305 / Clinical Risk Management strategy

AUSTRIA
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
Analysis of risk and harm
Assessment of risk and harm There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
surgical safety, medication safety
Description of the Patient Safety Practice
 
Clinical Risk Management within the hospitals of the gespag-group is divided into two main topics: A system that provides an instrument for anonymous reporting of critical incidents (“gespagCIRS”). This system is open for the whole staff and built to support systematic analyses after incidents had happened. On the other side we also established an instrument of risk analyses, which can be operated in systematic reviews, e.g. analyse of medical processes or case conferences. Experts assess a situation and develop procedures to reduce risk. The implementation of these procedures can be audited by peers, as a result the procedures are assessed again a can be enhanced. To support this system every hospital of the gespag-group has at least one trained risk-manager that can be requested by the heads of the medical departments.

Some enhanced procedures seem to be so useful to improve patient safety that they are recommended to be implemented by all hospitals of the group. For example the use of surgical safety checklists is now standard within all surgical activities and is also peer-reviewed every two years. The implementation was coordinated by the department of quality management and started with information of all surgical departments. Every department had to adapt the WHO-checklist to their requirements, the staff then trained to work with that checklist in routine. The use of these checklists is now obligate and implemented in all surgical processes.
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
Not known
A baseline measurement before implementation of the reported practice was obtained
No
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
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
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.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
No motivation among staff
Not sufficient human 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: 100
External consultants: 0
Support staff: 25
Managerial staff: 75
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 10
External consultants: 0
Support staff: 5
Managerial staff: 10
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
0
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Thomas Pichler
Country: AUSTRIA
Organisation: gespag
E-mail: thomas.pichler@gespag.at
Phone: There is no specified text here
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