574 / Managing planned emergency - improve the safety of C-section (Cesarean section)

ITALY
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
Surgical / Invasive procedures
Communication There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
C- section is a surgical procedure aimed at preventing or treating some life-threatening maternal or fetal complications. Delay in deciding to perform C-section may result in poor maternal and baby outcomes. The aim of this endeavor is to improve the safety of C-section deliveries through organizational and behavioural changes.
Description of the Patient Safety Practice
 
Developing a specific procedure implemented in the Delivery Room of Latina Hospital, we wanted to optimize the timing of the cesarean section. Pregnant women subject to caesarean sections are identified by a color code (red, yellow, green and white) based on urgency. The procedure describes in detail the tasks to be carried out by each member of the team (midwife, gynecologist, anesthesiologist, neonatologist, nurse and support staff) in order to meet the objective defined, because only a well-coordinated team of all involved specialties will guarantee the optimal prognosis of mother and fetus. In the observation period considered, of 1049 women, 294 (28%) delivered by cesarean section. Amongst these 6 (2,2\%) were coded red and 25 (8,5%) yellow. All red code C-section were initiated within 30 minutes from the decision. Decision to cesarean and decision to delivery intervals, as well as the neonatal outcome for red and yellow code cesarean are reported in the table. For more detailed information see attachment.
102_WP4_risultati procedura TC 2-13.pdf
Attachment of relevant written information and/or photos, as appropriate
102_WP4_risultati procedura TC 2-13.pdf
There is no specified text here
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
Unit or ward 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
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
Nurses
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
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/practicesdetail.aspx
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
Specially trained 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: Francesco Maneschi
Country: ITALY
Organisation: SANTA MARIA GORETTI LATINA
E-mail: francesco.maneschi@tin.it
Phone: 3907736553870
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