638 / Prevention of renal failure prevention through patient education and diet-management

SPAIN
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
Patient education
Patient involvement There is no specified text here
Topic of the reported practice
Patient involvement
Aim and the benefit of the Patient Safety Practice
 
Aim of the study: to provide the patients with the required knowledge to understand the importance of the adherence to the treatment for their disease.

Benefits: to improve or to slow the chronic renal failure progression.
Description of the Patient Safety Practice
 
Methodology: all the stage 2 -3 -4 patients with chronic renal failure are referred by the nephrologist to the nurse in charge of the chronic renal failure outpatient clinic. The nurse explains the educational program they will follow. It consists in 6 units, each one lasts 45 minutes (information about kidney function and renal diseases, diet, exercise, weight loss…). The frequency of the visits during the follow up depends on the stage of the disease and on the adherence to the treatment of the patient. Patients can contact the nurse by phone if they have any doubts.

The assessment of the project is made by specific collection of items related to progression of renal disease during a long term follow up till they achieve and stage renal failure. All the attended patients will fill in a satisfaction survey.


(Attached documents are in Spanish, we are now translating them.)
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
Institution 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
(Attached documents are in Spanish, we are now translating them.)
634_WP4_2011 Resultados de la aplicación de una intervención educativa sobre el control sérico del potásico sérico del.pdf
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
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
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
During evaluation 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
Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
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
Motivated 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
Yes
Total number of person days required to implement this Patient Safety Practice
Clinical staff: 35
External consultants: 0
Support staff: 0
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: 0
External consultants: 0
Support staff: 0
Managerial staff: 0
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
1000
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
0
Contact information
 
Name: Pilar Baxarias
Country: SPAIN
Organisation: Fundació Puigvert, Catalonia
E-mail: pbaxarias@fundacio-puigvert.es
Phone: +34 93 416 9700 ext. 4545
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