Table of Content WP2 'Best Practice Compendium'

Preface

A note on the proposed classification of good practice examples (to be used as the basis for entry into the compendium database):

The examples of good practice are grouped within three domains:

1. Reporting and learning systems
2 .Education and training about patient safety
3. Quality improvement projects on patient safety

Inevitably there may be arbitrariness about allocation to a category, but the database does offer two types of search facility, by category or via a ‘Google’ type search for word or phrase.

The domain ‘Reporting and learning systems’ has two main sub-categories (divided into national/local projects):

a) reporting systems (with a sub-category for reporting sentinel events only); and
b) risk management projects.

The domain ‘Training and education’ includes sub-categories, of:

a) education on patient safety (national and local);
b) campaigns (national and local, specified by topic); and
c) national promotion of guidelines/indicators in patient safety (by topic).

The domain ‘Quality improvement projects’ has three sub-categories:

a) medication safety projects (national or local);
b) culture of safety projects (national or local); and
c) patient safety improvement projects (national or local, specified by topic)

Table of Content I: Countries A-G

Austria

• GP.01 - Culture of Safety



• GP.02 - Error Management Project



• GP.03 - MEDSAFE Project

Belgium

• GP.04 - Measurement of patient safety culture in Belgian hospitals



• GP.05 - Belgian national campaign on prevention of hospital infections through hand hygiene promotion



• GP.06 - Strategy on transmural approach to malnutrition in the elderly



• GP.07 - National guidelines for prevention of decubitus



• GP.08 - National surveillance of occupational blood exposure

Czech Republic

• GP.09 - Patient identification project (Czech Accreditation Committee)



• GP.10 - Patient risk assessment (Prague)



• GP.11 - Reporting system for adverse events (no details yet)

Denmark

• GP.12 - Suicide prevention assessment tools, Copenhagen



• GP.13 - “The Five Steps Campaign” – aimed at reducing the risk of wrong site surgery, Copenhagen



• GP.14 - The Danish National Reporting system – examples of outcomes



• GP.15 - Patient safety incident analysis on internet available to health care staff (DSFP)



• GP.16 - Involvement of patients and families – the Ten Tips (DSFP)



• GP.17 - Concerning the development of Patient Safety Tools (DSFP)

England and Wales

• GP.18 - NPSA campaign to raise awareness among doctors in training: what can be done to improve patient safety



• GP.19 - Root Cause Analysis : teaching aids (National Patient Safety Agency: NPSA)



• GP.20 - Clean your hands campaign (NPSA)



• GP.21 - Manchester Patient Safety Framework (NPSA)

Finland

• GP.22 - Patient Safety events reporting system for healthcare



• GP.23 - Safe Pharmacotherapy. National guide for pharmacotherapy in social and health care

France

• GP.24 - Performance indicator for nososcomial infection: a national project



• GP.25 - The Securimed Project: assessment of the medication system in 19 Hospitals (Acquitane)



• GP.26 - Patient safety improvement: a regional patient safety network (Besancon)

Germany

• GP.27 - Anonymous web-based error reporting and learning system for general practice



• GP.28 - Continuing Education Concept, Patient Safety (AZQ)

Greece

• GP.29 - Local use of ISO certification and guidelines in a specialist (allergy) unit



• GP.30 - Sentinel event reporting in ICU

Table of Content II: Countries H-Z

Hungary

• GP.31 - Promotion of WHO guidelines on adverse event reporting systems



• GP.32 - Professional protocol of Ministry of Health for patient identification

Ireland

• GP.33 - Lets Talk Booklet



• GP.34 - Standardising the cardiac arrest call number for Ireland

Italy

• GP.35 - Patient safety projects in Modena



• GP.36 - The introduction of a spontaneous Incident Reporting (IR) system in N-E Italy (Veneto region)



• GP.37 - A distance learning tool for disseminating the risk management system



• GP.38 - A staff survey on attitudes to Incident Reporting (Florence)



• GP.39 - Patient safety activities: Niguarda Hospital, Milan: key elements



• GP.40 - Setting up a Clinical Risk Management Centre for the region of Tuscany



• GP.41 - Identifying risks in healthcare organisations (also CRM centre)



• GP.42 - Patient Safety at Tor Vegata Hospital (Rome)



• GP.43 - Safer prescribing by redesign of drug charts within 36 acute hospitals in the Tuscany region



• GP.44 - Critical Incident Reporting System (CIRS), Brixen, South Tirol

Luxembourg

• GP.45 - System of hospital-wide electronic prescribing - PAMELA

Netherlands

• GP.46 - Prevention of wrong site surgery in a major eye surgery centre, Rotterdam



• GP.47 - Blame free reporting in neonatology, Zwolle



• GP.48 - Patient Safety Programme UMC Utrecht

Portugal

• GP.49 - National Programme for control of infection



• GP.50 - Local systems of notification of adverse events and incidents registry (Lisbon and Porto)

Slovenia

• GP.51 - Reporting system on sentinel events for hospitals



• GP.52 - National surveillance of MRSA



• GP.53 - Promoting improvement at local level



> Reporting of patient falls
> Reporting of pressure ulcers

Spain

• GP.54 - The National Study on Hospitalisation-Related Adverse Events (ENEAS)



• GP.55 - Adverse incident reporting system in a department of anaesthesiology (Madrid)



• GP.56 - Group for the Prevention of Medication Errors (GEPEM), Spanish Society of Hospital Pharmacy (summary).



• GP.57 - Institute for Safe Medication Practices – Spain

Sweden

• GP.58 - Improvement knowledge in Nososcomial infections and use of medication by the Elderly: (SALAR)



• GP.59 - Central patient safety unit for the region of County Council of Ostergotland: patient safety education.



• GP.60 - The County Council of Jonkoping

Switzerland

• GP.61 - Activities of the Swiss Foundation for Patient Safety