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724 / Patient safety management

FINLAND
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Assessment of risk and harm
Patient safety culture / Patient safety climate There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
This report aims to clarify basic concepts related to patient safety management and to
describe available safety management approaches from health care and other safety critical
industries. The report also provides recommendations for how to approach patient
safety management in social and health care organisations. All in all the report acts as
the first step in developing a general model for patient safety management. The focus of
the report is on concepts and models rather than specific tools (e.g. checklists and the
like) to manage safety in the daily activities. It is important that the best current theoretical
knowledge guides both the development of the general patient safety management
model and the practical implementations of safety management systems in health care
organisations. This theoretical understanding is also important in making sure that effective
patient safety management tools are developed and that they are used in a correct
way – in a way that actually promotes safety and does not just create extra work for
health care professionals.
Theoretical foundations are often implicit or unclear in current patient safety research
and development in Finland and internationally. However, other more traditional safety
critical industries, such as aviation and nuclear power industry, are also struggling to
make their theoretical assumptions, concepts and models concerning safety management
more clear and sound, and to align their management systems and tools to them. It is
often emphasised that the whole health care domain is lagging behind in relation to other
safety critical industries in how systematically it manages safety. Safety management
tools are derived from other industries and implemented in health care. However, the
fact that health care is behind to other domains also means that health care has the opportunity
to reflect critically what other domains have done. The fact that many health
care organisations are still in the beginning of their “safety management journey” creates
a fruitful opportunity to base the work systematically on clear and sound premises.
Description of the Patient Safety Practice
 
Patient safety should be seen as an organisation’s ability that emerges from the social and
technological factors interacting in an organisation. Safety is improved by creating good prerequisites
for work, not only by constraining performance. Some degree of flexibility is required.

Safety model should describe the emerging safety as a systemic phenomenon meaning that
both successes and failures are inevitable events in organisational behaviour. Systemic approach
emphasises non-linear interactions.

Safety management model should be in line with both the definition of patient safety and the
safety model. It identifies the elements necessary for the management and improvement of patient
safety.

Safety should be considered together with the overall management of the organisation.

Safety management system has to be integrated in the management system of the organisation.
It aims at both assessing and eliminating risks and ensuring appropriate prerequisites for
safety throughout the lifetime of the organisation. It takes into account the specific characteristics of the organisation and it is documented
Attachment of relevant written information and/or photos, as appropriate
319_WP4_Patient safety management VTT.pdf
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, partly
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Not known
A baseline measurement before implementation of the reported practice was obtained
Not known
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
Effect not known or the intervention has not yet been evaluated
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
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
Clinical manager
Quality manager
Risk 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
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.
Not known or not relevant
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
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
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
Not relevant
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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