SlideShare ist ein Scribd-Unternehmen logo
1 von 26
Marta Vázquez Vázquez
Risk Management and Patient Safety
Strategy in Andalusia
Best Practices for Patient Safety and Quality Improvement
Bucharest, March 27th 2014
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, 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…
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
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
Patient Safety Strategy in Spain
Reporting and
Learning
Systems
Safe practices
Training
Culture
Patients
Patient
Safety
Strategy
Research
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[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
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
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
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. 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
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
#Safe Use of Drugs
#Hand Hygiene
#Safe Surgery
#Pain Control
Safe Practices in the Observatory
#Prevention of central venous
catheter-related infection
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
incidents and solutions
- Patient Empowerment
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!

Weitere ähnliche Inhalte

Ähnlich wie Risk Management and Patient Safety Strategy in Andalusia

Role of In Vitro Diagnostics in Saudi Arabia
Role of In Vitro Diagnostics in Saudi ArabiaRole of In Vitro Diagnostics in Saudi Arabia
Role of In Vitro Diagnostics in Saudi ArabiaSolidiance
 
Implementation of Patient Safety...-Plos One
Implementation of Patient Safety...-Plos OneImplementation of Patient Safety...-Plos One
Implementation of Patient Safety...-Plos OneJila Manoochehri Moghadam
 
Ri in ut of puducherry success story of sepio dr.sudha goel
Ri in ut of puducherry  success story of sepio dr.sudha goelRi in ut of puducherry  success story of sepio dr.sudha goel
Ri in ut of puducherry success story of sepio dr.sudha goelSudha Goel
 
CHC15 - EHR adoption in a european environment and public management hospital...
CHC15 - EHR adoption in a european environment and public management hospital...CHC15 - EHR adoption in a european environment and public management hospital...
CHC15 - EHR adoption in a european environment and public management hospital...Carlos Sousa
 
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...GABRIEL JEREMIAH ORUIKOR
 
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...GABRIEL JEREMIAH ORUIKOR
 
HEALTH SITUATION The population of the country has incr.docx
HEALTH SITUATION The population of the country has incr.docxHEALTH SITUATION The population of the country has incr.docx
HEALTH SITUATION The population of the country has incr.docxAASTHA76
 
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...Pat Liberati
 
Immunization summit rota 2010
Immunization summit rota 2010Immunization summit rota 2010
Immunization summit rota 2010lankansikh
 
Stroke prevention services - quality & safety indicators
Stroke prevention services - quality & safety indicatorsStroke prevention services - quality & safety indicators
Stroke prevention services - quality & safety indicatorsHelicon Health
 
Health survillence and informatics.pptx
Health survillence and informatics.pptxHealth survillence and informatics.pptx
Health survillence and informatics.pptxRichaMishra186341
 
Guide para professores
Guide para professoresGuide para professores
Guide para professoresJoao Ximenes
 
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...AIDSTAROne
 
SMS for Life_MINSANTE Presentation_06032015_IOmulepu
SMS for Life_MINSANTE Presentation_06032015_IOmulepuSMS for Life_MINSANTE Presentation_06032015_IOmulepu
SMS for Life_MINSANTE Presentation_06032015_IOmulepuandrew wyborn
 
Pharmacovigilance
Pharmacovigilance Pharmacovigilance
Pharmacovigilance kiran pala
 

Ähnlich wie Risk Management and Patient Safety Strategy in Andalusia (20)

Role of In Vitro Diagnostics in Saudi Arabia
Role of In Vitro Diagnostics in Saudi ArabiaRole of In Vitro Diagnostics in Saudi Arabia
Role of In Vitro Diagnostics in Saudi Arabia
 
Implementation of Patient Safety...-Plos One
Implementation of Patient Safety...-Plos OneImplementation of Patient Safety...-Plos One
Implementation of Patient Safety...-Plos One
 
Ri in ut of puducherry success story of sepio dr.sudha goel
Ri in ut of puducherry  success story of sepio dr.sudha goelRi in ut of puducherry  success story of sepio dr.sudha goel
Ri in ut of puducherry success story of sepio dr.sudha goel
 
safety.pdf
safety.pdfsafety.pdf
safety.pdf
 
CHC15 - EHR adoption in a european environment and public management hospital...
CHC15 - EHR adoption in a european environment and public management hospital...CHC15 - EHR adoption in a european environment and public management hospital...
CHC15 - EHR adoption in a european environment and public management hospital...
 
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
 
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...MATERNAL AND FETAL OUTCOME  AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
MATERNAL AND FETAL OUTCOME AMONG OBSTETRIC REFERRALS: A CASE STUDY OF THE BA...
 
HEALTH SITUATION The population of the country has incr.docx
HEALTH SITUATION The population of the country has incr.docxHEALTH SITUATION The population of the country has incr.docx
HEALTH SITUATION The population of the country has incr.docx
 
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...
insideMOBILITY_How_to_Avoid_Health_Risk_Horror_Stories_for_your_Business_Trav...
 
Immunization summit rota 2010
Immunization summit rota 2010Immunization summit rota 2010
Immunization summit rota 2010
 
Stroke prevention services - quality & safety indicators
Stroke prevention services - quality & safety indicatorsStroke prevention services - quality & safety indicators
Stroke prevention services - quality & safety indicators
 
Health survillence and informatics.pptx
Health survillence and informatics.pptxHealth survillence and informatics.pptx
Health survillence and informatics.pptx
 
20180522 - universal health coverage from quantity to quality
20180522 - universal health coverage  from quantity to quality 20180522 - universal health coverage  from quantity to quality
20180522 - universal health coverage from quantity to quality
 
Guide para professores
Guide para professoresGuide para professores
Guide para professores
 
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...
AIDSTAR-One Increasing Access to Prevention of Mother-to-Child Transmission S...
 
From blame to fair and just culture a hospital in the middle east shifts its ...
From blame to fair and just culture a hospital in the middle east shifts its ...From blame to fair and just culture a hospital in the middle east shifts its ...
From blame to fair and just culture a hospital in the middle east shifts its ...
 
SMS for Life_MINSANTE Presentation_06032015_IOmulepu
SMS for Life_MINSANTE Presentation_06032015_IOmulepuSMS for Life_MINSANTE Presentation_06032015_IOmulepu
SMS for Life_MINSANTE Presentation_06032015_IOmulepu
 
9789241501958 eng
9789241501958 eng9789241501958 eng
9789241501958 eng
 
Pharmacovigilance
Pharmacovigilance Pharmacovigilance
Pharmacovigilance
 
Health in Africa
Health in AfricaHealth in Africa
Health in Africa
 

Mehr von Estrategia para la Seguridad del Paciente del SSPA

Mehr von Estrategia para la Seguridad del Paciente del SSPA (20)

Concurso Día Mundial de la Higiene de las manos 2017
Concurso Día Mundial de la Higiene de las manos 2017Concurso Día Mundial de la Higiene de las manos 2017
Concurso Día Mundial de la Higiene de las manos 2017
 
Gestión de incidentes de nueva generación v1.10
Gestión de incidentes de nueva generación v1.10Gestión de incidentes de nueva generación v1.10
Gestión de incidentes de nueva generación v1.10
 
Conciliación de medicación en centros socio sanitarios
Conciliación de medicación en centros socio sanitarios Conciliación de medicación en centros socio sanitarios
Conciliación de medicación en centros socio sanitarios
 
Implantación de prácticas seguras en el Hospital de Poniente
Implantación de prácticas seguras en el Hospital de PonienteImplantación de prácticas seguras en el Hospital de Poniente
Implantación de prácticas seguras en el Hospital de Poniente
 
Evaluación de los conocimientos sobre higiene de manos de los usuarios del SSPA
Evaluación de los conocimientos sobre higiene de manos de los usuarios del SSPAEvaluación de los conocimientos sobre higiene de manos de los usuarios del SSPA
Evaluación de los conocimientos sobre higiene de manos de los usuarios del SSPA
 
Implantación de la Escala Pediátrica de Alerta Temprana en la Agencia Sanitar...
Implantación de la Escala Pediátrica de Alerta Temprana en la Agencia Sanitar...Implantación de la Escala Pediátrica de Alerta Temprana en la Agencia Sanitar...
Implantación de la Escala Pediátrica de Alerta Temprana en la Agencia Sanitar...
 
¿Qué está ocurriendo en atención primaria? Análisis de los incidentes en Anda...
¿Qué está ocurriendo en atención primaria? Análisis de los incidentes en Anda...¿Qué está ocurriendo en atención primaria? Análisis de los incidentes en Anda...
¿Qué está ocurriendo en atención primaria? Análisis de los incidentes en Anda...
 
Segundas víctimas en el sistema sanitario español
Segundas víctimas en el sistema sanitario españolSegundas víctimas en el sistema sanitario español
Segundas víctimas en el sistema sanitario español
 
Presente y futuro de la Estrategia para la seguridad del paciente de Andalucía
Presente y futuro de la Estrategia para la seguridad del paciente de AndalucíaPresente y futuro de la Estrategia para la seguridad del paciente de Andalucía
Presente y futuro de la Estrategia para la seguridad del paciente de Andalucía
 
Las segundas víctimas en el Sistema Sanitario Español: prácticas actuales y p...
Las segundas víctimas en el Sistema Sanitario Español: prácticas actuales y p...Las segundas víctimas en el Sistema Sanitario Español: prácticas actuales y p...
Las segundas víctimas en el Sistema Sanitario Español: prácticas actuales y p...
 
Notificación de incidentes "en modo avión"
Notificación de incidentes "en modo avión"Notificación de incidentes "en modo avión"
Notificación de incidentes "en modo avión"
 
Se ruega que, por su seguridad, enciendan el móvil
Se ruega que, por su seguridad, enciendan el móvilSe ruega que, por su seguridad, enciendan el móvil
Se ruega que, por su seguridad, enciendan el móvil
 
Seguridad del paciente: avances para 2014
Seguridad del paciente: avances para 2014Seguridad del paciente: avances para 2014
Seguridad del paciente: avances para 2014
 
Herramienta de autoevaluación para unidades de la Estrategia para la Segurida...
Herramienta de autoevaluación para unidades de la Estrategia para la Segurida...Herramienta de autoevaluación para unidades de la Estrategia para la Segurida...
Herramienta de autoevaluación para unidades de la Estrategia para la Segurida...
 
Más allá del recordatorio y la formación. Estrategias avanzadas para mejorar ...
Más allá del recordatorio y la formación. Estrategias avanzadas para mejorar ...Más allá del recordatorio y la formación. Estrategias avanzadas para mejorar ...
Más allá del recordatorio y la formación. Estrategias avanzadas para mejorar ...
 
Mobile Application for Personalized Patient Surgical Safety Checklists - App ...
Mobile Application for Personalized Patient Surgical Safety Checklists - App ...Mobile Application for Personalized Patient Surgical Safety Checklists - App ...
Mobile Application for Personalized Patient Surgical Safety Checklists - App ...
 
Evaluación de la Estrategia para la seguridad del paciente en el SSPA
Evaluación de la Estrategia para la seguridad del paciente en el SSPAEvaluación de la Estrategia para la seguridad del paciente en el SSPA
Evaluación de la Estrategia para la seguridad del paciente en el SSPA
 
Sistema de gestión de incidentes de seguridad del Observatorio para la Seguri...
Sistema de gestión de incidentes de seguridad del Observatorio para la Seguri...Sistema de gestión de incidentes de seguridad del Observatorio para la Seguri...
Sistema de gestión de incidentes de seguridad del Observatorio para la Seguri...
 
Buenas prácticas con reconocimiento (distintivos)
Buenas prácticas con reconocimiento (distintivos)Buenas prácticas con reconocimiento (distintivos)
Buenas prácticas con reconocimiento (distintivos)
 
Red de centros y unidades con prácticas seguras
Red de centros y unidades con prácticas segurasRed de centros y unidades con prácticas seguras
Red de centros y unidades con prácticas seguras
 

Kürzlich hochgeladen

ICT role in 21st century education and its challenges
ICT role in 21st century education and its challengesICT role in 21st century education and its challenges
ICT role in 21st century education and its challengesrafiqahmad00786416
 
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost SavingRepurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost SavingEdi Saputra
 
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc
 
Artificial Intelligence Chap.5 : Uncertainty
Artificial Intelligence Chap.5 : UncertaintyArtificial Intelligence Chap.5 : Uncertainty
Artificial Intelligence Chap.5 : UncertaintyKhushali Kathiriya
 
Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)Zilliz
 
Strategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a FresherStrategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a FresherRemote DBA Services
 
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemke
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemkeProductAnonymous-April2024-WinProductDiscovery-MelissaKlemke
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemkeProduct Anonymous
 
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...apidays
 
MINDCTI Revenue Release Quarter One 2024
MINDCTI Revenue Release Quarter One 2024MINDCTI Revenue Release Quarter One 2024
MINDCTI Revenue Release Quarter One 2024MIND CTI
 
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot ModelMcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot ModelDeepika Singh
 
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot TakeoffStrategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoffsammart93
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FMESafe Software
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAndrey Devyatkin
 
CNIC Information System with Pakdata Cf In Pakistan
CNIC Information System with Pakdata Cf In PakistanCNIC Information System with Pakdata Cf In Pakistan
CNIC Information System with Pakdata Cf In Pakistandanishmna97
 
Elevate Developer Efficiency & build GenAI Application with Amazon Q​
Elevate Developer Efficiency & build GenAI Application with Amazon Q​Elevate Developer Efficiency & build GenAI Application with Amazon Q​
Elevate Developer Efficiency & build GenAI Application with Amazon Q​Bhuvaneswari Subramani
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FMESafe Software
 
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...Orbitshub
 
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdf
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdfRising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdf
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdfOrbitshub
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfsudhanshuwaghmare1
 

Kürzlich hochgeladen (20)

ICT role in 21st century education and its challenges
ICT role in 21st century education and its challengesICT role in 21st century education and its challenges
ICT role in 21st century education and its challenges
 
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost SavingRepurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
Repurposing LNG terminals for Hydrogen Ammonia: Feasibility and Cost Saving
 
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data DiscoveryTrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
 
Artificial Intelligence Chap.5 : Uncertainty
Artificial Intelligence Chap.5 : UncertaintyArtificial Intelligence Chap.5 : Uncertainty
Artificial Intelligence Chap.5 : Uncertainty
 
Understanding the FAA Part 107 License ..
Understanding the FAA Part 107 License ..Understanding the FAA Part 107 License ..
Understanding the FAA Part 107 License ..
 
Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)Introduction to Multilingual Retrieval Augmented Generation (RAG)
Introduction to Multilingual Retrieval Augmented Generation (RAG)
 
Strategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a FresherStrategies for Landing an Oracle DBA Job as a Fresher
Strategies for Landing an Oracle DBA Job as a Fresher
 
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemke
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemkeProductAnonymous-April2024-WinProductDiscovery-MelissaKlemke
ProductAnonymous-April2024-WinProductDiscovery-MelissaKlemke
 
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
 
MINDCTI Revenue Release Quarter One 2024
MINDCTI Revenue Release Quarter One 2024MINDCTI Revenue Release Quarter One 2024
MINDCTI Revenue Release Quarter One 2024
 
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot ModelMcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
Mcleodganj Call Girls 🥰 8617370543 Service Offer VIP Hot Model
 
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot TakeoffStrategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
Strategize a Smooth Tenant-to-tenant Migration and Copilot Takeoff
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of Terraform
 
CNIC Information System with Pakdata Cf In Pakistan
CNIC Information System with Pakdata Cf In PakistanCNIC Information System with Pakdata Cf In Pakistan
CNIC Information System with Pakdata Cf In Pakistan
 
Elevate Developer Efficiency & build GenAI Application with Amazon Q​
Elevate Developer Efficiency & build GenAI Application with Amazon Q​Elevate Developer Efficiency & build GenAI Application with Amazon Q​
Elevate Developer Efficiency & build GenAI Application with Amazon Q​
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
 
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...
Navigating the Deluge_ Dubai Floods and the Resilience of Dubai International...
 
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdf
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdfRising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdf
Rising Above_ Dubai Floods and the Fortitude of Dubai International Airport.pdf
 
Boost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdfBoost Fertility New Invention Ups Success Rates.pdf
Boost Fertility New Invention Ups Success Rates.pdf
 

Risk Management and Patient Safety Strategy in Andalusia

  • 1. Marta Vázquez Vázquez Risk Management and Patient Safety Strategy in Andalusia Best Practices for Patient Safety and Quality Improvement Bucharest, March 27th 2014
  • 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. 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.
  • 6. 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
  • 7. Patient Safety Strategy in Spain Reporting and Learning Systems Safe practices Training Culture Patients Patient Safety Strategy Research
  • 8. Patient Safety Strategy in Andalusia Dissemination Implementation Evaluation of NHS indicators Experts Review
  • 9. 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
  • 10. Patient Safety Strategy in Andalusia 2011-2014
  • 11. 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
  • 13. 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
  • 14. 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
  • 15. #Safe Use of Drugs #Hand Hygiene #Safe Surgery #Pain Control Safe Practices in the Observatory #Prevention of central venous catheter-related infection
  • 20.
  • 21. International Network 1132 centres 39 Colombia 26 Argentina 25 Mexico 3 Panama 7 Peru 6 Cuba 5 Uruguay 5 Chile 2 Brazil
  • 22. - Almost 1,500 reported incidents - 159 shared improvement actions Sharing solutions 2013
  • 24. Patient Empowerment Pregunta por tu salud CompruebaRecuerdaMed
  • 25. Following the PaSQ Sustainability Guidelines - Sharing patient safety practices -Exchange mechanism of patient safety incidents and solutions - Patient Empowerment
  • 26. 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!