431 / A color code to identify allergic patients

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
 
Justification
We detected a potential risk associated with the identification of patients allergic to medications, latex and food

A campaign to identify all patients allergic to medications, latex sensitization and food professionals.

The objective of this procedure is to describe the method:

1. Detect and avoid any potential risk to the patient, associated with allergies.
2. PROCEDURE-DIFFUSION AMONG ALL PROFESSIONALS University Hospital Santa Cristina. Madrid Spain

Scope:
For all patients admitted to hospital or with Emergency care, or surgery or consultation.
Application of this procedure will improve safety patient through proper identification of the presence of
allergies to medicines, latex, food.

Be identified in:
-Documentation of Sr. Clinical medical records, record
treatment and nursing, surgical nursing record and consultations
the dossier of patient history.
- Bracelet or patient identification bracelet.
- Bedside.
- Patient's meal tray.
Description of the Patient Safety Practice
 
Development:
· The physician and / or healthcare professional in the 1st. Detect patient contact the presence of allergies, placing the hallmarks blue, as appropriate.
· Identify the allergic patient through blue dot bracelet, income hospital.
· Inform patient and family of the meaning and importance of the bracelet
identification of allergies and their collaboration to inform us if lost or deteriorates.
· Ensure patient privacy at all times.
· Communicate the Pharmacy or Nutrition and Housekeeping, the condition allergic patient, if necessary,
· In addition to the initial check, always verify patient identification before any procedure.

- Units involved: operating room, emergency room, consultations, hospitalization

Documentation of Clinical medical records, record
treatment and nursing, surgical nursing record and consultations
the dossier of patient history.
Checklist for the assessment and collection of data for compliance this procedure (see Annex 1.)
----Responsibilities
Optional is responsible for detecting the allergic patient, to perform history in the first contact with the patient or income, placing the blue dot in the documentation necessary.
Nurse will be responsible for the admission of the patient, identify with blue dot in all nursing records for patient use and notify the pharmacy or Nutrition Services-Kitchens corresponding allergies, if applicable.
Nursing Assistant is responsible for the patient placed and review all days wristband with blue dot, checking that patient data are visible and no blue dot is damaged or Identify the patient's bed with square sticker blue.
Cleaning staff: patient discharge removed from the bed the blue sticker.
Kitchen Staff Nutritionist: Identify patient tray with square sticker, blue.
The improvement group safe patient reception perform admission collecting data on annual 2 cuts to evaluate the quality detection performance of allergic patients and implantation of the relevant areas of improvement.
The supervisor will assist the quality improvement group in the tabulation and diffusion of the evaluation results among all professionals through technical support.
The medical and nursing management, approve the actions to be implemented.

ANNEX 1. - REGISTRATION DATA COLLECTION BRACELETS
Data collection checklist YES NO n / p
1. - Certifying the identification of the allergic patient:
BLUE POINT BRACELET = yes 62.07%
2. - BLUE POINT CONSTA treatment record
And nursing care. = yes 100%
3.-BED SHOWN IN THE BLUE BUMPER. = yes 80%
4. - CONSTA BLUE POINT NURSING REGISTRY
SURGICAL = yes 100%
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
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
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
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
Other
Point of time in which service user or their reprasentatives' involvement takes place
During implementation 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
Not known
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
Motivated staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
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: Ma Teresa Perez y Pérez-Medrano
Country: SPAIN
Organisation: Hospital Universitario Santa Cristina, Madrid
E-mail: tperez.hscr@salud.madrid.org
Phone: +34 915574387
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