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BELGIUMHope Agora 2013 Den Haag
BELGIUMHope Agora 2013 Den Haag
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BELGIUMA premium selection of Belgian treats on patient safety
BELGIUMHope Agora 2013 Den Haag
Dorte
Claire Florian
Timo
BELGIUMHope Agora 2013 Den Haag
Second 5 years plan on federal level
Federal campaign on hand hygiene
Flemish Quality Indicator Project
Hospital accreditation in Flemish region
Many ongoing projects at hospital level
Patient safety is a topic on many levels in Belgium. Although it is not legally regulated, there are many efforts on patient safety.
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A wide variety of treats
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BELGIUMHope Agora 2013 Den Haag
A selection of Belgian treats on patient safety
BELGIUMHope Agora 2013 Den Haag
I
Patient safety is not only an issuefor top management.
It goes top down as well as bottomup.
Every one has to contribute topatient safety.
nvolvement
TOP
BOTTOM
BELGIUMHope Agora 2013 Den Haag
I nvolvement UZ Gent (Gent)
M N M N
Change from centralised structure to a decentralised cluster management and thereby creating ownership.
BELGIUMHope Agora 2013 Den Haag
S implicity
That’s what we allways want.
BELGIUMHope Agora 2013 Den Haag
Look at the processes in advance.
Recognisable layouts for every room.
Focus on paperless workflow.
Create an intimate atmosphere.
S implicity UZ Gent (Gent)
Schematic of a policlinic examiniation room
DP
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atientoctor
BELGIUMHope Agora 2013 Den Haag
S
One of the most common adverse events in the care of elderly are falls.
What would be an good way to prevent that?
One thing is to get all the data on falls – like place, time and severity.
The second thing is, to work with the data and thereby ensure an continuous improvement and prevention.
tructure
BELGIUMHope Agora 2013 Den Haag
morningmiddayeveningnight
own roomown bathroomjoint bathroomelevatorlivingroomcorridorstairs
transferbalancelow blood pressureslippingstumblingnot using aidsbad sightby third part
no complaints of painnor visible injuries
complaints of painwithout visible injuries
complaints of painwith visible injuries
S tructure VZW De Lindenboom (Knokke)
When?
How? What?
Where?
BELGIUMHope Agora 2013 Den Haag
With the data analysed, you can thendecide in the best interest of the patient.
Is fixation necessary at all?
What kind of fixation is sufficient?
Does the patient need to be fixated all the time?
S tructure VZW De Lindenboom (Knokke)
Fixation form for patients
BELGIUMHope Agora 2013 Den Haag
fficiency
A well organised process contributes a lot to patient safety and safes time and money as well.
E
BELGIUMHope Agora 2013 Den Haag
picklist
fficiency UZ Gent (Gent)
equip cart do operation
double checkinstruments
washing, packing,
sterilisation
decision tooperate a patient
E
BELGIUMHope Agora 2013 Den Haag
pre operation
intra operation
post operation
fficiency UZ Gent (Gent)E
backdirty
frontclean
instrument & equipment trolley
BELGIUMHope Agora 2013 Den Haag
Another major area where adverse eventsregularly happen is medication.
A way to reduce medication errors isproviding medication in unidose packages.
A new aproach is providing clinicalpharmacists on the ward.
S afety
BELGIUMHope Agora 2013 Den Haag
Ongoing test to the one day surgery.
0,5 FTE pharmacist dedicated.
Emphasis on «comprehensive» care withspecific focus on patient’s information (drug delivery, side-effects…).
The pharmacist is present every morningand meets each patient once and on request.
S afety CHU St. Pierre (Brussels)
BELGIUMHope Agora 2013 Den Haag
The importance of having a joint vision...
BELGIUMHope Agora 2013 Den Haag
Kissing ingredients of our Belgian experience
eep the safety of the patient ...
nvolved at all hierarchial levels
imple by sharing ideas and knowledge
tructured by working on basis of your data
fficient by working smarter, not harder
afe and focused on the patient
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BELGIUMHope Agora 2013 Den Haag
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BELGIUMHope Agora 2013 Den Haag
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