595 / Risk prevention in microbiology Medical Center

BULGARIA
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Implementation of Patient Safety initiatives / Activities
Other There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
Risk Factors

1.    Formation aerosols of biological material and dispersing it at work.
2.    Contamination with infectious material on surfaces, skin and mucous membranes
3.    Infections transmitted by blood / AIDS, Hepatitis and etc. bacterial infections /
Description of the Patient Safety Practice
 
Accepted and processed organic materials, which are separated by the appropriate in sterile containers with screw caps.
Work with mandatory protective equipment - respirators, gloves, goggles.
Opening the container is only strictly defined for this job.
Centrifugation of samples is carried out in a centrifuge, covered with dense cover, not
allowing the release and dispersion of aerosol.
Infectious material pipette with automatic pipettes or disposable sterile ones.
Not allowed stationed in unfixed preparations with infectious material jobs.
After completion of the procedures for handling of clinical materials, containers and tubes containing samples are discarded containers of disinfectant. They stay for the time subsequent to autoclaving and final disposal as solid waste.
Work surfaces should be cleaned with disinfectant, and the rooms are illuminated with bactericidal lamps behind closed doors.

. Risk Prevention

Spillage of biological material or pure bacterial culture on surfaces / floor boards / relevant area is covered with adsorbent material / tissue, gauze, cotton /, which are flooded with an appropriate disinfectant / dekoneks, chloramine, clubs and more. / So stayed thirty minutes. Followed by washing and disinfection of contaminated surfaces. Work throughout with gloves.
Waste materials, containers, adsorbent materials, disposable protective equipment are subject to burning. They gather in tightly sealed plastic bags. Place in a plastic container, tightly closed, and thus transported.
The person who take blood makes the hygienic disinfection of hands / Deconeks etc /.
When performing venipuncture to work with gloves.
Any violation integrity or contamination of the gloves is changed immediately.
Work with closed systems making IV blood. Venipuncture done carefully without touching the needle or disinfected skin area.
After the intravenous needle manipulation employed usually carefully discarded plastic containers for burning. pipette with automatic pipettes or disposable sterile ones.

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
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
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
many international conference,national congress and meeting;
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Primary care
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Hospital
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Physicians
Nurses
Clinical support
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 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
Yes
List of sources where public information is accessible
brochures;
informed consent;
site clinical and Primary care center;
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
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
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: Milena Vladimirova,Vladimir Gonchev
Country: BULGARIA
Organisation: NCPHA,Medical Center"St.Georgi",Haskovo
E-mail: milena_vladimirova@abv.bg;gonchev@gmail.com
Phone: 359878818177
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