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Intensive Care is one of the clinical environments that probably most reflect the modern medicine evolution, that has become more technological, more expensive, and less humanized. A redefinition of the goals of care leaded Hospital Sagrado Corazón in Barcelona to implement the 3 Dimensions Intensive Care Unit (3D-ICU). These dimensions being People, Efficiency, and Innovation. Putting the people and the sustainability of the unit at the center of the system can meet the needs of patients, preffesionals and the business.
The comprehensive complexity support team (ESIC, in Spanish) is a multidisciplinary hospital service supporting Primary Health Care (PHC), settled in town centre of Barcelona (Spain). It represents a new health care model of complex chronic patient management, patient-centered, from a comprehensive view, in which coordination with PHC is prioritized, and which reduces the number of visits to the ED. This model might suppose a new approach to deal with these patients, reducing the number of admissions and the overall healthy cost, and improving their functionality and quality of life. This poster doesn’t include learnings from COVID-19 crisis.
Sra. Marta Fajardo Samper
Cap Infermera Formació I Docència at Hospital Sant Joan de Déu, Spain
The implementation of this program to empower the role of the APN within the institution, incorporating other professionals in the evaluation, will contribute to improving the quality of care perceived by patients and families, improving the training and satisfaction of professionals, and efficiency in the management of the center.
We managed to use Lean tools as Value Stream Map (VSM), Single Minute Exchange Die methods (SMED), kaizen, spaghetti flow and Visual Management, to successfully analyze and improve different circuits of the Surgical Area. The flow of patients depends on daily interaction between more than 150 professionals from different areas of expertise and levels, some of which are general cleaning, sterilization, facilities maintenance and sanitary assistants. In this way, we intend to achieve continuous improvement for each analyzed surgery type. The participation of all roles reinforces the security policy, teamwork and leads to better results through standardization.
This cross-sectional study showed that the majority of healthcare professionals (HCPs) ( 97.6%) had updated information about COVID-19 modes of transmission, risks of contamination, high-risk groups, and the potential consequences of testing positive. Furthermore, the results of the chi-squared testing revealed that the HCPs’ confidence and vigilance of the COVID-19 threats were significantly increased ( p<0.01) by being experienced, having had infection control training, or/ and having undergone COVID-19 education. The researchers concluded that HCPs have an evidence-based understanding of the ways their own health is at risk while they are performing their duties in hospital setups.
The main aim of the study is to evaluate the patient safety culture by surgical area professionals. We designed a cross-sectional observational study about the perception of the patient safety culture by professionals in the surgical area. We used the Hospital Survey on Patient Safety Culture questionnaire to measure the 12 dimensions of patient safety culture. The dimensions that received the highest positive response rate were “Supervisor/manager expectations and actions promoting safety” and “Organizational learning-continuous improvement”. The dimensions with the lowest percentage of positive responses were “Communication openness”, “No punitive response to error”, “Staffing” and “Overall perceptions of safety”.
Social robots represent an emerging technology that provides benefits by becoming everyday companions capable of helping us and assisting us in our daily tasks both in hospital and at home to improve the health process The incorporation of robot into care settings and the application of care must be incorporated with the culture, environment of the child and current situation in mind and giving importance The incorporation of social robotics encourages “good care” with an approach that is to “do with” “be with” and giving tools to empower, motivate and make the child-teen protagonist of his care
Saudi Arabia is undergoing a paradigm-shifting transformation through adopting the ambitious strategic “Vision 2030”. This vision is a roadmap for economic growth and national development to transform the country into a world-class model for a successful and pioneering nation. One theme, is Healthcare Transformation led by the Saudi Ministry of Health. And as evidence has shown that 70% of transformations fail due to people-related reasons, And for this reason MoH made developing personal in the heart of this transformation. This poser describes our experience enabling mass leadership development of professionals leading the transformation of the Saudi healthcare system
Cristina Mallol, PhD
Rare Disease Program Coordinator Technician at Catalan Health Service, Spain
We show how the Catalan Health Service is implementing the previously defined care model for rare diseases by taking into account the viewpoint of people affected, clinicians and professionals of different administration bodies. Aimed to optimize the resources available and to improve care quality, establishing patient care levels and circuits that guarantee access to clinical expertise unit networks. Priorities are early diagnosis, access to treatment, optimal outcomes, efficiency, continuity of care and accompaniment of patients and their families during the different episodes of the illness.
The objective of our project is to show how we have transformed conventional minimum care hospitalization into family care projects, offering care to newborns avoiding separating them from their parents, and thus reserving conventional hospital admission for the most complex newborns.
Dr. Anna Casellas
Doctor at Pallapupas, Spain
The healthcare system should be given a more humanistic approach by making people the center of the transformations. The healthcare system should not only take care of the physical health of the patients, but also their emotional health, as well as that of their companions who are a key part in the recovery of these patients. In the case of healthcare staff, a staff that according to surveys the vast majority suffer from stress daily, it is necessary to make an effort to try to make their workplace more pleasant.
The developement of an specific program to follow up patients with established chronic heart failure patients has led to a reduction in hospitals admissions and readmissions. It does not include COVID-19 effect on this program
Putting citizens at the very center of health and care is a key approach to include their voice in the strategic definition and management of health and social services in the community. Valued health organizations are those that integrate citizen’s vision, needs and expectations to drive improvement initiatives and jointly accomplish the strategic mission and vision. The Citizen Participation Council (CPC) at Fundació Sanitària Mollet (FSM) is a consolidated space for territorial citizen participation. Its main objective is to act as a consultative body and provide the voice of the citizenry in shared strategic projects decision-making
Strategy promotion of social responsibility (RS) in the heart of health and social sectors in Catalonia. Empowering more than 60,000 professionals from 460 centers (hospitals, primary care, mental health, long-term care facilities and dependent people services) as ambassadors, has a true impact on the interest groups and our society all through the country.
Development of the person who suffers it and therefore affects their personal autonomy. Depending on the degree of involvement of the individual and the resources available in the environment, the person can acquire skills that implement their functional development.Given the comorbidity between intellectual disability (ID) and autistic spectrum disorder (ASD), we collected competence indicators to compare the evolution between people with ID without ASD and ID with associated ASD from admission.to the current time and / or clinical discharge.
Mrs. Raquel Chantre
Hospital Manager at Centro Hospitalar Universitário Lisboa Central, Portugal
The response to the COVID-19 pandemic led to the implementation of changes with the aim of reducing the risk of infection and, thus, improving safety in the provision of health care. The HOPP Program is an example of this change and was implemented at CHULC with the aim of promoting the dispensing of hospital drugs in local pharmacies, focusing the process on the needs of the patients, safeguarding and ensuring their safety and, consequently, potentially favoring adherence to therapy and health outcomes.
Patient safety incidents have a high prevalence in care practice and their physical as well as emotional effects on the so-called first victims (patients and family members) and on the second, the health professional .These impacts persisted over time and impairs quality and satisfaction of healthcare. Vall d’Hebron University Hospital, has been a pioneer in the design of strategies that responds to the needs of the three affected victims: giving so-called good institutional practices, like Opend Disclousure and giving structure suport for the “second victims” as part of the best practices for improving health security.
The COVID-19 pandemic forced hospitals to adequately manage restricted resources of equipment (by availability) and staff (by disease and burnout). We explain how a procedure and implementation process of an ethically, pluralistically driven decision guidance tool could facilitate bedside decision making on resource allotment in the case of Covid-19 resource restrictions.It proves how a managerial level can protect both patients and clinicians under extreme pressure.
Current Conditions : Number of elective PCI admission in April50 patients,May90and June70pt. Non of the pts were discharge same day.
Goal:To discharge50%of uncomplicated PCI in same day of procedure by September20.
Root Cause Analysis was done by the team and action plan was to advocate for early discharge as per international practice and to create protocol for early femoral sheath removal based on ACT test.
Effect Confirmation:Number of elective PCI admission after implementing early discharge project July:134, August 112,September: 125 and October 146
Statistic of early discharge post PTCI: July : 75%, August 75%, September 64%, October 74%, November 55%
Since we are betting on the humanization of care in all the hospitalization units, it is important to include family members in patient’s cares. In this case, we focus on the pediatric siblings who represent a fundamental pillar in the family and we often forget about them. This protocol intervention has been created in order to improve the sibling’s emotional impact associated with visits to the pediatric ICU and also a study has been designed in order to know which the repercussion is. The main intention is to transform the intervention described in a program that can develop over time
80% of SCI patients suffers from chronic constipation leading to poor quality-of-life and additional workload for the healthcare system. MOWOOT is the first non-invasive, non-pharmacological solution (medical device) that solves chronic constipation via a novel intermittent colonic exoperistalsis (I.C.E.) treatment to the colon. Here, long-term in-use-evaluation at home of I.C.E. treatment in SCI patients, recruited in 5 German hospitals, demonstrates the improvement in the patient’s health and quality-of-life. Moreover, due to the ease of use, MOWOOT is a solution that reduces the workload for healthcare professionals in hospital settings and patients can easily keep using it after their hospital stay.
Empowering health professionals on a laic and innate spiritual dimension of care brings to patients and families, serenity, warmth and tenderness, especially in acute suffering cases. Professionals receive formal training on practical tools of emotional and spiritual care, and daily case review training with Spiritual Caregiver recommendations. Spiritual Caregiver in individual sessions supports professionals on personal or work difficulties or anxieties that impede them to offer spiritual and emotional care. Over 300 professionals trained, 163 individual sessions, in 2018-2020. During Covid crisis, professionals implement specific guidelines on preparing families for end of life farewells in a serene and warm atmosphere.
We have created a tool to predict the volume of unexpected absenteeism in a center, allowing the directors of a service to plan for unexpected absences in time, and to human resources to anticipate contract needs, or rationalize temporary hiring rather than acting reactively. The tool also uses AI to identify “homogeneous person groups” with similar absenteeism and performance patterns. This helps to better match people to workplaces, and design prevention training, and professional advancement plans (include learning from COVID-19 absenteeism)
At the Sant Joan de Déu Children’s Hospital in Barcelona (Spain) the nursing team, during the hospitalization process, planned in the training program designed: (1) sessions that take place inside the patient’s room (2) record them in the Medical Record. With evaluation of knowledge and skills acquired, pending and improvable. (3) Knowledge of the degree of empowerment of parents throughout the interdisciplinary team (4) Standardization of the information of each session At the end of the training program, parents are empowered take care of their child and are discharged with a nursing discharge report to present at their health center.
MAIN GOAL: Improve interpersonal relationships by participating in training activities given by professionals, promoting nursing knowledge. MATERIAL AND METHOD: Dynamic meetings of 60 x ‘bimonthly, participants trained communication skills; presented scientific evidence of different topics, activity carried out in the services; they provided lines of improvement that prompted the study for its implementation. CONCLUSIONS: According to the results, we highlight the importance of empowering professionals, motivating them in the search, research and new proposals for improvement in their usual work, to revert to an improvement in healthcare.
Augusta Victoria Hospital (AVH) became a model in the fight against COVID-19 pandemic. AVH’s response to the pandemic reflects the high standards of the Joint Commission International (JCI). During 2020, AVH passed through two phases of the crisis. During the first phase “the emergency phase”, the hospital focused on stabilizing the situation and buying time before an outbreak. During the second phase, “the adaptive phase”, AVH worked to build the capacity of the hospital in order to cope with the new reality and keep the number of infected cases as low as possible by preventing the spread of the virus.
Dr. Ángela Trujillo
Physician at Mutuam, Spain
Continuous care teams in nursing homes are a high resolution device in the complexity of this population. The 85.57% of care were resolved in nursing homes, without the need for referrals to other resources, favoring continuity of care. The incidence of the derived cases in the end of life situation is minimal During the COVID-19 crisis we’ve been working very close to the nursing homes attending together the growing acute cases and the end of life situations. Nobody was prepared for this crisis, neither nursing homes where people who live there have been extremously affected.
The geriatric mobile team proves useful in two ways: by providing specialized support to complexity management, specially as regards person-centred decision making and by optimizing Hospital resource use, thanks to ensuring coordination with primary care and other community teams.
55,1% of participants has negative levels of health literacy. It was found a negative relation between number of chronic diseases at the same time and HL; HL and emergency services and GP consultations. Persons with chronic condition tend to have low levels of HL; people with multimorbidity have lower levels of HL; people with chronic condition with lower HL levels use more health care services. The evidence highlights that an approach, based on HL promotion, which makes central and stimulates the role of citizens in their own health, translates into better health care management and better health outcomes
The objective is implementation a electronic computer tool in hospitalitation to facilitate decision-making with patients. The most appropriate profile to activate it is the patient with prior advance directives, the complex or chronic patient with comorbidity, frailty, with advanced diseases or in a terminal situation. Decision-making is facilitated. The advance directive document and the individualized intervention plan made by the primary care physician are available in this form, in cases where such documents exist. The activation of the tool allows a palliative look with implementation if there is an indication of an integrated palliative care plan.
The study have prompted the design of a self-assessment instrument that allows all providers to assess their level of adequacy of end-of-life care and undertake improvement measure.
Hospitalisation is an intense experience for the patient and their family. It is therefore essential that we focus on contributing towards humanising this situation. Patient admission is one of the strategic lines of the center’s care humanization policy. The project began in 2019 with a revision of the previous admission guide, production of an audiovisual support video, translation all the information, due to the multiculturalism of our patients, and awareness-raising campaign for all professionals about patient safety procedures. Positive experience of admission to the hospital facilitates nursing care, making it human, individualised and integrated and thus improving the perceived quality.
The Hospital environment is a reservoir for the transmission of microorganisms. There are different methods to evaluate and improve hospital cleanliness quality. We made a quasi-experimental study to evaluate the impact of a multimodal intervention on the thoroughness of cleaning frequent contact points (FCP), such as bedside table, dining table, railing, right handrail, entry switch and in front of the WC. We compare de results during 2018 and 2019 and we also included the results during the COVID-19 pandemic period. The intervention has been able to increase environmental cleaning compliance during the pre-pandemic period and during the pandemia.
Early palliative care intervention together with telemedicine systems can assure a more efficient healthcare provision towards patients with thoracic cancer and encourage better results in terms of quality of life and resource optimization by using technology. Moreover, this model of intervention may be applied to other diseases and in other settings of care. Due to the development of the COVID-19 pandemic, the establishment and structuring of a telemedicine system are essential.
The present project represents an innovative experience of how the implementation of new programs can lead to a better performance and satisfaction among health-care providers with an ultimate impact in the patient care. In addition, such programs can promote scholarly activities, knowledge and experience gain, and enhance leadership skills with personal gratification for both mentors and mentees. Moreover, mentees can exhibit more confidence in their performance and more insight and aptitude for their future jobs. The COVID19 pandemic has had an impact in the program since all the staff and fellows have been fully involved in adapting the care system.
Great use of Active Intelligent technology to expand knowledge regarding treatment of cancer patients. Like the concept and wonderful, clear presentation of aim. I got confused with regard to your intended users of this (patients and/or providers). I would work to make that clear. You start with this being a tool for practitioners not in major academic centers, but the data collection appears aimed at patients. If the 85 patients were used to inform the tool for providers, you have too few to be effective. Good overall but work on clarity of who will use the tool.
Ms. Bàrbara González
Cardiology Case Manager Nurse at Xarxa Assistencial Universitària Althaia De Manresa, Spain
Nursing interventions in the face of coronary heart disease are focused on the patient and family from a psychosocial and humanistic point of view to accompany, educate and give strategies for the patient to achieve an autonomous role in terms of their health. These interventions have improved knowledge of the disease, adherence to treatment and good control of risk factors. There is a high degree of satisfaction on the part of patients and family.
It is well known that any Health Organization that is committed to meet patients needs will take into account their experience and if possible, will co-design its services and processes towards a continuous improvement to ensure the adaptation of their changing requirements. A methodology that can be used to gather patient experience and co-designing ideas is Design Thinking.
Since the arrival of the global COVID-19 pandemic, we have experienced situations that forced us to make great collective intelligence efforts to cope the health crisis, and continue to offer a quality public health service. Learned Lessons project responds to the need to reflect upon the experiences and learnings of the whole workforce of Parc de Salut Mar, during the first wave of this pandemic. Main findings of the survey “What have you felt? What have you learned?, conducted after the first wave of pandemic, are presented.
The aim of this work was to analyze nursing care quality indicators during the second and third wave of coronavirus in the hospitalization wards of different medical areas and in the emergency service of a tertiary level hospital. Recruitment was performed in the period between November 2020 and February 2021. The results revealed the decline in nursing records during the COVID. Despite the fact that the COVID has increased the care pressure, nursing departments have the need to innovate and continue to establish cycles of continuous improvement that positively impact the results of nurses care and maintain quality of care.
Ms. Andrea Fontán Abeijón
Nurse at Parc Sanitari Sant Joan De Déu, Spain
The nursing team of the Penitentiary Psychiatric Hospital Unit, along with the multidisciplinary team, has created informative leaflets on the most prevalent pathologies in our environment. They answer the most common questions asked by patients in relation to diagnosis, symptomatology, situations that can trigger a decompensation as well as how to detect them, where seek help if needed and its relationship with the toxic substances’ consumption. Considering we are living throughout a pandemic, creating this tool is strikingly important, as its physical, emotional, and social consequences are generating and/or aggravating mental health problems and disorders.
Ms. Marina Macia-Placin
Advanced Practice Nurse at Vall Hebron Hospital, Spain
Multimodal rehabilitation programs involve patients and families in their perioperative process. In the framework of a study we discovered some improvements related to the surgical field that encourages other professionals to apply it in other specialties. All this has produced great changes and revolutionized old established practices. The nurse interviews the patient to values his current health. Depending on this interview the patient is referred to the relevant specialist. This may be nutrition, rehabilitation/physiotheraphy, psychology, social work, occupational theraphy or smoking cessation service. If the patient is lower risk the nurse offers health education to improve their pre surgical health
The study of both measuring may be of use to measure satisfaction, to detect the weaknesses and strengths of the Emergency Rooms, to value the humane treatment trough communication between patients and the care team, and to design improvement strategies for the patients’ care based on their own experience
Dr. Margarida Ferreira Bandarra
Hospital Administrator at Centro Hospitalar Universitário de Lisboa Central, EPE, Portugal
Cancer has a significant impact in patients’ physical, emotional, and social wellbeing and is associated with a significant societal and economic impact due to premature deaths and loss of productivity because of significant morbidity and disability disease generated. The complexity of cancer management can induce fragmentation and duplication of services and produce Health Organizations with less efficiency. The study aims to provide a real background for the how, when and who is involved in follow-up care of breast cancer patients in Portugal and generate evidence about how breast cancer patients’ quality of life evolves after the acute phase of disease.
Universal Health care sustainability and the need to improve the treatment and management of chronic long-term conditions are two of the most critical challenges facing our health administration. The constant and growing demand of an aging population makes the creation of new tools based on coordination and integration with community tools increasingly enforced. We analysed one home rehabilitation intervention coordinated at level II regional hospital in Catalonia in terms of functional and flattering gain of hospital discharge
The performance of an ostomy has an impact on all the biopsychosocial aspects of the patients and their families. In our environment, the main causes of ostomization are neoplasms and inflammatory bowel disease. The disease process that the patients face cannot be considered acute but chronic and therefore they must acquire autonomy in the care of their illness. The aging of our population, and the chronification of diseases such as neoplasms thanks to new treatments, generate a necessary change of attitude in all the actors involved in the health system, focusing the effort on the patient.
Over the last years, development of humanistic nursing care practices has become a priority for both nurses and institutions. The COVID-19 irruption has caused a rupture between our values of care and the need to isolate patients from their relatives. A phenomenology design was used to explore lived experience of patients and families throughout the hospitalization period during first-wave COVID-19. A strong discrepancy was found between patients and relatives; while the patients felt secure as soon as they were admitted, relatives experienced anxiety and unrest. Inconsistency of information and discontinuity of informants could have contributed to this negative experience.
The goal of our investigation is to know the needs of patients undergoing isolation. Critics of isolation policies have raised questions about quality of care and whether isolated patients receive less attention. After data analysis from the interviews we have identified different main topics as loneliness or perception of feeling the the last one. To know the experiences of the people who have been in isolation will allow us to set some care activities and procedures aimed at minimizing the negative feelings and to encourage successful progress of the healthcare process.
It is well known that good relationships between coworkers, and sharing activities and interests outside working hours increases productivity and happiness. Among medical professionals new ways of reducing stress and create a friendly atmosphere is crucial to reduce burn-out, improve the medical-patient relationship and to gain self esteem. The PODCASTING: new media has been created to share worries, discuss and share interests and strengths to the community. We invite you to join to our podcasting channel “Trauma Entre Amigos”.
Understand the way of medical care and encourage them to participate in nursing activities through puppet role play, and add natural adjuvant therapy It is suggested that the clinical practice health education leaflet should be made suitable for school age, easy to understand, with picture notes, and placed on the wall of the hospital Cartoon care poster or QR code scanning of hospital network platform can improve the follow-up care after returning home, reduce the tension and helplessness of case mother in the process of medical treatment and care, and return to normal life
For more than 25 years, La Unió has offered management-training programs, emphasizing their sensitivity to facilitate a cross – disciplinary knowledge to the associate members, with the purpose of stimulating the potential of active professionals, it also gives new members the access to knowledge and practices based on experience.
OCSC is a state of the art hospital in Athens that provides patient centered specialized healthcare services in cardiac surgery and cardiology. The COVID -19 pandemic presented our entire hospital community with a stress test for our preparedness and flexibility. This report summarizes our experience in succesfully responding to the pandemic. Project Panacea is based upon the principles of health safety, personal responsibility and social solidarity, which together form the only proper response to the current crisis. Staff loyalty and teamwork in implementing management decisions have been crucial factors in navigating the rough seas of the pandemic.
With the implantation of our project to improve accessibility from primary care to our hematology service, not only the rapid acceptance of the system after its launch has been perceived, but that there has been a significant reduction in time over an objective waiting for response in the queries regarding hematopathologies if not parallel there were no problems saturation of telematic agenda and the waiting list of first visits of the service has been reduced. There has been an improvement in the quality of hematological care.
Promoting a child rights-based approach to paediatric hospital care is synonymous with putting people at the centre of transformation and creating humanistic centred care. This poster outlines strategies for incorporating a rights-based approach into quality improvement at children’s hospitals. Additionally, we provide recommendations for hospitals on supporting child rights during the COVID-19 and other pandemics.
Rapid integration of the virtual nursing consultation into an ongoing live clinic is a safe and effective way to: *safeguard staff & patients *maintain the ongoing level of care provided prior to the Covid-19 pandemic
Ms. Begoña Ibañez
Nurse at Hospital Clinic Barcelona, Spain
Home Hospitalization (HH) programs are able to give medical and nursing care at home, with the same level of hospital of quality and quantity. The administration of hemocomponents at home has been found to be safe and has already demonstrated economical advantages in front traditional care of in-hospital patients. Moreover, patients who have received treatment at home are more comfortable and have a high satisfaction rate
“Connecting emotions” encompasses a set of initiatives and actions that value the immediacy and urgency of response to the health alarm situation due to SARS-CoV-2 and the restrictive measures taken to maximize protection and prevention in hospitals. This context exposed all people entered to a situation of loneliness and emotional vulnerability and accentuated the need to keep families informed in relation to the status and evolution about the status and evolution of the patients, facilitating direct contact with their relatives
The Attendees will learn the following: 1. Evidence of data driven innovation and organizational ambidexterity in building resilience in East Africa. 2. Implementation of design thinking for resilience in healthcare. 3. Application of structural competency for adaptation and role revolution in order to create value and gain competitive advantage.
HCB is a public hospital, managed by a not-for-profit organization, in partnership with the Federal District Government, Brazil. The customer satisfaction survey has a solid track record at HCB. Established and implemented since the Hospital inauguration in 2011, it has undergone several improvements over the years, always aimed at the legal guardians of patients. There was a decision to innovate – a special assessment instrument was developed, aimed at patients aged from 5 to 18 years, creating a specific communication channel, which would allow the expression of the child’s opinion about the hospital.The systematization of this opinions yielded surprising results.
The app is based on a series of surveys to be answered by the caregivers about changes in a patient’s behavior and in his/her functional state, autonomy, nutrition… According to the answers, the caregivers receive a series of positive reinforcements and advice that attempts to train them for facing different situations they might encounter using 5 scenarios in which 5 situations referring to adequate footwear, feeding, adaptation of the living quarters, mobilization/transfers, and approaches to disruptive situations are recreated.
In any healthcare setting new software should only be implemented accompanied with targeted management actions towards the separate groups of healthcare professionals. This accelerates the acceptance and thereby the usage of the software. As the healthcare setting around the world has to deal with scarce financial resources, the desired payoff of such cost intensive software investments is more likely with these considerations. Even though the software implementation may though lead to further investments (e.g. user group specific training) it pays off as otherwise the software may not be used respectively not used to its full extent.
In Hong Kong, we are facing a very high turnover rate of care-related supporting staff. In this paper, we have explored the two main reasons lead to work dissatisfaction, which included 1) work-related issues and 2) Communication issues, and ways to help them adapt to the new environment. As many of the healthcare supporting staff were used to work in different fields and were being laid off during COVID-19 pandemic, with the help of our orientation program, they can be well adapted to new job and continue to maintain a stable healthcare workforce in Hong Kong.
Dr. María Dolores Braquehais
Clinical Chief at Integral Care Programme For Sick Health Professionals, Spain
Several socio-economic factors have contributed to increasing the distress of health professionals (HPs), especially after COVID-19 pandemic. In recent decades, specific programmes for physicians suffering from mental disorders have been developed in several countries but few of them offer care to other HPs. The Galatea Caring Programme (GCP) is a voluntary, free service, highly confidential programme, sponsored by both the Catalan Department of Health and several HPs’ association-councils, that provides preventive and treatment interventions for all HPs working in Catalonia. Aims: To describe the Galatea programme’s design and main results as well as its experience during the COVID-19 pandemic.
How can we help the family member of a patient with dementia to cope with him at home? We want to respond to this, with the design of Tecuide. Tecuide is a digital platform, supported by doctors, nurses, psychology, physiotherapy, occupational therapy and social work, through which the caregiver periodically receives surveys that detect changes in the patient – behavioral, functional, nutritional – thus as incidents (falls, ulcers, visits). Responses trigger: alarms, which reach the team professionals , provide training material In addition, the platform includes an email that the caregiver can use when he deems it appropriate
Mr. Dami àValero-Bover
Data Scientist at Catalan Health Service, Spain
We developed a population-based tool (GMA) for measuring multimorbidity that considers all chronic conditions, the number of systems affected, and acute diagnostics that may influence patient complexity. Besides stratifying individuals into mutually exclusive health-risk levels, the GMA tool yields a numeric index for quantifying multimorbidity. We have compared the performance of five multimorbidity measures in explaining differences in health outcomes on a population-based sample of 6 million people. Our findings provide policymakers and medical directors with strong evidence on the use of multimorbidity tools for resource planning and epidemiologists with useful insights for health risk stratification in the research setting.
In front of the approach to people’s health care, the Fundació Santària Mollet defined a new model of comprehensive and integrated care, the central focus of which is the person and your family.It is implemented the person-centered care as a professional competence and identified the % of achievement of the behaviors linked to the PCC competence globally and by professional groups. The overall % of the achievement of the competencies is 77.73%, with different% of achievement for each professional group. The % of achievement per group allows us to detect variables dependent on the competencies and design contextualized improvement actions.
This work shows an innovative way of treating patients suffering from an acute psychiatric disorder at their own home, allowing them to maintain their routines as much as possible and to take an active role in their own treatment. Users’ experience will help us to adjust the unit to their real needs.
We created a Children Council composed of boys and girls under 12 years-old. The goal is to implement the participation of children in the hospital through a Council format. A group of nine children worked on the characteristics that a children’s hospital should have, using the Lego Serious Play methodology. This formula allows young children to participate in the improvement of services, highlighting those aspects that would facilitate their journey through the hospital. During the pandemic, members of the Children Council also expressed their feelings and needs to overcome the situation
At a time when healthcare environments are increasingly complex and the human resources ratio is very low, it is more necessary than ever for the physical environment to contribute to the nurturing and relief of patients, and to participate actively in the emotional and physical well-being of people. Thus, we believe that the transformation of healthcare requires an holistic approach to medicine in which architecture takes sides, adapting to the person’s needs. The recovery plan of the Verge del Toro Hospital, promoted by the Public Health Service of Balearic Islands, has been a challenge of both architectural and service transformation.
Health systems are under a tremendous pressure COVID 19 and increased of chronic diseases f.e.Europe’s 18.6 M health care workers. They are involved in a wide range of activities to promote healthy lifestyles, prevent, and treat illnesses. Health professionals are the employees most prone to occupational burnout. Shortage of resources and rising demand can increase the risk of burnout for the staff in all health care settings. The risk of burnout and stressful working environment. Health care executives of health need committed and involved professional. Focusing efforts to foster the engagement of young middle managers can be a success factor.
Dr. Safiya Al Shahi
Pediatric Intensive care physician, Head of Quality & patient Safety at National Heart Center at Royal Hospital, Oman
Visual management system provided a platform for healthcare professional to do effective, accurate and timely communication about patient’s management plans. The boards enabled care providers to promptly identify & resolve the bottle necks in patient journey through shared decision making. It clarified the slow progression in care and referral statues to other specialties that needed to be done. The boards reflected positive patient outcomes by reducing the waiting time for admission, discharge and procedures. It’s used as handover-tool and safety huddle. It reduced overlapped information and the length of hospitalization for post cardiac surgery patients from seven to five days
The development of new nursing roles at Hospital Clinic of Barcelona has allowed the creation of two leading functions, Clinical Nurses and Advanced Practice Nurses Clinical Nurses have the role of supporting professionals, acting as referents, encouraging critical thinking, innovation, and evidence-based practice. Together, with the chief coordinator, and the head of nursing, ensure the professionalization of user-centered care and their families. Advance practice nurses have acquired the basis of expert knowledge. They are trained with the necessary competences to make complex healthcare decisions, basing their practice on current evidence. These two figures together guarantee the best attention to users
Ms. Susana Rute Ferreira Gregório
Head Nurse Director at Fernando Pessoa University Hospital, Portugal
A crisis involves a scenario that, by its nature or extent, conditions, momentarily/permanently, an imbalance. Leaders seek to guarantee the excellence of care in the different health scenarios. Thus, in view of the moment caused by the Covid-19 pandemic, the board of Fernando Pessoa University Hospital had to occupy a prominent place in the leadership of a time-consuming and unknown process. Work’s relevance is justified by the path developed by the management board in concerns, human resources and related processe, simultaneously, a deep reflection on personal values, transformational-leadership and forms of intervention / implementation of strategies at sensitive times.
Ms. Meritxell Cucala Rovira
Nursing Deputy Director of Innovation and Projects./Secretaria ACDI at Hospital de la Santa Creu i Sant Pau/Associació Catalanas de Direccions Infermeres, Spain
Association of Nursing Directors was created in the year 2014 with the aim of being a forum for participation and discussion in the presence of nurses who are involved in the field of management. It’s an ambitious, participative and innovative project. Previously there was no entity that represented nursing directors in Catalonia. They represent the nursing directors of 64 hospitals in Catalonia and 300 primary health centers. The objectives: Support nurses managers in their professionalization. Add efforts between all professionals, associations and others. Elaborate and develop strategies for change. Be a frame of reference for the group of nurse’s managers.
The project relevance is related to the integrated concept of health that is intended to address a health problem such as smoking in the three levels of care of the same health area: primary health care, specialized care and community care in offices of pharmacy. The project’s aim is to place the patient in the center of the health system, allowing health agents to coordinate with each other and also with the patient to diagnose the smoking problem earlier, taking advantage of hospitalization time, starting treatment in the same center and give assistance continuity after discharge of patients.
The poster is designed to demonstrate the findings of the paper titled “Two-Stage Estimation of the Impact of Contextual Variables on technical efficiency Using Data Envelopment Analysis in public hospitals of Iran” which mainly discusses the efficiency of Iranian public hospitals and the main factors which are currently impacting it, what can be done to improve it, and future adaptations of the study
Medication reconciliation is to allow patient to take medication continuously without medication negligence due to the interruption of the patient either at home, hospitalization, discharging, or transferring. To make graded medical care and provide comprehensive medical service, using smart technology to extract cloud medical information and building a discharge inspection system to avoid important drug omissions, drug interactions and repeated medications. Pharmacists organize a complete list of patient medication and health education to ensure patient medication safety during patient discharging or transferring to other hospitals.
The SWAC also seeks to promote innovation in Social Work, through sharing experiences, learning from a systematic assessment of our own and others’, to improve everyday practices. All these actions have contributed to humanize social interventions with a commitment to ethics, and regarding each person as a complex individual as a whole.
This work is relevant because it seeks the patient’s well-being, its comfort, it reduces costs:instead of a medical visit it becomes a nurse visit, it reduces the waiting list of medical visits and,moreover, it is innovative. There is a follow-up of the patient by telephone/video instead of face-to-face. Care plan has incorporated possible questions that COVID may cause
Management of advanced chronic conditions, frailty and dependence represents an enormous challenge in all care levels. The transitions are an opportunity to improve and set changes. The use specific validated tolls are part of best management practices for patients with advanced chronic conditions.
The objectives of this project developed under the umbrella of the patient-centered model in the three centers that care for people with disabilities and dependency are: – Create spaces that generate wellbeing that impact in quality of life ajusted to person needs and expetations, preferences and values, promoting an active participation in their care. – To change staff mentality and professional culture adopting de concept to care, assistant ad accompaniment as a key value, changing approaches and methodologies promoting commitment with this transformation