523 / Training in patient safety: Introductory course for medical residents

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
Education in Patient Safety
There is no specified text here There is no specified text here
Topic of the reported practice
Professional learning program on quality and safety
Aim and the benefit of the Patient Safety Practice
 
Training in patient safety: Introductory course for medical residents in training.
Patient safety is a cross-sectional area for all specialties. Therefore, in our hospital is taught an annual mandatory course of 6 hours.
This is the practice in patient safety training that we share
Description of the Patient Safety Practice
 
GOAL
• To disseminate basic knowledge on Patient Safety among resident physicians University Hospital

SPECIFIC OBJECTIVES
• Communicate the current relevance of Patient Safety.
• Disseminate the current concept of Patient Safety (system approach, latent factors, risk theory Reason)
• Introduction to practical tools for Patient Safety Management Systems and Adverse Event Reporting
• Introduction to Safe Practices
• Hand washing. Key tool for the prevention of nosocomial infection.
• Preventing medication.

Program:
• Methodology: provide educational material and / or exercises for each student's work (three hours non-contact). In the face day (3 hours) will be made part of the theoretical discussion and case studies (3 hours).

Theoretical (3 hours):
Patient safety, what are we talking about?.
Use of videos:
- OMS: An ordinary day (vincristine medical error)
- Surgery Checklist –OMS: Sequence of Tv movie ER
Theoretical and practical workshop on hand hygiene.
Preventing medication errors
Practical part: (3 hours)
Test objective assessment knowledge + case study (introduction to patient safety).
Practical Workshop on hand hygiene
The case of nurses in Denver (safe use of the drug):
-Individual reading of history.
-Talk in groups of 4-5 people of the factors that have contributed to it and improvement proposals.
-Presentation of the conclusions of the groups in a PowerPoint in PDF and return.Were given two articles to help in conducting practice.
The course is mandatory for all medical residents during their training period. The requirements to pass the course, in addition to the attendance, are to pass a test of 15 questions and the analysis of a case of adverse event.
This course started three years ago, on an annual basis.
We give some articles to the medical residents, to help them in the analysis of the case of adverse event. These articles (we attach them) are:
• Otero MJ, Codina C, Robles D. Programa multidisciplinario de prevención de errores de medicación en un hospital. Rev Calidad Asistencial. 2005;20(2):79-89
• Ruiz-López P, González C, Alcalde-Escribano J. Análisis de causas raíz. Una herramienta útil para la prevención de errores. Rev Calidad Asistencial. 2005;20(2):71-8
• Curso de Seguridad del paciente y prevención de los efectos adversos relacionados con la asistencia sanitaria. Ministerio de Sanidad y Consumo. Materiales docentes. Unidad didáctica 4 – Ejercicio: El caso de las enfermeras de Denver. Available at: http://www.seguridaddelpaciente.es/formacion/tutoriales/MSC-CD1/ejercicios/ejercicio_u4.pdf.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
RCA.pdf
Medication_errors.pdf
Denver_Exercise.pdf
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, partly
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
No
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
No
Evaluation of a "positive" effect of the reported practice on Patient Safety
Effect not known or the intervention has not yet been evaluated
Type of before-and after evaluation
There is no specified text here
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.
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
Other
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: Luis Angel Sánchez
Country: SPAIN
Organisation: Hospital Clínico Universitario de Valladolid
E-mail: lsanchezmunoz@gmail.com
Phone: There is no specified text here
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