1315 / Promotion of patient safety culture in nuclear medicine

SPAIN
Classification of the PSP
Type of Patient Safety Practice Not Implemented
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Diagnostics
Patient identification There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Patient safety is based on patient medical record review in order to justify indication of the radiation of a Nuclear Medicine test. Before conducting such tests, acquisition protocols must be validated for each patient and guarantee a correct patient identification. Appropriate sequence prior to acquisition of nuclear medicine tests include the following actions: - Patient identification - Assessment of the patient clinical record by the specialist in Nuclear Medicine - Correct fulfillment of forms for tests and treatments preparation - Validation of acquisition protocols for each patient at least twenty-four hours in advance, according to law. - Check patient physical condition before test (excluding pregnancy and lactation) - Signing the informed consent form. - Activation of specific protocols in patients at risk or danger (children, level of patient cooperation...) - Verification prior to the administration of the radiopharmaceutical (activity, route of administration…) - Presence of Nuclear Medicine physician onsite to assess the acquired images
Description of the Patient Safety Practice
 
It is necessary to implement optimal methods for identification of patients who receive radiopharmaceuticals for nuclear medicine tests. I.E: name, sex and birth date. Efforts should be made to: • Reduce the patient dosimetry levels through the appropriate medical indication of the nuclear medicine tests. • Implement safe practices in the use of radiopharmaceuticals: dose adjustments with the least possible exposure to radiation, ensuring the quality of the images obtained. Dose adjustment for pediatric population is mandatory following scientific societies recommendations. Quality controls prior to administration of doses should be checked. Standard working methods have been developed, including diagnostic and therapeutic guidelines, All these actions must be included in Quality Assurance Programs. These protocols are needed to ensure adequate doses of radiopharmaceuticals. Also, it is recommended to acquire correct tests in all patients, by ensuring quality of images and proper administration of amperage of the components of Computer Tomography in hybrid equipment (SPECT-CT and PET-CT). The Spanish Nuclear Medicine Society: • will develop guidelines for validation of tests and treatments that use radiopharmaceuticals. Thus it will seek to avoid exposure to ionizing radiation to those patients for whom a medical justification for it is not found. • will spread clinical practice guidelines (local, national and international) and will promote its implementation in the Nuclear Medicine Departments.
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
No
Level of implementation of reported practice
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Specific and measurable outcome for the reported practice were defined
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A baseline measurement before implementation of the reported practice was obtained
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A measurement after full implementation of the reported practice was obtained
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Evaluation of a "positive" effect of the reported practice on Patient Safety
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Type of before-and after evaluation
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Enclosure of a reference or attachment in case of published evaluation's results
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Health care context where the Patient Safety Practices was implemented
 
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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)
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Successful implementation's level  of this Patient Safety Practice across settings
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Involved health care staff
 
Physicians
Nurses
Health care assistants
Technical support / technician
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
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Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
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Short description of the service users' level of involvement
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Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
No
List of sources where public information is accessible
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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
Lack of knowledge on implementation strategies
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
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Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
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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
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Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
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Contact information
 
Name: There is no specified text here
Country: There is no specified text here
Organisation: There is no specified text here
E-mail: jover_raq@yahoo.es
Phone: There is no specified text here
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