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. 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
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
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!