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981 / Bilbao Multiple Sclerosis Protocol: Communication and Coordination between Neurology and Primary Care

SPAIN
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
Diagnostics
Communication There is no specified text here
Topic of the reported practice
Clinical guidelines or pathways
Aim and the benefit of the Patient Safety Practice
 
The Bilbao Multiple Sclerosis (MS) Protocol is a project aimed at the early diagnosis of the disease and at a higher quality of care for the patients.
It is a cooperative protocol between neurology and primary care to improve the intercommunication, the access to all information concerning patients and their treatments; with directions on how to act in emergencies so that patients receive the best quality of care and avoid unnecessary queries.
Description of the Patient Safety Practice
 
The Bilbao Protocol was created to improve the coordination in their work of all professionals involved in the health of patients with MS, in Bizkaia (Basque Country) with the participation of neurologists, primary care physicians, nurses and patients (represented by the Multiple Sclerosis Association of Bizkaia, Basque Foundation ADEMBI and Multiple Sclerosis).
It is a consensual protocol between the neurology service and primary health care, which aims to improve the intercommunication in order to speed up the diagnosis and improve the quality of care. The method is quite simple: giving enough information to general practitioners to improve their knowledge and attitudes about MS, and offering bypass channels if an episode occurs to a patient.
This project was approved by the Department of Health of the Basque Government and has a development period of two years, following the evaluation of which it will be expanded to other areas.
The documents are available at: http://www.emfundazioa.org/protocolo-bilbao-esclerosis-multiple/
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
Not relevant
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
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
There is no specified text here
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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
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
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)
Patient organisation(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the development of the Patient Safety Practices
During the implementation of the Patient Safety Practices
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Not known
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
It is avaliable on the website of the Bilbao MS Society (www.emfundazioa.org)
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
Regular data feed back to involved 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
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: Pedro Carrascal
Country: SPAIN
Organisation: Federación Espanola para Lucha contra Esclerosis Múltiple
E-mail: info@esclerosismultiple.com
Phone: There is no specified text here
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