373 / Clinical risk management

AUSTRIA
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Identification 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
 
Protection of patients against damage or injury (medication errors and adverse drug events, wrong side surgery, incorrect patient identification and all kinds of medical malpractice);
Reduction of complications (frequency of occurrence)
Description of the Patient Safety Practice
 
The WHO defines Patient Safety as "the reduction of risk of unnecessary harm associated with health care to an acceptable minimum". For the reduction of these risks a clinical risk management system is necessary.

The implementation of clinical risk management was carried out by projects in every hospital of our organisation (20 hospitals in Styria/Austria)

According to ISO 31000 - Risk Management for Organisations and Systems - the following steps have to be implemented:
- establishing a practical framework for risk management
- displaying the risk management framework (planning, implementation, assessment and improvement) and the risk management process

The evaluation is effected by:
- internal and external audits and inspections
- benchmarking
- systematic communication and peer-reviews
- continuous risk management reports
- feedback for patient organisations

Methods within our risk management are based on ISO 31010 "Risk management – Risk assessment techniques":
- Scenario analysis
- Failure mode effect analysis (FMEA)
- Root cause analysis (RCA)
- Hazard Analysis and Critical Control Points (HACCP)
and the London Protocol (Systems Analysis of Clinical Incidents)
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
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
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
EUNetPas Report, March 2010
448_WP4_REPORT Use of PSCI and recommandations - March 2010.pdf
Health care context where the Patient Safety Practices was implemented
 
Mental health care
Nursing facility
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Hospital
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities across different health care settings
Involved health care staff
 
Physicians
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)
Patient representative(s)
Patient organisation(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
During evaluation of the Patient Safety Practices
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
Yes
List of sources where public information is accessible
magazines
website
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
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
Staff or management did not recognise the need for change
Other
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
Yes
Description of used incentives, if any.
financial incentives
special protection of staff members against legal liability
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: Dr. Peter Schweppe
Country: AUSTRIA
Organisation: Steiermärkische Krankenanstaltenges.m.b.H
E-mail: peter.schweppe@kages.at
Phone: 0043/316/340-5111
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