494 / Neonatal identification practice

ROMANIA
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient identification
There is no specified text here There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
We considered patient correct identification a mandatory requirement in our maternity and new born ward. During the stay in hospital the new born, especially the premature could need different type of assistance and travel on different section of the hospital. We put in place a procedure to prevent and avoid any error regarding identification of the patient. The procedure is including correct identification of the mother and her new born.
Description of the Patient Safety Practice
 
In the labour room the mid-wife is responsible for the correct identification. All women when entering in labour are receiving a patient identification label which include: Name and surname written with CAPITALS

At the delivery room
The nurse is responsible that all newborns have two patient identification labels (wristbands) attached immediately after birth. This includes:
Identification of gender: male infant (M/I) / female infant (F/I)
The mother’s surname is underlined and written in CAPITALS.
Date and time of birth, with the year in full
The label is checked with the parents and with the mother’s identity label to ensure correctives. This is done in the delivery room.
If the baby is under 28 weeks or if there are concerns regarding skin integrity then name bands may be placed on the hat and saturation probe. Once the skin is mature bands can be placed in the usual manner.
Infant identification bracelets are checked each shift.

Parents
Parents are informed of the importance of labeling and security, they are educated to inform a member of staff if either of the labels becomes detached.

Results
Our maternity is offering services for normal and high risk pregnancy and delivery. The volume of work is huge (around 6000 births/ year), in the conditions of limited number of staff. But we did not have any incident of patient identification by applying this procedure.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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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
Not known
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
Not known
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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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
 
Physicians
Nurses
Health care assistants
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)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During implementation 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
Strong knowledge in implementation
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: 6
External consultants: 0
Support staff: 3
Managerial staff: 1
Others: 0
Not relevant: 0
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: 300
External consultants: 0
Support staff: 150
Managerial staff: 30
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
2
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Anca Bivoleanu
Country: ROMANIA
Organisation: Cuza Voda Maternity, NICU - Iasi
E-mail: a.bivoleanu@yahoo.com
Phone: +40722576386
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