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703 / Prevention of falls and infectious diseases

DENMARK
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient falls
Pneumonia prevention There is no specified text here
Topic of the reported practice
Quality improvement project
Aim and the benefit of the Patient Safety Practice
 
The aim was to 1) prevent patients from falling, 2) ensure that medication is always handed out, and not forgotten, 3) prevent pneumonia and urinary tract infections.
Description of the Patient Safety Practice
 
If a resident in our nursing home is in risk of falling, we will try this by observing the resident and paying more visits to his/her room. We also check whether they have the right footwear and technical aids and that they are used correctly. We leave lights on in the room at night. In addition we check the medication (side effects like dizziness) to ensure that this is not the cause of risk of falling. Also we make sure that the floor is in order, this refers to no loose rugs and edges.

Regarding forgotten medicine:
We check that medication is given by making a phone call to times daily to the responsible staff if they have remembered to give the medicine. Further the responsible staff sigh off the medication when handed out and taken.

Regarding prevention of pneumonia:
By making sure that residents are not exposed to draft. We also have a procedure to ensure that the residents are sitting upright when they get food and fluids to prevent that it reaches the lungs. Further we have a procedure to regarding oral hygiene to reduce bacteria and we encourage residents to get out of bed, and by immobile residents we do breathing exercises.

Regarding prevention of urinary tract infection:
Our prevention programme starts by encouraging residents to drink more fluids, as well as handing out cranberry capsules and cranberry juice. In addition we encourage residents to go to the toilet more often, to have a good sitting position on the toilet, and we ensure a good hygiene.
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
Team level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Not known
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
There is no specified text here
Enclosure of a reference or attachment in case of published evaluation's results
Rapport has not been public done.
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Disability service
Nursing facility
Home 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
 
Nurses
Health care assistants
Administrative support (secretary, clerk, receptionist etc.)
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
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
Other
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
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
Yes
Description of used incentives, if any.
Everybody has focus on the problems
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: Ellen Skau Christensen
Country: DENMARK
Organisation: Grasten Plejecenter
E-mail: eska@sonderborg.dk
Phone: 21417053
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