Marta Vázquez Vázquez
Risk Management and Patient Safety
Strategy in Andalusia
Best Practices for Patient Safety and Quali...
www.juntadeandalucia.es/agenciadecalidadsanitaria
What’s the Andalusian Patient Safety Observatory?
“The global burden of unsafe medical care: analytic modeling of observational studies” Ashish K Jha, Itziar Larizgoitia, C...
418.500 AE (9,3 %)
2,511,000 aditional stays
Hospitalisations
4,500,000/year
904,744 avoidable stays
6 hospitals of 500 be...
International Framework
2004: World Alliance for Patient Safety
“First do no harm”
2006: Council of Europe Recommendations...
Patient Safety Strategy in Spain
Reporting and
Learning
Systems
Safe practices
Training
Culture
Patients
Patient
Safety
St...
Patient Safety Strategy in Andalusia
Dissemination
Implementation
Evaluation of NHS indicators
Experts Review
NHS Indicators
0 10 20 30 40 50 60 70 80 90 100
Hosp - ISMP [Ind.15]
Hosp - Conciliación[Ind.14]
Hosp - Mdto alto riesgo[I...
Patient Safety Strategy in Andalusia 2011-2014
1
2
3
4
Safety and citizenship
Safety and healthcare professionals
A safe shared space
Strategic projects
42 actions
Macro...
979 units
(85% of total)
Criteria with the highest percentage of compliance
20%
20%
26%
8%
7%
67%
71%
64%
87%
88%
0% 20% 40% 60% 80% 100%
E_012. Hi...
Criteria with the highest percentage of non-compliance
40%
41%
46%
51%
52%
26%
23%
17%
16%
20%
29%
30%
31%
24%
22%
0% 20% ...
#Safe Use of Drugs
#Hand Hygiene
#Safe Surgery
#Pain Control
Safe Practices in the Observatory
#Prevention of central veno...
Online tools
Recommendation
Examples
Evidences
and improvement areas
Resources
Assessment criteria
Sharing
Resource bank and Badge
Aditional tools
International Network
1132 centres
39 Colombia
26 Argentina
25 Mexico
3 Panama
7 Peru
6 Cuba
5 Uruguay
5 Chile
2 Brazil
- Almost 1,500 reported
incidents
- 159 shared
improvement actions
Sharing solutions
2013
Patient Empowerment
Patient Empowerment
Pregunta por tu
salud
CompruebaRecuerdaMed
Following the PaSQ Sustainability Guidelines
- Sharing patient safety practices
-Exchange mechanism of patient safety
inci...
Agencia de Calidad Sanitaria de Andalucía
www.juntadeandalucia.es/agenciadecalidadsanitaria
Entidad gestionada por la Fund...
Risk Management and Patient Safety Strategy in Andalusia
Risk Management and Patient Safety Strategy in Andalusia
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Risk Management and Patient Safety Strategy in Andalusia

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Presentación acerca de la Estrategia para la seguridad del paciente de Andalucía realizada por Marta Vázquez en la Escuela de Salud Pública de Rumanía, en el marco de la Acción Conjunta de la Comisión Europea para la seguridad del paciente y la calidad asistencial (PaSQ). Bucarest (Rumanía), 27 de marzo de 2014.

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Risk Management and Patient Safety Strategy in Andalusia

  1. 1. Marta Vázquez Vázquez Risk Management and Patient Safety Strategy in Andalusia Best Practices for Patient Safety and Quality Improvement Bucharest, March 27th 2014
  2. 2. www.juntadeandalucia.es/agenciadecalidadsanitaria What’s the Andalusian Patient Safety Observatory?
  3. 3. “The global burden of unsafe medical care: analytic modeling of observational studies” Ashish K Jha, Itziar Larizgoitia, Carmen Audera-Lopez, et al. BMJ Qual Saf 2013 22: 809-815 originally published online September 18, 2013 There are 421 million hospitalisations in the world annually, and approximately 42,7 millions of adverse events , according to the World Health Organization 1 out of 10 inpatients suffers from adverse events. 23 millions of disability-adjusted life years are lost annually as a consequence of adverse events. The global burden of unsafe medical care Some figures…
  4. 4. 418.500 AE (9,3 %) 2,511,000 aditional stays Hospitalisations 4,500,000/year 904,744 avoidable stays 6 hospitals of 500 beds/year Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Burillo J, Gea-Velázquez de Castro MT, Requena-Puche J, Terol-García E and grupo de trabajo ENEAS. Impact and preventability of adverse events in Spanish public hospitals. Results of the Spanish Nacional Study of adverse events (ENEAS). International Journal for Quality in Health Care 2009;21(6):408-14. http://intqhc.oxfordjournals.org/content/21/6/408.full.pdf+html Impact on hospitalization
  5. 5. International Framework 2004: World Alliance for Patient Safety “First do no harm” 2006: Council of Europe Recommendations “Patient Safety as the center of every healthcare policies” 2009: Council of the European Union Recommendations on Patient Safety, including surveillance and prevention of hospital acquired infections -To promote national strategies on patient safety - To prevent and work against HAI Patient Safety Strategy in Spain
  6. 6. Patient Safety Strategy in Spain Reporting and Learning Systems Safe practices Training Culture Patients Patient Safety Strategy Research
  7. 7. Patient Safety Strategy in Andalusia Dissemination Implementation Evaluation of NHS indicators Experts Review
  8. 8. NHS Indicators 0 10 20 30 40 50 60 70 80 90 100 Hosp - ISMP [Ind.15] Hosp - Conciliación[Ind.14] Hosp - Mdto alto riesgo[Ind.13] Pac - LVSQ [Ind.12] Hosp - LVSQ [Ind.11] Hosp - IncidenciaIRAS [Ind.10] Hosp - PrevalenciaIRAS [Ind.9] PrevalenciaUPP [Ind.8] Pac - Valoración UPP [Ind.7] Hosp - UPP [Ind.6] Hosp - Identificación[Ind.5] DAP - UFGR/Com SP [Ind.4] Hosp - UFGR/Com. SP [Ind.3] DAP - SNISP [Ind.2] Hosp - SNISP [Ind.1] Porcentaje(%) Indicadores despliegue de la ESP SNS SSPA
  9. 9. Patient Safety Strategy in Andalusia 2011-2014
  10. 10. 1 2 3 4 Safety and citizenship Safety and healthcare professionals A safe shared space Strategic projects 42 actions Macromanagement (Regional Health Ministry) 24 actions Middle management (Centres) 55 actions Micromanagement (Units) 3 blocks, 7 aims, 22 objectives, 121 actions Patient Safety Strategy in Andalusia 2011-2014
  11. 11. 979 units (85% of total)
  12. 12. Criteria with the highest percentage of compliance 20% 20% 26% 8% 7% 67% 71% 64% 87% 88% 0% 20% 40% 60% 80% 100% E_012. High risk procedures (n=701) E_031. Reporting and Learning Systems (n=681) E_037. AE management (n=662) E_061a. Patient identification (n=652) E_075. Hand Hygiene (n=644) Not met Parcially met Met N/A
  13. 13. Criteria with the highest percentage of non-compliance 40% 41% 46% 51% 52% 26% 23% 17% 16% 20% 29% 30% 31% 24% 22% 0% 20% 40% 60% 80% 100% E_014. Information about the Strategy (n=684) E_063. Critical points monitoring (n=630) E_060. PS information to citizens (n=644) E_064b. PS information in clinical pathways (n=617) E_045. Research groups (n=641) Not met Parcially met Met N/A
  14. 14. #Safe Use of Drugs #Hand Hygiene #Safe Surgery #Pain Control Safe Practices in the Observatory #Prevention of central venous catheter-related infection
  15. 15. Online tools
  16. 16. Recommendation Examples Evidences and improvement areas Resources Assessment criteria Sharing
  17. 17. Resource bank and Badge
  18. 18. Aditional tools
  19. 19. International Network 1132 centres 39 Colombia 26 Argentina 25 Mexico 3 Panama 7 Peru 6 Cuba 5 Uruguay 5 Chile 2 Brazil
  20. 20. - Almost 1,500 reported incidents - 159 shared improvement actions Sharing solutions 2013
  21. 21. Patient Empowerment
  22. 22. Patient Empowerment Pregunta por tu salud CompruebaRecuerdaMed
  23. 23. Following the PaSQ Sustainability Guidelines - Sharing patient safety practices -Exchange mechanism of patient safety incidents and solutions - Patient Empowerment
  24. 24. Agencia de Calidad Sanitaria de Andalucía www.juntadeandalucia.es/agenciadecalidadsanitaria Entidad gestionada por la Fundación Pública Andaluza Progreso y Salud www.observatorioseguridaddelpaciente.es marta.vazquez.vazquez@juntadeandalucia.es Mulțumesc!

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