626 / Guidelines on Patient Safety: Current Care

FINLAND
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
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
Some hospitals but not all in Finland have many good patient safety practices but we dont have national guidelines. And thats the aim we are doing.
f.ex Health - IT is using every health care organisation but our problem is that we have many different it-systems and between them it is immpossible to transfer patientinformation. This makes difficulties patients documentation ( documentation,handover situations/transfer of patients).

Early warning: MET is using some hospitals but not hole country.

Patient involvement: this is out theme this year.

one example: http://www.kaypahoito.fi/web/kh/suositukset/naytaartikkeli/tunnus/ccs00094 STEMI Current Care Summary 26.9.2011 Working group appointed by the Finnish Medical Society Duodecim and the Finnish Cardiac Society Current Care guideline in Finnish 1 and abstract in Finnish 2 TThis first Finnish STEMI guideline is based on scientific evidence and expert opinion. The guideline emphasises the concept of “STEMI centres”. The primary mode of revascularisation should be percutaneous coronary intervention in a large-volume centre within 120 min of the diagnosis. If this is not available, a prehospital fibrinolysis should be performed. Given the huge differences in the distances between and organisation of emergency services in Finland, locally adapted guidelines are required to ensure the timely treatment of STEMI patients. A working group appointed by the Finnish Medical Society Duodecim and the Finnish Cardiac Society Ilkka Tierala (Chair) Markku Eskola Leo Ihlberg Markku Kuisma Matti Niemelä Jukka Lehtonen Pirjo Mäntylä Hannu Parikka Timo Peisa Pekka Porela Marja Puurunen Hannu Romppanen
Description of the Patient Safety Practice
 
http://www.kaypahoito.fi/web/english/home
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
Regional or national 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

http://www.kaypahoito.fi/web/english/home
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Primary care
Mental health care
Hospital
Home care
Transport services (incl. ambulances)
Dental care
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
Nurses
Health care assistants
Pharmacists
Therapists
Dieticians/ Nutritionists
Dentist
Clinical manager
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

web site
- national level
- hospital distric level
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
Management support
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: Ritva Salmi
Country: FINLAND
Organisation: THL
E-mail: ritva.salmi@thl.fi
Phone: There is no specified text here
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