How can SPAIN Manage Patient Safety Programs despite The Current Crisis? HOPE Exchange Programme The Hague, Netherlands June 2013

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Candice Ella Stokes
7 years ago
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1 How can SPAIN Manage Patient Safety Programs despite The Current Crisis? HOPE Exchange Programme The Hague, Netherlands June 2013

4 Catalonia Integrated patient information systems Primary care centers have their own digital information system Historia Clinica Compartida (HCC) GEN CAT (generalidat de catalonie) Hisotria clinica compartida a Catalunya HC3 Ley Orgánica de Protección de Datos de Carácter Personal SHARING = CARING Hein Schepens (The Netherlands)

5 Primary Care centers Hospitals

6 Extremadura Parallel strategy of Patient Safety based on the Pharmaceutical Care Issues by Hepler & Strand on the Extremadura inhabitants Agnieszka Wenerska (Poland) Clarissa Captur (Malta)

8 Cantabria Using simulation to improve safety, quality and education in Healthcare Experimental Based Training (both technical and soft skills) Improve Patient Safety culture Christina Dimoni (Greece) Tiago Matoso (Portugal)

10 Andalucia Organisation created by the Ministry of Health to promote and develop Quality Policies in the Andalusian Health System Andalusian Health Quality Agency (Agencia de Calidad Sanitaria de Andalucía) Monika Semkova (Bulgaria)

11 Certification Process +80 Web Pages +700 Health Centers and Units: primary care; hospitals; clinics; management units; pharmacies; laboratories; blood transfusion centres +20,900 Professionals: incorporated into the process of accreditation of their competences Training Activities +50 Training Units

12 Galicia Asturias Several patient safety programmes at Lucus Augusti Hospital which is solely a public acute general teaching hospital in Galicia; similarly in Asturias Margarida Reis (Portugal) Maria de Fatima Pineiro (Portugal)

13 Pre- Operative Checklists Hand Hygiene Prevent Hospital Acquired Infections Bactaraemia/ Pneumona ZERO Patient Identification (including blood transfusion) Patient Safety Strategies Hospital Lucus Augusti (GALICIA) Prevent Pressure Ulcers Sistem of Information and Notification of Incidentes (SINASP) Prevent Patient Falls Team Training (culture of safety) Safety in Administration of Risk Medication

14 Valencia Denia and Manises Hospital CRM software - a fully integrated and paperless system Piotr Bartnik (Poland) Sari Jantunen (Finland)

15 Processes management Definition of flow charts and healthcare protocols Clinical governance Risk management with FMEA methodology; WHO Surgical Safety Checklist; Transfusion Safety; Nursing Care; Drug Safety; Prevention of Nosocomial Infections Digital clinical record from admission (personal IDHC card and EAN code bracelet) Computerised warehouses and hospital pharmacy Absolute involvement of teams to achieve compliance with the marked objectives Registration and evaluation of clinical incidents Satisfaction survey KPI monitoring and Model audits Standards maintenance irrespective of crisis, finncial cuts and restructuring.

16 Patient Safety a Cost? or a Profit? Known Costs (Preventable) Training the teamwork ; Patient Safety Committee; Surgical check list; Medication error Hand washing Intangible Costs: Suffering Death Damage Guilt Not detected event Costs realted to Event Falls Ulcers pressure Hospital acquired infections Increase in hospital days Surgery on the wrong side

17 What are the Real Costs? Human cost of adverse events is the greatest of all Many patients suffer increased pain; disability from serious adverse events; psychological trauma; experience failures in their treatment These profoundly important aspects of patient safety, generally given far too little attention, are considered later BUT at a cost

18 Solutions

19 Muchas Gracias!!

Information and communication technologies for clinical care The Spanish experience. Joan Gené Badia Barcelona University jgene@clinic.ub.

Information and communication technologies for clinical care The Spanish experience Joan Gené Badia Barcelona University jgene@clinic.ub.es Table of contents The Spanish Health System The Experience in