to take or not regular medication, the indications are met will be noted (Y) and if not determinative (NA). In all cases, informed consent should been signed and dated for carrying out the test (the date have been written by the patient or legal representative). Cardiologist signature should be written too. Informed consent must be signed before test begun (a test that does not meet this requirement will not be performed). For tests considered Urgent, this fact should been written in observations paragraph, for the rest the date and signature should be at least 48 hours before the procedure. The patient attends the right to refuse, at any time, so we will confirm if he keep going, will be pointed out (Y). Shall be recorded in the opposite case in the comments section to consent, the test will be suspended and his signature will be requested in the relevant section of the informed consent document. All patients will be asked if they have allergy or intolerance to any medication (including in this concept any drug or the material to be used in the development of test latex, tape ...). Indicate if they have (Y) or not (N). In the case of allergy (Y) the product must be specified. If the allergy / intolerance is severe (the judgment of the cardiologist) to a drug that will be used in the test shall be specified in the relevant section and testing, unless it has been subjected to an anti-allergy protocol be suspended (this will be indicated (Y). If the allergy is related to a drug not involved in the development of the test shall be marked (NA) in the section on anti-allergy protocol. Removal of false teeth (R), if they carry a cardiac pacemaker (Y), if they carry anticoagulation or antiplatelet (Y) and if local anesthesia is required (Y) and / or sedation (Y) . For female patients of childbearing age, we should ask about the possibility of pregnancy (Y) or not (N). Unless extreme urgency, take all measures to protect the fetus and with an undoubtedly positive benefit / risk balance, no right heart catheterization will be performed if there is suspicion of pregnancy. For other tests, the cardiologist will assess benefit / risk and will decide if the procedure will be performed. The nurse, after explaining to the patient the technique, its development and the warning signs that may appear, indicate whether it has explained to the patient (P) or the family-companion (F) - The fourth section, related with verification of the equipment and material used in the process, explain that should be in operational status immediately if an adverse event occurs. The defibrillator will be checked every morning before starting any of the procedures of risk and should be brought (Y) on the list, like checking the cardiac arrest trolley has been reviewed according to the protocol established in Unit (Y) and the pulse oxymeter working properly (Y) in the patient (it must be checked before the start of the procedure, there is reliable access to reading O2 saturation, removing nail polish on one finger). It must be ensured that the equipment used works (Y), which has enough consumables (Y) (ECG printing paper, electrodes, equipment drip ...), as well as the specific medication (Y) to be used or which may be necessary in case complications occur. - The fifth paragraph, after the completion of the test and before the patient is transferred to his room or goes home comprises: To record if it has been some adverse event (Y) or not (N). If yes, please complete the registration of adverse events Technical Area. To record that has informed the patient and his family (Y) development and results of the procedure. Patient and family should be informed if there has been an adverse event as well as the measures taken to correct them. Patients status will be check before their go home or before they been transferred to their room (Y), we should advised them (or relatives) about self-management measures (Y) to follow in relation to the procedure performed (time of fasting, driving ...) and to check that every material used during the procedure has been removed from the patient (IV catheter, electrodes ...). Also before discharge, the patient (or relative) will has the Medical results report or will be included on his past medical history (Y). - In the sixth section the signatures of the nurse and the cardiologist in charge of the proceedings be collected. 4. RESPONSIBLE Nurse who will perform the procedure should fill in the registration (in all cases be the nurse techniques, except for those carried out in the ward who will be responsible for the patient, or the procedures to be carried out outside the unit in which case the responsible nurse is responsible for the area in which it is performed). Cardiologist will check and will sign the registration, in all cases, The record is attached to Informed Consent and be filed in the patient's past medical history 5. INDICATORS - Process indicator adequacy, using the following formula: Denominator: Number of procedures performed in the unit, requiring written informed consent. Numerator: Number of successfully completed checklists x 100. The denominator is derived from the activity reports of the Unit The numerator is collected from the checklist registration. These records will be destroyed year after passing the corresponding audit. The rate adequate is 95%.
Attachment of relevant written information and/or photos, as appropriate
2015112909073728752_WP4_Checklist.pdf
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
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
Not relevant
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
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
 
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
Clinical manager
Quality 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
No
Short description of the service users' level of involvement
Consultation, such as asking for information
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
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
Not relevant
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: Rafael Raso Raso
Country: SPAIN
Organisation: Hospital Virgen de los Lirios de Alcoy
E-mail: raso_raf@gva.es
Phone: 0034649606731
Print
Top
At la sikisen cesaretli kadina 50 cm at yarragi giriyor hayvanli porno izle
sirinevler escort sirinevler escort atakoy escort mecidiyekoy escort etiler escort atasehir escort capa escort
usak escort elazig escort
sex filme
porno
sirinevler escort beylikduzu escort atakoy escort sisli escort atakoy escort sisli escort sirinevler escort beylikduzu escort halkali escort halkali escort istanbul escort beylikduzu escort beylikduzu escort sirinevler escort sirinevler escort beylikd�z� escort �i�li escort �irinevler escort avrupa yakasi escort �apa escort beylikd�z� escort