hope 2013 - belgian presentation - 130610 · microsoft powerpoint - hope 2013 - belgian...

BELGIUMHope Agora 2013 Den Haag


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BELGIUMA premium selection of Belgian treats on patient safety


Dorte

Claire Florian

Timo


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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A selection of Belgian treats on patient safety


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


I nvolvement UZ Gent (Gent)

M N M N

Change from centralised structure to a decentralised cluster management and thereby creating ownership.


S implicity

That’s what we allways want.


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

P

P

D

P

D

P

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atientoctor


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


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?


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


fficiency

A well organised process contributes a lot to patient safety and safes time and money as well.

E


picklist

fficiency UZ Gent (Gent)

equip cart do operation

double checkinstruments

washing, packing,

sterilisation

decision tooperate a patient

E


pre operation

intra operation

post operation

fficiency UZ Gent (Gent)E

backdirty

frontclean

instrument & equipment trolley


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


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)


The importance of having a joint vision...


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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hope 2013 - belgian presentation - 130610 · microsoft powerpoint - hope 2013 - belgian...

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