1296 / Automated workflows in dosimetry to improve patient safety

SPAIN
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
Diagnostics
Medical devices / Equipment There is no specified text here
Topic of the reported practice
Quality management system
Aim and the benefit of the Patient Safety Practice
 
The workflow automatization of the radiotherapy process in all its stages, require the professionals`password and profile during the approval of each stage of the process, allows the completion of check lists in the control points to guarantee the product accordance, also registers all the stages, improves the workflow and, in general, guarantees the matching among the planned, prescribed, and administration of the irradiation scheme.
Description of the Patient Safety Practice
 
The radiotherapy process is done in a specific network computer program which manages the administrative and technical parts. The automated workflow consists in the programming manual tasks. The new app version automatizes the workflow linking all the activities. The goal is to automatize the dosimetry activity in the radiotherapy process, improving patient safety and the effective management of patients. Before the version in use, the workflow was done manually, making a task, finishing it and generating the next stage. Mistakes were done, as choosing the wrong patient, not creating the next stage or not creating it for the right patient. Different templates for the different kind of dosimetry were done. They include tasks sequences with a predefined time, a defined task app, assign users group and a check list if it’s needed. The task time is settled down depending on specific indicators. If the time is longer tan expected ,an alarm in red appear. This process improves all the fields studied. We can do only one task on the patient, and when it’s done, the next is automatically enabled. We don’t lose the patient flow and we don’t choose a wrong patient on task. The addition of a mandatory check list to complete a task has improved patient safety and quality. Monitoring the real time in the stages for each patient shows improvement as well as the efficiency of the service. All of this allows a better management of human resources, preventing errors and focusing on the tasks needed.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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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
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Qualitative
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
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
Nurses
Technical support / technician
Quality 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
Equipment was enhanced or new
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: Imma Brao Pérez
Country: SPAIN
Organisation: Institut Catala d'Oncologia
E-mail: ibperez@iconcologia.net
Phone: 650409371
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