The following posters will be displayed at the exhibition area of the World Hospital Congress and in the virtual event platform.
DIGITAL AND TECHNOLOGY DRIVEN TRANSFORMATIONS
Señora Gemma Fernández Maldonado
Enfermera at Fundación Puigvert, Spain
Electronic prescription for hospitalised patients linked to automated dispensing on hospital wards was introduced in 2019 with the twofold aim of increasing the efficiency of the drug distribution system and reducing medication errors. The doctor issues an electronic prescription, the pharmacist validates it, and the nurse takes the drugs from the automated dispensing cabinet (Omnicell®), prepares them for each patient and confirms their administration electronically while at the patient’s bedside. The automated dispensing cabinet and the electronic prescription software are integrated, which helps to ensure availability of the drugs needed over a certain time period.
Ms. Nuria Garcia
Surgical Traceability Nurse at Vall D’Hebron Hospital, Spain
Given the movement of surgical boxes between the buildings and services in our hospital and the difficulty of sharing information with paper records, a computer program has been set up to improve traceability and also to control the contents of boxes of surgical instruments piece by piece.
Dr. Elisenda Reixach
Project Manager at Fundació Tic Salut Social, Spain
An observational, case-control study was designed, where a total of 59 patients from CAP Comte Borrell were recruited. The participants made 10 voice recordings of several minutes duration and in different conditions. The findings of the analysis of the voice samples indicate that there are significant differences in the prosodic characteristics of the voice between the control group and the intervention group. Work has been carried out on the development of the NLP algorithm that allows the identification of COPD indicators through voice analysis and could potentially be used to monitor COPD.
Dr. Khulood Mohamed Hussain Ibrahim Alsayegh
Head Of Clinical Standards And Guidelines Section at Dubai Health Authority, United Arab Emirates
The UAE leadership took a leap in the region by issuing the Administrative Decision Number (40) of 2019 to regulate the practice of telehealth services. The initiative of “Doctor for Every Citizen” aims to enhance access to healthcare through offering tele-medical consultations to Dubai citizens 24/7. This poster highlights the process of Telehealth adoption in the Emirate of Dubai and some key successes and challenges faced. It will also include the challenges and opportunities of using this platform during the COVID-19 pandemic .
Ms. Catalina Botero Ruge
Researcher at Fundación Santa Fe De Bogotá, Colombia
Our aim will be to present how e-health strategies can help to provide reliable, high quality, easy to access and free information to people on some of the most pressing challenges of global health, including COVID-19, in order to surpass barriers people might encounter while trying to access different health services, and promote healthier environments and behaviors that will strengthen wellbeing and prevent diseases.
Ms. Victoria Teixido
Cap De La Divisió De Gestió D’Usuaris at Servei Català De La Salut, Spain
The project e-Prestacions is relevant because of its innovative transformation of our healthcare delivery system. This project digitally involves and coordinates three key agents: the National Health Administration, product prescribers and dispensers (doctors, manufacturers), and patients. Specifically, it is most relevant to two sub-topics: How is digital Health transforming the way Health Systems are run and healthcare is delivered, and How to put citizens at the center of health and care.
Dr. Hidemitsu Nakagawa
President at Nozaki Tokushukai Hospital, Japan
We present a hospital peer review (PR)(monthly and emergency) for the purpose of improving medical safety and care quality by focusing on invasive treatment outcomes at each hospital under the permission of an Ethical Review Board. Ordinary PR consists of 7 evaluation items and data is extracted from the Tokushukai Information System (TIS), and PR system for emergencies is performed by direct remote access through the TIS. Seven departments showing repeated problematic affairs such as the poor surgical results were improved. We believe this PR system helps the efforts to increase medical safety and quality.
System of Digitalized Registration of Data at Bedside (DRDB) consists in the use of touch screens installed at bedside of each patient. It allows an unequivocal, quick, and safe register. Also to visualize clinical data since patient is connected to the Hospital Information System. Previously in the pilot study for the implementation of DRDB, showed that it was more agile and secure than the usual process. Our descriptive study was conducted to determine the degree of use of the DRDB, compare the use of the DRDB with the conventional process and to analyze the incidents of the DRDB system.
Massive data analysis can be a useful technique in the initial screening of HF-P. Using mass data tracking could detect 50% of patients with FH and if combined with cascading genetic studies up to 80%. 1500 patients can be tracked in 4.05 min. 30 years would be required to detect 50% of the patients with FH with current techniques. The combination of massive data tracking, clinical assessment, and cascading genetic analysis may help decrease the burden of HF and its impact on cardiovascular disease
Dr. Olga Monistrol
Patient Safety Nurse at Hospital Universitari Mútuaterrassa, Spain
Serious games and Immersive Virtual Reality (IVR) technology are becoming an effective way to increase engagement and facilitate the acquisition of technical and transversal skills. At the MútuaTerrassa University Hospital and specifically at its library, we started ussing the RVI as a tool for learning, change and health of our staff. Diferents projects are proposed; a Serious game of RVI type “escape room” for the identification of authors (ORCID), an immersive IVR experience based on mindfulness techniques. During the COVID-19 pandemic we used the RV to help professionals with the dressing and undressing sequence to care for positive COVID patients
Mr. Jordi Puig
Research Nurse at Lluita Contra La Sida Foudation, Germans Trias University Hospital, Spain
The objectives of our work are to determine the usefulness of an app designed specifically for HIV-infected patients aged 60 years or older by evaluating its usability. To assess changes in patient satisfaction with the app, adherence to treatment, and quality of health care in HIV-infected patients who use the app. It is a randomized clinical trial, the study population comprised 100 patients. At week 48, 85.2% of patients thought that the app was useful, 91.4% would recommend the app to friends. The app was well valued by participants 4.79 and 64.6% thought that the app improved their health care.
Ms. Rie Misawa
Section Chief at National Hospital Organization Shinshu Ueda Medical Center, Japan
How shrinking diagnostic ultrasound devices and their convenience could hurt the bottom line of healthcare facilities.
Mr. Mondoloni Loïc
General Director at Martigues Hospital Center, France
The progressive integration of 4.0 technologies transform healthcare field. These technologies impact jobs and skills of healthcare professionals, who must adapt themselves. Technologies 4.0 reposition patients in the middle of healthcare systems, where self-management, products and informations can be developped. These results and consequences require knowledge of these technologies and an understanding of their articulation : we purpose the elaboration of a complete cartography to position these technologies in a chain of healthcare process which generate products and services. These technologies are divided into 4 steps : perception and sensing / communication and transmission / processing and computation / application
Dr. Josep-Maria Ibañez
Chief Medical Officer at Consorci Sanitari Del Maresme, Spain
The design of management support systems must achieve not only efficiency but effectiveness. We describe a tool whose aim is to get a real improvement on the management of hospital beds and the staff’s work. This tool has been determinant for hospital admission and bed management in pandemic COVID-19 crisis. Our tool (BIMAPS) recovers both quantitative and qualitative data categories on the occupation of hospital beds, and processes automatically, transforming the information obtained in a real bed map, which increases the added value of the represented data with a friendly and ease to use interface for health professionals.
Ms. Elisabet Garcia
Gerent D’Innovació Servei at Català De La Salut, Spain
La Meva Salut (LMS) (My Health) is a strategic project which empowers the citizen by providing secured and confidential access to digital health services such as own personal information produced in any healthcare center: clinical history, diagnostic reports, test results, medication plan, vaccines administered; Digital assistance channels such as eConsultation or VideoConsult for enquiries with healthcare professionals; and carry out electronic procedures such as medical appointments. LMS focuses on a relational model between the user and the Catalan Healthcare System to find out people’s needs and to provide information for the promotion of healthcare and illness prevention.
Dr. Logandran Naidoo
Senior Manager: Medical Services at Grey’s Hospital, Department of Health, South Africa
This poster encapsulates an innovative electronic tool (Lean SPRInT), derived from a PhD study, which could assist managers with Lean initiation in hospitals. The application of Lean to improve efficiency requires a convenient starting point. The Lean Success Predictor for Rapid Initiation Tool (Lean ‘SPRInT’) serves as this ‘starting point’, and provides managers with a conduit for deploying resources. As the only known electronic Lean readiness assessment tool developed in South Africa, Lean SPRInT’s output of calculated Lean readiness levels allows managers to gauge deficiencies in their hospitals, which once improved, would portend for a more favourable prediction of success.
Mr. Derek O’Boyle
Senior Health Economics And Outcomes Research Manager at Alcon, Ireland
Posterior Capsule Opacification (PCO) is the most common complication after cataract surgery and can result in reduced visual acuity, impaired contrast sensitivity and glare disability. Nd:YAG laser capsulotomies are performed to treat PCO, resulting in additional burden to patients and health care systems. Published evidence suggests that hydrophobic AcrySof intraocular lenses (IOLs) have a demonstrated lower incidence of Nd:YAG capsulotomy compared to other hydrophobic and hydrophilic IOLs. However, there is a paucity of comparative evidence versus IOLs with a hydrophilic-with-hydrophobic surface. The aim of this research was therefore to generate robust real-world evidence to fill this gap.
Ms. Silvia Perez-Ortega
Clinical Cardiovascular Nurse at Hospital Clinic Barcelona, Spain
A mobile application Caaring® with professional content has been developed by surgeons, perfusionists, nurses, physiotherapists and nutritionists from our hospital in collaboration with Medtronic, for patients undergoing aortic valve replacement surgery, providing advice and recommendations in the form of tasks. The program begins approximately 1 month before surgery, and continues until two months after discharge. The content is adjusted to each moment of the process. The use of technology through mobile applications allows us to reach more patients to offer them information about their pathology, encourage self-care and cardio-healthy habits, and involve the family in the whole process.
Ms. Anna Alsina-Ribas
Nursing Supervisor at Consorci Hospitalari De Vic, Spain
This study shows the results of the experience of nursing team professionals related to the use of Alexia. Alexia is mobile touch device (Smartphone + App) that through the correct patient and professional identifications, allows to administer medications in a safe way, make the integral assessment of the patient, and record and query the cures information (clinical variables, clinical courses). Alexia facilitates the record and query processes, and avoid the duplicity or omission of clinicial records, achieving a safety increase.
Ms. Elena Calvo Cidoncha
Hospital Pharmacist at Hospital Clinic Barcelona, Spain
This poster describes the design, development and implementation of OntoPharma, a CDSS for reducing medication errors based on ontologies. We have developed a CDSS for drug-allergy checking, dosing support for renal insufficiency, drug–drug interaction checking and maximum dosing guidance. The knowledge to provide the alerts have been represented through ontologies. Ontologies have the potential to support the development of CDSS in a manner that enhances reusability of data and knowledge, thus facing some of the challenges of CDSS based on relational databases. We expect to reduce medication errors and improve health outcomes.
Dr. Alejandro Garcia-Rudolph
Project Manager at Research And Innovation Office, Institut Guttmann, Spain
Stroke is one of the most severe medical problems with far-reaching public health and socio-economic impact. The PRECISE4Q H2020 project (https://precise4q.eu/) sets out to minimise the burden of stroke for the individual and for society. This poster presents the first results obtained when analyzing the needs of healthcare professionals and people with disabilities caused by stroke. Specific data sources were: scientific bibliographic reviews, people with subacute and chronic stroke, as well as healthcare professionals from a reference rehabilitation center in Catalonia. Public data obtained from Twitter and Reddit were also analyzed. (No COVID-19 lessons were included).
This work explores the power of data to build a predictive model for coronary heart disease (CHD) due to the condition of Familial Hypercholesterolemia (HF). HF is the most common cause of aggressive and early coronary heart disease. This study use machine learning techniques on a given dataset to predict the risk of a person to suffer CHD, once she has been HF identified. A random forest has been training and validated with data of National Dyslipidaemia Registry of the Spanish Arteriosclerosis Society. The classifier achieves an accuracy AUC average value of 0.884. No learnings from the COVID-19 crisis involved.
Dr. Lydia Padró
Medical Coordinator Of Tissue Transplant at Catalan Transplant Organization (Ocatt). Catalan Health Service, Spain
In Catalonia, access to tertiary procedures in public centers has been regulated for many years (high specialization oncology, emergency codes, rare diseases …) categorizing them by high technological level, complexity, cost and professional experience. However, tissue transplantation, and specifically corneas, has not yet been included. We believe that corneal transplants should be limited to a few centers to guarantee a minimum level of activity, as well as reaching consensus as to the minimal number of procedures required for centers or for surgeons performing the transplants. We will explain the huge impact that COVID has had on tissue donation
Ms. Montse Rey
Pharmacist at Institut Català D’Oncologia, Spain
Within the integral management of the chemotherapy process, in February 2015, robotization was incorporated into the Pharmacy Service in the preparation of cytostatics with the acquisition of two robots. Robotization is important because of the impact on safety, towards the patient in the prevention of medication errors with highly iatrogenic drugs and towards the professional, in the prevention of ergonomic risks and exposure to cytostatics. At the same time it incorporates the improvement in process efficiency and productivity. We present the productivity data obtained from January 2016 to December 2019.
Dr. Joyce Ka Yin Chan
Senior Health Informatician at Hong Kong Hospital Authority, Hong Kong
This presentation shared the experience of how a regional scale healthcare organization – Hong Kong Hospital Authority making use of big data and pre-defined clinical rules in preventing metabolic risks related to second generation antipsychotic medication (SGAs). Patients prescribed with SGAs would be checked against recent one year fasting plasma glucose and lipid. Those without fasting plasma glucose and lipid or with abnormal blood results, a tagging of “On SGAs without blood tests” and “On SGAs with abnormal blood results” would be marked in patient’s record. An alert prompt would be triggered to psychiatrists upon next follow up.
Dr. Kalthoom Alblooshi
Hospitals Department Director at MOHAP, United Arab Emirates
The Ministry of Health and Prevention desires to utilize Clinical Analytics, Clinical Decision support and Evidence Based Medicine in reducing the morbidity and mortality from Ischemic stroke. As this process is highly protocolized, a health IT solution was required which will guide clinicians to provide this urgent care in a safe way and as per clinical evidence. The solution translates clinical evidence-based guidelines into computer understandable binary logic which include: automated Clinical Rules to order laboratory investigations, Urgent CT Head, 21-point thrombolytic Check list, Pre-agreed therapy plans for Thrombolysis, Auto Calculation of drug dosage and Appropriate prompts and alerts.
Ms. Sena Yan Yan Sze
Health Informatician at Hospital Authority, Hong Kong
The report format of HBV DNA laboratory result varied and it was difficult to analysis the results by the existing system design. This paper illustrated the potential clinical benefits of using the new AI and automated machine learning model of continuously screening of laboratory data in the Hong Kong Hospital Authority Clinical Management Systems (HA, CMS) clinical data repository and automatic clinical alert creation. Medication decision support function would potentially be triggered based on the patient’s HBV DNA status. Therefore, antiviral treatment could be timely prescribed to prevent Hepatitis B flare up when prescribing immunosuppressive therapy.
Parc Sanitari SJD is a trust providing general (GH) and mental (MH) healthcare hospitalisation, as well as community mental health care. We have focused on improving the effectiveness, managing patient safety risks, and providing staff support. To this end, our balanced scorecard, following the Kaplan and Norton framework, provides greater emphasis on patients and health professional’s needs in addition to the traditional activity reported to CatSalut (purchaser of government services).
Dr. Felip Miralles
Digital Health R&D Manager at Eurecat, Spain
Demographic shift and now COVID-19 crisis is demanding a transformation of healthcare systems from disease-based to value-based, patient-centered and integrated care. In this scenario, smart technological solutions become a facilitator for enabling personalized and precision medicine. From Eurecat we present xCARE, a microservices framework implemented, deployed and validated throughout many specific use cases, which demonstrate its potential and adaptability, for instance: (i) an integrated care system to manage complex chronic patients; (ii) a case management system to train patients before a major surgery; and (iii) an automatic self-management system for citizens to have healthier habits, support behavioral change and prevention.
TOWARDS AN INTEGRATED CONCEPT OF HEALTH AND CARE SERVICES MODEL: VALUE DRIVEN TRANSFORMATIONS
Dr. Limya Alaradi
Coordinator Of Accreditation Programs In Primary Healthcare Sector Ministry Of Health, Kuwait
To date much of the work on healthcare accreditation has focused on the shift from treatment to prevention and the movement of care from hospital-based settings to primary care are key drivers for striving to hospital sector. The shift from treatment to prevention and the movement of care from hospital-based settings to primary care are key drivers for striving to implement accreditation in Primary Healthcare Centres (PHC). Accreditation is now very much linked to quality improvement. ❑There is currently an increase in investment towards primary care. MOH in Kuwait chose Accreditation Canada to develop and finalize PHC standards, and provide the health care centres, through education and training, with the capacity to successfully implement those standards.
Ms. Gemma Mas Dalmau
Nurse Support Research at Fgs Hospital De La Santa Creu I Sant Pau, Spain
Estudio con el objetivo de conocer las creencias, actitudes y comportamientos de las enfermeras en relación a la enfermería basada en la evidencia.
Dr. Eva Gil
Adjunct Physician at Emergency Department Hospital De La Santa Creu I Sant Pau (HSCSP), Spain
Adults with Down syndrome (DS) represent a significant proportion of our society. Aging has bringing new medical problems. The Collaboration between Fundació Catalana Sindrome de Down and Hospital de la Santa Creu i Sant Pau has developed of a Healthcare Plan (HP) for Adults with DS, aimed at improving the health and well-being. The HP contains the preventive measures, the most current is COVID-19 vaccination and systematic review of diseases associated with trisomy in adult life. Integrated health programs adapted for persons with particular clinical conditions, such as DS , are able to provide better health outcomes and improved well-being.
Mr. Joan Canovas
Technician at La Unió Catalana D’Hospitals, Spain
Through the key elements that define an integrated home care model, we approach the major challenges that organizations must face to provide home care services. We also describe some suggestions to improve the quality of the service. Considering the actual demographic trends, the home care model has gained a key role for the sustainability of the national health services, and its importance has become greater due to the COVID-19 pandemic.
Ms. Claudia Casafont
Consultant Nurse at Hospital Clinic Barcelona, Spain
An observational descriptive study about patients with dementia or cognitive impairment hospitalized requiring hip surgery from admission to a 3 month follow-up. Functional capacity, pain and other morbidity variables will be presented. Also, experiences of their informal caregiver and the associated costs of care.
La Unio Catalana d’ Hospitals is a health and social care association that groups 120 providers based in the Catalan Region. About 15 years ago we started to share best clinical and process best practises based on key performance indicators (KPI’s) benchmarks. This has demonstrated to be a good way to share knowledge and learn the ones from the others. Now, with COVID and the deployment of virtual healthcare models we keep doing benchmarks based on KPI’s to identify the best practises in an more objective way.
Dr. Maria Pueyo
Coordinator Of Avaluation In Assistencial Area at Catalan Health Service, Spain
We describe the results of concentrating publically funded Abdominal Aortic Aneurysm treatment in high-volume centers. As more than 30 cases per year were considered necessary in order to ensure care quality and safety, only 9 hospitals were selected for AAA treatment. The concentration of AAA procedures implemented in Catalonia has had a positive impact on patient outcomes with a reduction in mortality. AAA repair concentration, together with similar concentration processes undertaken in recent years , are examples of how CHS uses available evidence to re-plan care provision in order to maximize health outcomes.
Dr. Meritxell Pérez González
Abs Palamós Director Ssibe at Fundació Hospital Palamós, Spain
In Primary Care, we are used to send patients to hospital specialists but not the other way around. We have developed a tool so the laboratory can interconsult with PC when and anemia is detected: they run complementary tests and send the results to the PC doctor. PC physician receives the medical order decide the most suitable solution for that patient and whether to treat with oral or endovenous ferrotherapy. We were already managing ev ferrotherapy in PC for years, administrated by our nurses. With this protocol we want to continue our previous workflow in an even more efficient way.
Dr. Diah Ayu Puspandari
Director Center For Health Financing And Insurance Management, Faculty Of Medicine, Public Health And Nursing at Universitas Gadjah Mada, Indonesia
In 2014 along with the introduction of National Health Insurance, case based group (CBGs) payment system was applied in Indonesia. Since then, it was mandated as prospective payment for all hospitals. During the implementation it may potentially creates powerful incentives or disincentives affecting provider behavior to survive and sustain in terms of economic consideration. Hospitals need to adjust their strategy to respond with the existing payment system. But cost containment should not be the only aspect that need to be taking into account in setting the price in CBGs payment system, clinical outcome should also to be considered.
Señora Miriam Acedo Garrido
People Director at Fundació Hospital Sant Joan De Déu De Martorell, Spain
In 2019, we set up a project consisting of eliminating the use of paper in the HR Management Area. The main goal focused on: Sustainability: our commitment with the environment, and the importance of an adequate management which prioritizes the preservation of resources, should be wide ranging, and it should involve every department. In this spirit, the goal was to eliminate 90% of paper and the printing materials. Intensifying focus on our professionals: eliminate everything that doesn’t add value, and can be automatized, to increase the availability of our staff for activities where their time and involvement does add value.
Ms. Ana Rodriguez-Ortega
Head Of Nursing Of Functional Units Of Oncology Care at Catalan Institute Of Oncology, Spain
International recommendations for cancer control support the organization of breast cancer care with a multidisciplinary approach in Breast Units (BU). Several international guidelines include nurse as essential part of BU and defined their model of care, management and functions. The objective of this study is to evaluate the nurse’s care model in order to improve the quality of care for patients with breast cancer. This study will allow detecting, and subsequently correcting, the nursing care model, to improve the quality of care offered to women with breast cancer.
Nurses in hospitalization units have a computerized drug trolley, that allows them to administer the medication to patients. If the prescribed medication is not in the drug trolley, nurses have to request it by telephone or in writing to Pharmacy Department. A new tool called Farmaclic allows nurses to request this medication with a simple click, reducing continuous interruptions in the Hospital Pharmacy and the possibility of errors when requesting and dispensing the medication. Transforming nurse-pharmacy communication can reduce potential medication errors improving patient safety.
Nurse Montserrat Cantero Cano
Head Of Nurses at University Hospital Sagrat Cor, Spain
In hospitals, the current patient profile is getting older and pluripathological, which implies creating a new healthcare culture. During the hospital stay all the person’s needs must be addressed with a thorough and comprehensive assessment, teamwork, and empowerment of the patient in decision making. Frail older people are at greater risk of adverse outcomes during hospital stay, such as loss of function, incontinence, delirium, malnutrition, and other geriatric syndromes that need to be addressed through a comprehensive multidisciplinary approach in order to prevent patients from having a worsening quality of life conditions caused by hospital stay.
Ms. Silvia Angel
Coordinating Psychologist Of Mental Health Services For People With Intellectual Disabilities at Parc Sanitari Sant Joan De Déu, Spain
Intellectual disability and psychiatric disorders people have a high complexity in diagnosis and treatment. Parc Sanitari Sant Joan de Déu offers specialized mental health care for them. The Hospitalization Unit Specialized in Intellectual Disability UHEDI has always been an innovative service (2002-2021), for the complex typology of patients, the specificity in care circuits, and its inclusion in health network but also linked to social. Over years, UHEDI has undergone relevant changes aimed to greater adaptation to patient needs: – Longer hospital stays, Integration wider network, New professional profiles, Differentiated service portfolios, Psychopharmacological/psychological treatments based on evidence, Spaces as therapeutic element
Dr. Elvira Torné
Health Services Planner at Servei Català De La Salut – Catsalut – [Catalan Health Service], Spain
This study is aligned with both Catalan and State-level health policies such as the Catalan Plan and the Health Ministry’s Strategy on Chronicity (2014). The process to define and re-plan Pain Units (PU) portfolio has enabled space for discussion among different disciplines involved. It will contribute to quality by establishing registers, accreditation standards, contracting, evaluation, and to improved services purchase. A consensus-based PU portfolio will favour equity, efficiency and care quality throughout Catalonia.
Mr. Josep Jiménez
Unitat D’Experiència Del Pacient Servei at Català De La Salut, Spain
Since 2003, the Catalan Health Service has been using a surveys plan to incorporate PREMs in the evaluation and improvement of the health care services. Specific questionnaires for inpatient hospitalization, emergencies, outpatient consultation and major ambulatory surgery were elaborated with participation of professionals and patients. They include items related to accessibility, staff-patient interactions, information, hospital structure and equipment, coordination and global satisfaction. Only small improvements had been appreciated, suggesting hospitals quality management strategies are not focused enough to user’s experience improvements. At present, the whole strategy is being revised in order to effectively make it a system transforming tool.
Mr. Marius Ciurlionis
Lecturer at Vilnius University, Lithuania
It may seem like it is challenging to identify palliative care; most patients who could benefit from palliative care are not receiving it until they are very close to death. In other cases, patients receive services in a paradigm – where the primary role is to provide life-prolonging treatment or acute care. It is important to note that these services require much effort, financial, and staff resources – this is why policymakers and healthcare practitioners should increasingly focus on palliative care integration into inpatient and outpatient settings and across both the acute and chronic phases of the disease.
Dr. Shoma Desai
Director, International Patient Services at Cedars-Sinai Medical Center, United States
An overview of medical traveler trends at a large United States Academic Medical Center over a 4 year period. (The duration of the study period is not inclusive of the COVID-19 pandemic)
Mrs. Mayte Izco
Enfermera Clínica Hospital Clínic De Barcelona, Spain
In 2018, we stablished a standardized operating protocol in order to set the standards of the advanced practice nurse (APN) consultation in neonatal pediatrics. Indicators were defined that related to the healthcare activity, the specific activity and the competence development of the APN. The advantages of the APN include comprehensive care of the binomial newborn (NB) –family; health education for the neonatal care; professional support; research and team leadership.
Ms. Laura Guarga
Consultant at Catsalut, Spain
LinkedIn l Twitter
The experience on innovative access initiatives deals with challenges of incremental pharmaceutical expenditure, especially in therapeutic areas such as oncology, rare diseases and infectious diseases. Between 2014 and 2020 there were several pharmaceutical access initiatives in CatSalut and they were possible thanks tocentralised registries which measure the outcomes and monitor accountability. Sixteen pharmacological tariffs were enforced in different therapeutic areas, 7 RSA-economic were implemented in the rare diseases and oncology areas and 8 RSA-health were targeting the onco-haematology and neurology areas. Finally, 2 value based payments were developed by applying a discount based on the outcomes data of the RSA-health.
MAPBM (Maturity Assessment Patient Blood Management) concept was developed to map hospital’s PBM organization, PBM care delivery pathway, and PBM-related patient outcomes, according to a set of key performance indicators in the three PMB pillars. 1:optimization before surgery, such as the percentage of patients with preoperative anemia; 2:strategies to minimize blood loss, such as the percentage of patients treated with antifibrinolytics; and 3: adequacy of transfusion approaches, such as the percentage of patients transfused with single-unit ordering. These results were obtained in a five-year period. Monitoring its annual performance assist hospitals in improving PBM indicators to finally improve patient outcomes.
Dr. Jordi Adamuz
Nursing Research Deparment at Bellvitge University Hospital (Idibell), Spain
Assessment of physiological, psychological, sociological, and spiritual patient needs promote to identify overall hospitalized patient conditions. Manifested patient assessment changes often provide early warning signs that patient condition is deteriorating; therefore, requiring prompt intervention to prevent an adverse outcome, decreasing morbidity and mortality risk. In the fast-paced, resource-challenged healthcare environment today, exhaustive assessment can pose a challenge for the healthcare provider but is crucial to safe, quality care.
Mr. Richard Stubbs
Chief Executive Officer Yorkshire & Humber Academic Health Science Network, United Kingdom
The NHS response to Covid-19 has seen increased innovation. Prior to Covid-19, Wessex Academic Health Science Network worked with five acute trusts to undertake ‘Innovation Adoption Reviews’. These reviews helped trusts understand their current practice and experience of adopting innovation, what’s done well and how to improve. Key themes/findings from these reviews have been used to identify a set of positive influences on innovation adoption in trusts – characteristics and traits that help them identify and adopt more innovation, across more services and deliver their priorities, faster. This poster describes the themes from our work and the positive influences.
Mr. Estephan Arredondo
Director Of Tissue For Research Unit at Donation And Transplantation Institute (DTI Foundation), Spain
LinkedIn l Twitter
This project proves the significance of innovative tools development and how its correct implementation can improve the organ donor identification and management in hospitals with no quality programs defined. The tools introduced in here are focused on improving retrospective analisys , quality indicators in organ donation and facilitate knowledge exchange between healthcare professionals. This poster shows the implementation of innovative digital tools aimed to increase the organ donation and transplantation rates. Proving great value of telematic applications developed during COVID-19 context.
Dr. Patricia Fernandez-Llama
Staff Of The Hypertension And Kidney Damage Prevention Unit at Fundacio Puigvert, Spain
Chronic Kidney disease (CKD) is a public health issue due to its prevalence and its relationship with cardiovascular disease. We have developed a programme to improve the quality of care of patients with CKD. Various strategies have been developed such a continuous professional training by means of yearly meetings, short hospital training, clinical sessions and practical skills workshops covering basic aspects of nephrology and arterial hypertension, creation of care circuits and clinical consensus, medical consultation, and activities involving patients. We showed that our experience of a multidisciplinary integrated program improve the care of patients with CKD.
Dr. Ching-Feng Lin
Superintendent at Keelung Hospital, Ministry Of Health And Welfare, Taiwan
Hospitals not only provide disease treatment functions, but more importantly, disease prevention, health promotion dietary lifestyle education, which is the role of empowerment! As we all know, the hospital work is very heavy. How to efficiently integrate everyone’s resources, combine everyone’s strength, and achieve health promotion for the three target groups is very important. I hope that the model of our hospital can bring some inspiration to others.
Ms. Anna Fuster
Environmental Technician And Responsible For CSR at Consorci Hospitalari De Vic,Spain
Sustainability has always been a key issue in our corporate strategy. Our commitment to preserve the health of our people as well as our environment has placed us to lead the way to sustainability in our sector in Spain. We have integrated the sustainability action in the main strategic plan that covers environmental, social and governance aspects. On the environmental aspect we present our achievements in water management. We have a hemodialysis and ICU water recirculation system that allows us to save 30% of the water we consume using a simple reverse osmosis water purification system.
The study shows the relation between the nature of the innovations developed at hospitals and the internal management process, as well as the relation between the size of the hospital and typologies of innovations carried out. It was found that organizational and process innovations were the most common typologies developed by hospitals. The current challenge is to scale-up this innovation typologies and develop business models to spread them. The results have been demonstrated during the COVID-19 pandemic, where process and organizational innovations has been crucial to adopt new ways of working as well as to incorporate new ICTs at hospitals.
Mr. Pau Gomar Sánchez
Human Resources Manager at Parc De Salut Mar, Spain
Knowledge and its management are part of health institutions mission; it is an essential value for their sustainability and the quality of the service they offer. Knowledge management is emerging as a fundamental resource to increase adaptability, innovation and strategic advantage on organizations. Since 2018 the HR department of PSMAR has developed a global knowledge management model to the organization and is deploying it in a project guided by our strategic action lines.
Ms. Nuria López-Matons
Neuropsychologist at Grup Mutuam, Spain
People with multiple chronic conditions are patients who use the health system most. Because their frequent contact with the system, they are more likely to be affected by preventable health care quality and safety problems. Mutuam Residential Care Teams (EAR) are health care teams who provide specialized primary care services to residents in nursing home. This collaborative program of EAR in nursing homes improve the management of clinical situations in nursing homes and avoid transfers to emergency services that impact negatively on health conditions and quality of life.
Ms. Montse Granados
Nurse at Hospital Universitari General De Catalunya, Spain
Patient safety (PS) is influenced by knowledge, available resources and the context in which medical care is provided. A cross-sectional study was designed to examine the relationships between nurses’ perceptions of their practice environment, other working conditions and reported adverse events. Medical-Surgical Units, rotating in the same shift and a Favorable perception on work environment were associated with more reporting of adverse events.
Ms. Mireia Lalanza
Orthopedic Surgeon at Consorci Sanitari Integral – Complex Hospitalari Moisès Broggi, Spain
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”.
The computer application described in the poster is a tool to optimize the work of the antimicrobial stewardhip teams. In the same platform, the most relevant data related to the infections that the patient presents can be reviewed, at the same time that the intervention and an automated pre-prescription of the intervention can be performed. It is an interesting project not only for physicians, microbiologists and pharmacists members of stewardship teams but also for hopsital directors because it optimizes time resources.
Dr. Rosa M Montoliu-Valls
Clinical Information at Institut Català D’Oncologia, Spain
Twelve years ago, the Programme for the Compressive Care of People with Advanced Diseases was launched with the objective of contributing to the comprehensive care of patients in the end of life situations and their families, through attention to psychological, social and spiritual aspects. We aim to describe the profile of the patient treated, the vulnerability factors and the concerns of the patient as well as the profile of the relatives attended.
Dr. Marta Guzmán Fernández
Directora Médica Y Operaciones at Hospital Universitari General De Catalunya, Spain
The standardization of Quality management system in HUGC has favored and continues to be beneficial in the implementation of large projects, increasing efficiency and effectiveness, such as, decrease clinical practices that have not demonstrated efficacy and promote, deploy and manage the quality of care through safe practices with the continuous objective of being an excellent, quality and safe hospital. I will include what I have learned from the COVID-19 crisis.
Dr. John Ash
Assistant Professor And Program Director Of Healthcare Administration at Misericordia University, United States
The use of mobile integrated healthcare-community paramedicine (MIH-CP) can be integrated into existing chronic disease management initiatives as a means of reducing unnecessary hospitalizations and costs and improving quality of life (QOL). A pretest/posttest research design using secondary data obtained from a research partner using the MIH-CP intervention. The survey instrument was the Euroqol QOL survey (EQ-5D-3L) (N = 645). After data analysis, it was determined that hospital readmissions for chronic conditions decreased by 86%. There was a statistically significant predictive relationship that MIH-CP may increase the perceived QOL of participants. This research may be transformational in managing chronic conditions.
Dr. Helena Vallverdú
Surgical Head at Consorci Hospitalari De Vic, Spain
More than 50% of emergency patients did not require continuum electrocardiographic monitoring (CEM) after revision. No significative differences were found after the centralized CEM system. A reviewing protocol is necessary. Sometimes, professionals may neglect to turn off the function when a patient does not meet the criteria. Poorly use contributes to work saturation, more tests and more resource consumption in the ER. Monitored patients may be at risk when an initial assessment is consistent with CEM; however, it is safe to remove the CEM based on their clinical evolution.
Dr. Enric Limon
Coordinator Vincat Program at Institut Català D’Oncologia, Spain
Health care-associated infections (HAIs) are an increasing challenge for the healthcare system. HAIs can happen in any health care facility, including hospitals, ambulatory surgical centers, end-stage renal disease facilities and intermediate and long-term care facilities. HAIs are a significant cause of illness and death and they can have devastating emotional, financial, and medical consequences on patients, therefore the importance of assessing the profile of patients at risk for a better future case treatment and management. Our results showed that high comorbidity index factors are associated with an increased risk for acquiring an HAI.
While in recent years there has been improvement in prevention and frequency of falls, these are still a core issue in the effort towards improving safety. The Nursing Benchmarking group of the Catalan Hospital, Health and Social Services Association uses three fall intervention indicators to assess objectively the results of nursing staff, performing their contribution to the population’s health and efficiency of the health service. Using the indicators to share experiences and good practice has led to improvement in prevention strategies. The impact of COVID-19 pandemic on falls and its relationship to changes in health practices must also be considered.
Dr. Mariona Pons-Vigués
Health Services Planner at Servei Català De La Salut – Catsalut – [Catalan Health Service], Spain
The creation of the Garrotxa-Ripollès Territorial Service of General Surgery is a result of the Catalan Health Service (CatSalut) initiative to foster strategic alliances between health centres and services. Patients will be admitted to one hospital or another according to the complexity of care they require; this will mean re-planning patient flows and will enhance care continuum. The new territorial distribution is expected to increase effectiveness of the integrated hospital model: most population health needs will be resolved along the ‘basic hospital-reference hospital-high technology hospital’ as ‘care axis’, providing care in the centre that best meets each patient’s needs.
“Essencial” is an initiative which identifies low-value clinical practices and promotes recommendations on how to avoid them. The Agency for Health Quality and Assessment of Catalonia (AQuAS) coordinates this process in collaboration with scientific societies, the Catalan Health Department and the health professional community. The following recommendation has been elaborated “before programming an elective surgery, it’s important to rule out if the patient has anemia, if it is the case, it’s relevant to treat the anemia for ensuring safety clinical outcomes”. A regional implementation strategy will be launched on 2020 to disseminate the key messages of this recommendation.
The Results Centre of the Catalan healthcare system measures and disseminates the results achieved by the different healthcare centers in order to improve quality of healthcare. It favors benchmarking between healthcare centers and share best practices with transparency. Since 2012, a yearly report is produced for hospitals, primary care, long-term care, mental healthcare, public health activities, and territory. For each report, around 60 quality indicators are measured, regarding effectiveness, appropriateness, efficiency, low value practices, etc. These reports are used among managers and clinical leaders. This initiative is aligned with the most advanced countries in terms of transparency and accountability.
Señora RebecaTarjuelo Del Alamo
Advanced Practice Nurse at Hospital Clínic De Barcelona, Spain
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. Elbie Vosloo
Chief Executive Officer at Worcester Hospital, South Africa
A systematic review of the transformation process which include; Changing of the organizational design from a hierarchy to a matrix management structure while including all senior clinicians as part of the hospital executive management. Reduce the gap between so called administrative and clinical leadership. Sanitizing and aligning non-interoperable electronic systems to provide discipline specific information that leads to informed decision making, inspire innovation that ultimately leads to improved cost and quality efficiencies and general client satisfaction. The resilient team also contributed to an excellent approach to managing the COVID-19 pandemic
Oncology Pharmacist. Head of Oncology Pharmacy Section, Vall d’Hebron University Hospital, Spain
The cost of therapy for solid tumors have been analyzed (2014-2018) in Vall d’hebron University Hospital. Data from the electronic medical records, prescription, preparation, dispensing and economic softwares in healthcare patients and clinical trial patients, has been integrated (Pharmacy Pharmacy Analytics Manager PAM® platform). The cost of cancer treatment (CT) has been a progressive increase in recent years. The clinical research with specialties provided by clinical trials has meant a direct pharmacological cost savings of 69.893.155€ between 2014-2018. The clinical trial drugs have accounted for 49.8% (69.893.155€/140.321.743€) of the total medication used for CT in the last 5 years.
Dr. Filipe Martins
Medical Consultant at Centro Hospitalar Trás-Os-Montes Alto Douro, Portugal
U.C.A.M is the first Ambulatory Clinic in Portugal that closely articulates with primary care. Integrated in the Internal Medicine department it provides evaluation of patients after discharge from the ER or hospital ward and a new innovative articulation with primary care physicians. In this new project we assess patients that need a prompt internal medicine evaluation but do not qualify as emergency department cases. Therefore we offer acute care, diagnostic evaluation and treatment for medically complex patients within 7 days of referral. This poster describes our workflow during the first year of operability.
Prof. Ying-Ying Yang
Chief Of Department Of Medical Education at Taipei Veteran General Hospital, Taiwan
Through transforming written instructions-based cardiorespiratory training into smartphone augmented reality (AR) app-based. Patients are more easily and precisely involve in the training of post-operation cardiorespiratory function. In surgical department, AR group patients had more increase in vital capacity from baseline as well as higher satisfaction [meet their medical need] compared with baseline at the post-operation and follow-up stages. Therefore, we had promoted this program to other hospitals. In addition to implement at orthopedic department, we had shared this AR app service system on the google app store or apple store and provide the service to more population in need.
Prof. Adelaida Zabalegui
Vice Director Of Nursing at Hospital Clinic Of Barcelona, Spain
Managing efficiently on the necessary transformations in the Healthcare System is a priority for current governments. Knowing how many advanced practice nurses (APN) are in Catalonia and their scope of practice will facilitate the foundations for effective workforce planning in a dynamic context where nursing will play a key role. We will present the results of our study IPA-CAT: characteristics of advanced practice nurses at all levels of care in Catalonia, ratios, ambits of care and scope of practice of these APNs.
PEOPLE AT THE CENTER OF HEALTHCARE SYSTEM TRANSFORMATIONS
Dr. Diego De Mendoza
Head Of Intensive Care Department Hospital at Universitari Sagrat Cor. Grupo Quironsalud, Spain
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.
Dr. Susana Casas
Author at Dos De Maig Hospital, Consorci Sanitari Integral, Spain
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.
Mr. Marta Banús
Nurse at Consorsi Hospitalari De Vic, Spain
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”.
Robotic therapy has produced positive results. The robots according to the research are effective in clinical environments, accurate and able to attract the attention of the participants, obtaining free and / or semi-structured interactions. Technological advancement has allowed robots to fulfill a variety of human-like functions, which involves developers proposing this technology for implementation and subsequent validation of interventions for different individuals and problems. Today, new robotic technologies are incorporated in order to interact through activities and tasks with different characteristics: dynamic, adaptive and autonomy to subsequently evaluate the benefit provided.
Dr. Pamela Saenz
Phisician at Hospital General De Granollers, Spain
Excessive noise in hospitals is a nuisance, which can cause irritation and discomfort, in patients and medical professionals. Some common consequences are sleep deprivation, confusion/delirium, increased stress among medical staff and increased susceptibility to errors during patient care. In Intensive Care Units (ICUs), it is an especially common problem and challenging to address, since noise production is multifactorial: people, medical devices and other activities associated with patient care. Acoustic comfort is a key factor to produce a pleasant and peaceful environment for ICU patients.
Señora Alicia Saelices Prellezo
DUI at Hospital Universitari Vall D´Hebron, Spain
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.
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.
Señora Alicia Saelices Prellezo
DUI at Hospital Universitari Vall D´Hebron, Spain
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.
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.
Mr. Josep Baena Valls
Nurse at Parc Sanitari Sant Joan De Deu, Spain
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.
Prof. Elisabeth De Waele
Medical Director at Universitair Ziekenhuis Brussel, Belgium
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.
Ms. Wai Yan Law
Pharmacist at Hong Kong Hospital Authority, Hong Kong
This randomised controlled trial demonstrates that pharmacist intervention was associated with increased medication adherence in patients with inflammatory bowel disease in Hong Kong. Although no statistically significant result was found for the clinical outcomes, results from the satisfaction survey shows positive response from both the patients and the gastroenterologists. Pharmacists can be actively involved in the management of disease with a patient-centred approach. Further studies into the long-term clinical outcomes of pharmacist intervention in the management of inflammatory bowel disease are required.
Ms. Carla Otero Arus
Nurse at Hospital Sant Joan De Déu, Spain
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
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.
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.
Ms. Matilde Rodríguez
Nursing Supervision at Fundació Hospital De L’Esperit Sant, Spain
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.
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.
Dr. Carme Nogueras
Geriátrics at Hospital Universitari Germans Trias I Pujol, Spain
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.
Prof. Ana Rita Pedro
Researcher at NOVA School of Public Health, Portugal
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
Ms. Sandra Mulero
Nurse at Hospital Vall Hebron, Spain
The scientific evidence shows that the newborn get better if their parents are integrated in their care. There are many benefits of home care in Neonatology. The most notable are related to the reduction of parental stress, the improvement of paternal-filial bond, the establishment of a successful breastfeeding and the reduction of the risk of nosocomial infection. The role of home nurses is key to the parent’s health education in the care of their children. At the same time, home visits allow an assessment of the environment and psychosocial risk.
Dr. Olga Rubio
Head Clinical Critical Care Unit at Althaia Xarxa Hospitalaria Universitària De Manresa, Spain
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.
Ms. Mª José Gonzalo
Nursing Supervision at Fundació Hospital De L’Esperit Sant, Spain
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.
Sra. Carolina Porta Naharro
Infection Control Nurse at Hospital Universitario Mutua De Terrassa, Spain
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.
Dr. Jesus Gonzalez-Barboteo
Consultant Physician at Catalan Institute Of Oncology, Spain
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.
Dr. Teresa Moran
Madical Oncology at ICO Badalona, Spain
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.
Ms. Ana Sedano
Human Resources Director at Institut Català D’Oncologia, Spain
The goal of VIKHI project is to improve healthcare delivery, QoL and health education of patients receiving immunotherapy through a comprehensive training program for HCP’s involved in their treatment. The main idea is to create a virtual sustainable immuno-oncology knowledge hub which is evidence-based and structured around different educational pathways based on the different profiles. Professionals can use the VIKHI hub to find adapted knowledge as well as contributing all the knowledge and experience they want to. We’ll assess the value of this program by measuring the impact of immune-related toxicity and its management and in the patient’s knowledge.
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.
Ms. Angela Arranz Betegon
Jefa De Enfermeria Hospital Clinic De Barcelona ,Serviode Ginecologia , Obstetricia Y Neonatologia, Spain
The Lean methodology has been applied by professionals of healthcare in our hospital and it has made positive changes within different areas of the neonatology unit.
Ms. Cristina Fresno Gonzalez
Learning Consultant at Parc de Salut Mar, Spain
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.
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.
Dr. Conxita Closa
Directora Assistencial at Corporació Fisiogestión, Spain
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
Sra. Patricia Vilares Marrondo
Coordinadora Asistencial at Hospital Clínic Barcelona, Spain
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.
Ms. Maria Estrada
Nurse at Hospital Universitari Vall D’Hebron, Spain
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.
Mr. Noelia Santiago
Tècnico De Rrhh at Unio Catalana D’Hospitals, Spain
Health management has shown a positive impact on the results of Healthcare organizations. Good conduct and management matter, they make a difference in the results of the organizations. Therefore, its necessary a good formation on management skills both theoretical and practical.
Dr. Laura Lahuerta
Nursing Research at Sant Joan De Déu, Spain
New organization of the nursing allocation system to improve patient satisfaction, families and the visibility of professionals and results in terms of efficiency and quality of the center
Dr. Xavier Ortín
Hematología at Hospital Verge De La Cinta. Tortosa, Institut Català D’Oncologia, Spain
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.
Ms. Sharron Bayles
Breast Screening Programme/Service Manager at InHealth – North & East Devon Breast Screening Service, United Kingdom
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
Dr. Renilson Rehem
Chief Executive at Brasília Children’s Hospital, Brazil
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.
Ms. Maria Lora
Occupational Therapist at Consorci Sanitari Integral, Spain
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.
Ms. Wing Shan Sandy Leung
Advanced Practice Nurse at Pamela Youde Nethersole Eastern Hosptial, Hospital Authority, Hong Kong
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.
Dr. Mercedes Fernandez
Geriatrics Physician at Consorci Sanitari Integral. Barcelona, Spain
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.
Dr. Ana Martín-Blanco
Psychiatrist at Hospital De La Santa Creu I Sant Pau, Spain
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.
Dr. Maria Dolors Navarro
Director, Patients Empowerment Area at Sant Joan De Déu Children’S Hospital, Spain
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.
Dr. Lourdes Rofes
Medical Doctor at Hospital Universitari De Sant Joan, Spain
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.
Ms. Cristina Lao
Nurse at ALTHAIA, Spain
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