432 / Welcome plan to the hospital

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
Communication
Other There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
1. To decrease the patient's anxiety at hospital admission favoured by the unknown environment.

2. To ensure personal attention and confidence, adequate care to the health situation of the patient, and the information needed to make the patient's stay more satisfying until discharge.
Description of the Patient Safety Practice
 
After performing the EFQM self-assessment in 2007, a plan to safely welcome our patients has been developed as an improvement project in the hospital. A good practices protocol has been elaborated and specific perception surveys have been designed to analyze both patients' and professionals' voices in order to detect weaknesses and put forward improvement actions, following the Plan/Do/Check/Act cycle.
Methodology: apply PDCA cycle; formal consensus methods with professionals; assessment of essential and support activities included in the Regional Plan for Welcome to Healthcare.
Initial assessment and implementation period: 2007-2008
Perception surveys to patients and professionals: 2009
Results:
1. Initial assessment:
•    Performance of essential activities: 88,89%
•    Performance of support activities: 84,62%
•    Update of welcome guidelines: 100%
•    Signalling for physically disabled patients: 100%
•    No. patients welcomed according to protocol: 85%
2. Perception surveys indicators
•    Patients' satisfaction with welcome at admission: 2009=82,37%; 2010 = 81,79%; 2011 = 82,64%
•    Nursing professionals' performance of quality criteria defined to assess welcome process (mean): 2009 = 84,27%; 2010 = 83,40%; 2011 = 88,37%
Current phase: improvement group meeting pending to perform PDCA cycle, determining new areas for improvement.


Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
Presentation_2009-11_Results.pdf
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
A: )
16TH CONGRESS OF HOSPITALS. CACERES. SPAIN 02 TO 05 JUNE 2009.

TITLE: Implementation of continuous improvement cycle - PDCA cycle WELCOME IN SAFE PLAN PATIENT.


B:)
XXVIII Congress SECA. Spanish Society for Quality Healthcare. City: Santiago de Compostela. Spain-19/22 October 2010

TITLE: SAFE HOME PATIENT IN HOSPITAL QUALITY perceived by patients, VS PROFESSIONAL OPINION
534_WP4_CONG SECA POSTER 19-22 OCTUBRE 2010 ACOGIDA PAC-PROF -7-7-10.ppt
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 relevant
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
 
Nurses
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)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
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
Yes
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
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
Regular data feed back to involved staff
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: Ma Teresa Perez y Pérez-Medrano
Country: SPAIN
Organisation: Hospital Universitario Santa Cristina, Madrid
E-mail: tperez.hscr@salud.madrid.org
Phone: +34 91 557 43 87
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