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
Prof. Dr. Carine Doggen
Professor at University of Twente, Netherlands
We present the results of a systematic review and meta-analysis of 128 articles. An estimate of the effect of telehealth interventions in general is provided for various measures of hospitalizations and length of hospital stay. We also separately estimated the effect of telehealth interventions for the major included health conditions (Heart failure and Chronic Obstructive Pulmonary Disorder), as well as the different types of technology used (Device-based monitoring, Structured Telephone Support, Web-based monitoring, Mobile telemonitoring, Video consultations, Interactive Voice Response).
Dr. Maria Teresa Mur
Family Doctor at Fundació Asistencial Mutua Terrassa, Spain
The main interest of this project is to show how new applied technologies, especially in the bureaucratic tasks of primary care, can be very useful and very satisfactory for both professionals and users. They were implemented urgently at the time of the pandemic, but they must remain to improve patient care and facilitate the work of all primary care professionals, not just healthcare professionals. The most important examples were telematic work leave and telematic warning about renewal of chronic prescription.
Ms. Montse Nuevo Gayoso
Fisioterapeuta Senior at Hospital Clinic Barcelona, Spain
Telerehabilitation contributes to obtaining high levels of adherence to home-based exercise plans and professionals can obtain much more information from patients during the recovery process -remotely- to ensure correct performance of the exercises, avoiding unnecessary displacements. Telerehabilitation can reduce waiting lists for receiving physiotherapy and rehabilitation services, empower the patient during the recovery process and avoid unnecessary displacements.
Mr. Ricard Crespo
CFO & Logistics at Consorci Sanitari de l’Alt Penedès Garraf, Spain
Cataract surgery is one of the most frequent surgical procedure worldwide. To ensure the availability at the time of the surgery of the right intraocular lens (IOL) for the patient, most hospitals relay on consignment stocks of IOLs. The management of such consignment is highly time consuming and normally requires a dedicated person responsible of the consignment. This process is normally performed manually in a time consuming process with door to mistakes and errors. We introduced a Smart Consignment of Radio Frequency Identification (RFID) tagged IOLs to avoid manual inventory management process of the IOLs.
Dr. Edurne Fernandez de Gamarra
Pharmacist at Hospital Santa Creu i Sant Pau-Societat Catalana Farmacia Clínica, Spain
The “Antidotes network” offers a tool that can improve information and access to drugs needed in urgent situations as acute intoxications. Most of these drugs are susceptible to suffer availability problems that could compromise patient care. The experience during the first five years demonstrates that the network has been used and has helped in 98 cases (1.5 times per month). It has also improved communication between professionals involved in poisoned patients management and has contributed to the harmonization and optimization of antidotes stock in each center
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.
This study used a qualitative approach with a case study design through in-depth interviews, document review, observation, and focus group discussion (FGD). The results showed that in general, hospitals were considered to have an adequate level of preparedness to respond to COVID-19. Underperforming components are the components of Occupational Health, Mental Health, and Psychosocial Support; and Patient Management Components. It is hoped that the key performance outcome indicators generated from this study can provide input for leaders and all staff involved so that they can make improvements to the deficiencies in hospital management in the face of the COVID-19 pandemic
Mr. Adrià Almar
Process Engineer at Vall D’Hebron Hospital Campus, Spain
Vall d’Hebron Hospital planned a strategic deployment through its 4 surgical areas to enhance a cultural change among clinicians to lead a continuous improvement of both clinical and organizational practice. After 3 years of work, Vall d’Hebron Hospital has improved the Surgical Process by aligning institution’s strategy and patient needs. The main improved KPI (Key Performance Indicator) are general surgical block performance, patients undergoing surgery during guarantee time, surgery reprogramming, patients admitted in the hospital on the surgery and % of robotic surgery.
Mr. Guido Peters
PhD Candidate at Rijnstate Hospital, Netherlands
We present the budget impact of replacing hospital inpatient care with virtual care (remote continuous monitoring with 3 daily contacts) under assumptions representing the Dutch healthcare system. As costs of personnel are the main cost driver of hospital inpatient care, we estimate the effect on capacity to identify when significant cost savings may occur. We provide estimates for multiple levels of scale: one general ward, two general wards, a whole hospital, multiple hospitals. Estimates for variations of virtual care are also presented.
Mr. Thomas Judd
Board Chair at IFMBE CED, United States
Via national Clinical Engineering roles with Kaiser Permanente, globally with WHO, and HIMSS Digital Health (DH) leadership roles, I note the full breadth of how our profession can accelerate implementation of DH tools. Examples of assisting or meeting the following: (1) government EHR requirements; (2) EHR CPOE development; (3) patient engagement on Social Media; (4) patient interaction at point of care; (5) data mining for EHR CDS; (6) EHR medical device integration; (7) mobile device chronic disease management; (8) best use of wireless infrastructure enabling clinical workflows; (9) enabling diverse genomic sources; and (10) facilitating telehealth tools for improved access
Ms. Umaima Mahmood Al Raisi
Head of continues professional development at The Royal Hospital/The National Heart Center, Oman
Electronic transmission for Continues professional development activities & work flow during Covid-19 pandemic has improved the department productivity and efficiency. Challenges during COVID-19 pandemic have brought up many innovative digital approaches that ultimately improve medical staff theoretical and clinical knowledge which ultimately improve patient care.
Mr. Álvaro Pérez
Market Access & Commercial Solutions at Alcon Healthcare, Switzerland
Rising health expenditures lead to increasing budgetary pressures, which often manifest into budget holders seeking more to be done with the same resources. In the cataract surgery, given that it is the most frequently performed procedure worldwide, enablers to drive efficiencies throughout the entire care pathway have come under increasing focus. Opportunities, therefore, to improve patient outcomes and increase operational efficiency have the potential to drive significant benefits for patients and healthcare systems more broadly. The aim of this analysis is to estimate the impact of combining custom healthcare solutions for cataract surgery, from a Portuguese public hospital perspective.
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.
Mr. Erik Andrés
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.
Mr. Piotr Pecko
Commercial Director at Transition Technologies Science Sp. z o.o., Poland
Main idea behind our registry was to help hospitals and decision makers
with coordination of patients during critical moments of pandemic time. Information can be further extend with other aspects (eg, MRI, TK, radiology, etc). Information can be easily added to the system with web interface for each user or via dedicated mobile application (under construction). System can be further adopted to use AI based algoritms to predict demand for beds and medical equipment in specific cities or areas during the year.
Having a single platform with the management of all the data of patients infected by Covid as well as awaiting results, has improved the resolution in the control of the pandemic and has made it easier for healthcare personnel to track and isolate contacts.
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. Cristina Danés Vilar
Head of the Clinical Information department at Fundació Puigvert, Spain
Coding of clinical activity should not be restricted to reports requested by health administration but to any document of scientific interest. Until recently, manual coding made it impossible to consider such a goal, but the appearance of computer assisted coding systems opens up new possibilities. It could be used, for example, to search for diagnoses of rare diseases in clinical reports.
Dr. Antònia Raich
Cap de Servei at Fundació Althaia, Spain
The humanization experiences presented involve a change in the model of functioning of hospitals, until a few years ago everything was thought based on the organizational needs of the institution and the aspects of emotional well-being in the process were neglected. This model involves change in this regard, putting the patient’s well-being ahead of organizational needs. Care for the patient with COVID-19 has forced us to introduce changes that dehumanize care. From our hospital we have created systems and developed strategies to alleviate this problem through technology.
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. Shuw Chuan Wang
Pharmacist at Taichung Veterans General Hospital, Taiwan
The study is expected to increase medication distribution process efficiently in surgical units by implementing automated dispensing cabinets (ADC).With the involvements of pharmacy, nurse and information technology (IT) departments, an IT program was developed to improve medication delivery process while patients are in operation room (OR) or post-operation rooms (POR). The results showed that the use of ADC in surgical units can improve the timeliness of drug delivery for surgical patients, reduce the working time of pharmacists and nurses, reduce transporting manpower, and increase the satisfaction of nursing staff.
Ms. Ya-Wen Chang
Taichung Veterans General Hospital, Taiwan
The electronic drawer labels is a sustainable technology with non-luminous features. Combining with the Internet of Things(IoT) communication technology and hospital information management system, electronic drawer labels is not only cost-effective but also avoids human error. It can provide patient-specific protection, improve patient information completion in the medication carts and optimize overall drug distribution efficiency and patients safety.
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
Ms. Adriana Modrego
AI Software Engineer at DyCare, Spain
The main idea behind this poster is to show how the design of (tele)-rehabilitation therapies can be tranformed aiming to increase their personalization and effectiveness according to patients’ characteristics and personal factors such as adherence or skills to perform the exercises. By using Artificial Intelligence (AI) strategies, it is possible to estimate how patients will evolve during a rehabilitation therapy. If this information is provided to physiotherapists, this will help them to plan more accurate therapies
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.
Mr. Alberto García-Molina
Clinical Neuropsychologist at Institut Guttmann, Spain
In June 2020 Institut Guttmann launches an outpatient neurorehabilitation program for patients with post-COVID-19 syndrome. The program includes respiratory therapy, physiotherapy, and neuropsychological rehabilitation (emotional intervention, compensatory strategies, and cognitive treatment). Sample: 70 patients. Age: 52.1 years (SD:12.78). Time between the first positive PCR and inclusion in the neurorehabilitation program: 6.49 months (SD:2.21). At the beginning and end of the cognitive rehabilitation program, a short assessment battery was administered. Significant differences were obtained between pre- and post-treatment scores. This clinical experience seems to show that neuropsychological rehabilitation is a useful tool to treat cognitive deficits in patients with post-COVID-19 syndrome.
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. Laura Kooij
PhD Candidate at Rijnstate, Netherlands
This poster presents a comprehensive overview of factors affecting implementation of continuous monitoring with wireless wearable sensors based on nurses’ experiences with its use on nursing wards, and perspectives for use in the home setting. Implementation of continuous monitoring is affected by a wide range of factors at different levels including intervention characteristics (e.g., relative advantage), outer setting (e.g., patient needs and resources), inner setting (e.g, compatibility with work processes), characteristics of individuals (e.g., knowledge and beliefs), process (e.g., implementation leaders) and facilitating conditions (e.g, Wi-Fi connection). This overview may be used as a guideline for future implementations and evaluations.
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).
The Digital Transformation project—a partnership between the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Palantir, and local Ministries of Health in Africa—has created a unified patient view powered by Palantir Foundry and accessible by programmatic and research leaders. Foundry is an interoperable, secure, and extensible data integration platform that fosters collaboration and ensures data privacy and quality. By triangulating disconnected data, this work aims to accelerate patient-driven care, provide a fuller understanding of how patients interact with the health care system, and enable near real-time adjustment of a data-renewed HIV cascade, particularly amidst crises such as COVID-19.
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. Anna Murgadella-Sancho
Hospital Pharmacist at Hospital Moisès Broggi (Consorci Sanitari Integral), Spain
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.
Nurse Elsa Rodrigues
Rehabilitation Nurse at Centro Hospitalar do Tâmega e Sousa, EPE, Portugal
+P.E.R.T.O., aims to implement a digital rehabilitation program, accompanied by a communication and monitoring channel, via APP, for eligible users and caregivers to join.
+P.E.R.T.O. has 4 fundamental sections: 1- Exercise program aimed at rehabilitation: • Phase 1 – preoperative (preparation), • Phase 2 – hospitalization, • Phase 3 – post-operative (recovery). 2- Useful information section with feedback system. 3- On-time monitoring and follow-up section. 4- Section ‘‘ talk to the rehabilitation nurse ’’, a communication channel that it also allows to assist the user and caregiver in decision making in aspects such as: pain, edema and surgical wound.
Ms. Chieh-yu Liao
Pharmacist at Taichung Veterans General Hospital, Taiwan
Adverse drug reactions (ADRs) may influence patient safety by causing considerable consequences, however, majority of these reactions are potentially preventable. The main difficulty is appropriately informing health care professionals of patient’s ADRs experiences, especially between different health care facilities. The implantation of intelligent coding and reporting systems for ADRs may provide early alert that lessens the potential harm to patients and improve medication safety.
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
Dr. Virgina Garcia
Pharmacist at Health & Social Care Consortium of Catalonia, Spain
Five drugs (cisatracurium, dexmedetomidine, midazolam, propofol and rocuronium) were selected from the official listing of essential drugs. The variables studied were daily consumption averages, available stock in milligrams, and days of coverage (maximum,120 days), including the aggregated data evolution during the last 15 weeks. Weekly reporting the aforementioned aggregated data and stock-out risk information on essential drugs by health centers of different levels might be a useful tool to monitorize and improve the management of these drugs in pandemic crisis.
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 Emirates Health Services, United Arab Emirates
The Emirates Health Services 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. Anna Forcada
Gerent Gerència Territorial Catalunya Central at Institut Català de la Salut, Spain
The aim of this project is to provide urgent remote real-time pediatric care to a rural hospital supported by a third-level pediatric hospital. This support is effective through a specific equipment that is managed by a platform from the company Teladoc Health that allows its remote control via the Internet. The aim of the study is to develop a proof of concept of a remote pediatric support for spontaneous demand in an emergency department of a rural hospital. We will include learnings from the COVID-19 crisis.
Ms. Kristina Dziekan
Head Market Access, Government Affairs and Tendering, Surgical Europe at Alcon Health, Switzerland
The COVID-19 pandemic has served as a catalyst for the uptake of digital healthcare and telemedicine in ophthalmology (tele-ophthalmology). This work combines insights from the literature on tele-ophthalmology with practical trends from four ophthalmology clinics in Europe (Wellington Eye Clinic, Dublin, Ireland; Carones Vision, Milan, Italy, Eye Clinic at Neumarkt, Cologne, Germany and Miranza Clinic, Madrid, Spain) during the global crisis. The aim of this work is thus to assess the impact of COVID-19 on the tele-ophthalmology up-take and offer insights on enduring effects post-pandemic
Dr. Putri Ingen Setiasih
Head of Quality Improvement and Patient Safety Committee at Awal Bros Panam Hospital, Indonesia
Online training is used to maintain distance and avoid transmission of Covid-19 due to direct contact. To assess the effectiveness, a final evaluation is carried out after the training material is given. In March 2020, training was carried out online, and the average of passing grade was 78%. The Education and Training Unit has provided new innovations in implementation of online training, that is before starting the training, the presentation slides were given to the participants and giving rewards to every participant who gets a perfect score, the passing grade in first quarter 2021 has increased to 83%.
Dr. Khawla Alhajaj
SSR Family Medicine and Head of health center at DHA, United Arab Emirates
The current study makes a significant contribution to the knowledge of big data and its integration to health care systems in the UAE by discussing various challenges and offering solutions associated with big data. This can be applied at bigger geographical and include the world population to better understand the requirements and the states of health which can help in to achieve Sustainable Development Goals (SDGs), policymakers, decision-makers and investors need valid, accurate and real-time data to be able to adopt the right policy and decisions
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).
Mr. Rafel Xavier Vidal-Serra
Head of Digital Transformation & Data Management at Hospital Clínic de Barcelona, Spain
Evaluating patient data in real time and making predictions to estimate the number of days pending until discharge allowed to provide objective short-term decision-making processes for optimal planning of hospital resources. Based on this, decisions were made such as the temporary closure of certain hospital beds during weekends and the reassignment of nursing personnel, ensuring equal care for all hospitalized patients. This practice provided us with an annual saving corresponding to 3.28% of the salaries of the hospitalization block
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.
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.
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.
Dr. Neus Fabregas
Senior Consultant. Anesthesiology Department at Hospital Clinic De Barcelona, Spain
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.
Dr. Noor Al Mehiri
Director of Mental Health Department at Emirates Health Services, United Arab Emirates
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.
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”.
Ms. Encarna Gómez Gamboa
Nurse at Hospital Sant Joan De Déu. Barcelona, Spain
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
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.
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.
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.
Dr. Xavier Martret Redrado
Consultant in Internal Medicine at Hospital de Sant Boi, Parc Sanitari de Sant Joan de Déu , Spain
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
Mr. Juan Antonio Martínez López
Citizenship & Admission Director at Fundació Sanitària Mollet, Spain
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
Dr. Jóni Mota
Clinical Pathology Internship at Centro Hospitalar do Médio Tejo, Portugal
This e-poster aims to demonstrate the advantages and disadvantages of the centralization process in a clinical laboratory.
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.
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.
Dr. Sara Guila Fidel Kinori
Clinical Psychologist, Referent Of Second Victim Programme at Hospital Universitario Vall D’Hebron, Spain
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.
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.
Dr. Ruqaya Al Hajri
ACHD Consultant at National Heart Centre, Royal hospital, Oman
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%
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
Dr. Immaculada Herrero-Fresneda
Chief Scientific Officer at USMIMA S.L. (MOWOOT), Spain
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.
Mr. Munuera Mora Jose
Data Scientist Sr at Amalfi Analytics, Spain
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.
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.
Ms. Hania Taha
Senior Researcher at Augusta Victoria Hospital, Palestine
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.
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.
Señora Pepa Romero
Social SerSocial Services and Personal Autonomy Council vices and Personal Autonomy Council at Unió Catalana d’Hospitals, Spain
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.
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
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.
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.
Mr. Adrian Marquez-Lopez
Methodology and Clinical Management Consultant Nurse at FGS Hospital de la Santa Creu i Sant Pau, Spain
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.
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. Elena Querol Vallés
Clinical Nurse at Hospital Clínic de Barcelona, Spain
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.
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.
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”.
Ms. Shu Fen Ding
Nurse at Chiayi Chang Geng Memorial Hospital, Taiwan
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
Mr. Noelia Santiago Rey
Tècnico De Rrhh at Unio Catalana D’Hospitals, Spain
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.
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
Ms. Zoe Gamalia
Chief Administrative and Financial Officer at Onassis Cardiac Surgery Center, Greece
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.
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
Ms. Sandra Sanz Mir
Neuropsychologist/Psychologist at Sant Joan de Dei Serveis Sociosanitaris, Fundacio Privada, Spain
“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
Dr. Joan Osoro-Mbui
Ag. Chief Operations Officer at MP Shah Hospital, Kenya
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.
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.
Mr. Tobias Schmidt-Logenthiran
Hospital Manager / Doctoral Candidate at Asklepios Neurological Hospital / Philipps Universität Marburg, Germany
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.
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
Mr. Bernat Manel Gato Blanco
Partner at CASA SOLO Arquitectos SLP, Spain
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.
Dr. Maria Emilia Gil
Director Fundació Unió at Unió Catalana d’Hospitals, Spain
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
Señora Rebeca Tarjuelo 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. 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.
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.
Dr. Efat Mohamadi
Researcher at Health Equity Researhc Center (HERC); Associate Professor at Tehran University of Medical Sciencs (TUMS), Iran
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
Mr. Yen Fu Chen
Pharmacist at Taichung Veterans General Hospital, Taiwan
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.
Señora Pepa Romero
Social Work Advisory Council at Unió Catalana d’Hospitals, Spain
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.
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
TOWARDS AN INTEGRATED CONCEPT OF HEALTH AND CARE SERVICES MODEL: VALUE DRIVEN TRANSFORMATIONS
Dr. Vanesa Quiroga
Head Of Care, Medical Oncology Department at Catalan Institut Of Oncology (Ico-Badalona), Spain
This model aims to ensure equity to all population covered by our Institution, regarding early clinical trials. We have experienced a significant increase in the number of trials and patients included, offering the possibility to administer therapies to cancer patients which are difficult to access through the standard public health system, such as novel immunotherapy or targeted therapies
Ms. Hui-Chia Chuang
Pharmacist at Taichung Veterans General Hospital, Taiwan
The COVID-19 pandemic has created dramatic challenges for healthcare systems around the world, including Taiwan (Republic of China, R.O.C.). To overcome critical medication shortages of refillable prescriptions for patients with chronic diseases, and to avoid cluster infections in hospital while waiting for the medicine, we here offered an outdoor drug delivery service and implemented a queue management system to minimize waiting time and keep social distancing. We aimed to share our successful experience of this model of pharmaceutical care
Mr. Jordi Salas
Director Territorial at Corporació Fisiogestión, Spain
The poster shows how the technological change from the analogue model of the home care rehabilitation service to a digital model has added value at the clinical home care model and the management model. In the field of clinical home care, the accessibility of the population to the system has been improved and the model has been adapted to the new clinical needs. In the field of management, there has been an optimization of resources and improvement in sustainability at the business level. The importance of this new model is it to be extrapolated to other fields of home care.
Ms. Rosa M Simón Pérez
Quality Manager at Consorci Sanitari Alt Penedès I Garraf, Spain
Our organization has been developing participatory strategic plans based on the Balanced Scorecard method. Some difficult problems related to this method were: Reach all levels of the organization. Establish a systematic review of the action plan. Achieving goals. Management proposed a method to improve Strategic deployment. HOSHIN KANRI was an innovative method of ensuring that strategic goals were deployed at all organization levels. Moving to this method helped us measure results, track, and make sure we were working on focused actions to close the gap to the goal. This new model included all the professionals to achieve the company’s goals.
Ms. Li Chin Shih
Pharmacist at Taichung Veterans General Hospital, Taiwan
From this study we found that “possible adverse drug events” were the most common by drug-related problems classification. Close monitoring of the elderly’s medication is important in reducing the potentially inappropriate medication use
Ms. Yu Hua Yan
Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Taiwan
Health and care sustainability supported by applied research and innovation adoption.
Dr. Eugenia Sopena
Physician. Consultant Orthogeriatric Unit at Hospital Sociosanitari Francolí, Spain
Prospective comparative study of two patient cohorts in an orthogeriatric unit to approach the risk of delirium. The control group was treated with the standard therapy (paracetamol/metamizole, diazepam, and rescue with tramadol), and the experimental group was treated with paracetamol/metamizole and rescue with morphine, and preventive neuroleptics if high risk of delirium. Eighty-five patients were included. The mean duration of the delirium was shorter in the experimental group (6.6 vs. 3.8 days; p=0.031). In patients with a previous history of delirium, there was a lower incidence of delirium in the experimental group (80% vs. 17%; p=0.036).
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.
Dr. Montserrat Daban
Scientific and International Relations Director at Biocat, Spain
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The COVID-19 pandemics has uncovered strengths and weaknesses of healthcare ecosystems at global scale. Among the several aspects relevant for systems’ preparedness, biomanufacturing capacities are lately drawing special attention. This work is relevant to the overarching Congress theme in the sense that in terms of supply chain planning, vaccine creation and business decision-making, the pandemic of 2019 has pushed the biomanufacturing into new territories, with a strong impact on healthcare transformation. Some pain points should be solved to be more competitive. The analysis highlights limited connection between the Catalan Public Health System and the R&ecosystem in Catalonia.
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. ChengJung Wu
Chief / visiting staff at Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, Taiwan
This research compared the frequency of in-class face-touching and smartphone-touching behaviors of medical students before and after the delivery of a health education reminder during the COVID-19 pandemic. A behavioral observation study was conducted involving medical students at Taipei Medical University. All medical students were required to wear a mask. Their face-touching and smartphone-touching behaviors were observed through videotape recording. The recording lasted for 2 h, comprising 1 h prior to the health education reminder and 1 h after the health reminder. Comprehensive health ed-ucation and reminders effectively reduce the rate of face-touching and smartphone-touching behaviors.
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.
Mr. Francesc Moya
Information Systems Manager at Consorci Sanitari del Maresme, Spain
Through the CSdM employee portal (2400 internal workers and external collaborators), it has been facilitated in a secure and confidential manner both from the workplace and from home: self-appointment for CRP screening and consultation of the result; self-appointment for vaccination; self-declaration of COVID-19 symptoms through online questionnaires, with proposed guidelines to follow depending on the answers and finally, voluntary participation in a serology study (informed consent, baseline and follow-up questionnaire, self-appointment for analysis and consultation of results). Result: flexibility to the needs of the employee and the organization, achieving 94% vaccinated employees and 80% participation in the study
Dr. Carolina Mazeda
Doctor at Centro Hospitalar Baixo Vouga, Portugal
Hospital stays after hip fracture surgery have shortened in the past 10 years. Conflicting findings about the association between the hospital stay length after hip fracture and the risk of short-term death after hospital discharge in the general population aged 50 years and older are reported in literature. COVID-19 pandemic has changed the dynamic of all healthcare system, leading to the restructuring of inpatients teams as well as the emergency department. Our work demonstrate that length of hospital stay can be reduced without affecting the patient’s outcomes.
Nurse Dirga Pradesa
Cardiac Cath Lab Nurse at Awal Bros Group Hospital, Indonesia
Door to balloon time < 90 minutes on Primary PCI patient is a mandatory achievement to have a good outcome for patients with coronary heart disease. The achievement will reduce the complication rate in postprimary pci patients and ultimately reduce the mortality rate. There’s a huge decrease of primary PCI patients after the pandemic. Health protocol and screening checks in this pandemic make it difficult to achieve door to balloon time < 90 minutes. Creating a strategic plan and identified risk are a key component for our hospital services
Dr. Roger Villuendas
Cardiologist. Arrhythmia Unit Coordinator at H. Germans Trias i Pujol, Spain
During the COVID-19 pandemic, in-person healthcare has been restricted as part of social distancing measures. For this reason, we set up a drive-through pacemaker remote interrogation point outside the hospital building to keep up with the routine device follow ups while reducing the biological risks for patients and health care workers. This new care model breaks the walls of the hospital and integrates eHealth with the Internet of Things to improve patients’ safety toghether with great efficiency and user’s satisfaction.
Dr. Srilekha Palle
Director at INOVA Health System, United States
In response to the global pandemic, the Rehabilitation Department quickly identified the need to streamline & restructure departmental processes to support organizational efforts in decreasing average length of stay(ALOS) and thereby ensuring beds are available at all times for COVID 19 patients. It was determined that improved responsiveness to evaluations by Occupational and Physical therapists was paramount to initiating early mobilization & providing timely discharge information for use by the medical team. Streamlining processes including patient scheduling, order placement, and staffing as well as addressing the culture had a positive impact on the hospital metrics of ALOS and bed availability
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. Georgina Martínez
Terapeuta Ocupacional at Hospital Campus Vall D’Hebron, Spain
A tool in the shape of a panel with easy-to-recognize pictograms glued to one side of the wheel chair indicating the sequence of rehabilitation activities was put into routine practice for acquired brain damage patients. Results speak of patients better understanding, thus, adherence to treatment as well as – subjectively measured- better care giver experience.
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.
Dr. Dharma Vazquez
Full Professor at UPR/MSC/GSPH, Puerto Rico
University lessons learned. Establish priorities to monitor and avoid violations of set guides by government and adhere to the plan. Continuous communication with stakeholders was essential. Fair distribution of vaccines required assessment of exposure risks among students and faculty per school and program, planning for appointments according to capacity, dissemination of the plan with its specific rationale and monitoring to assure compliance of the plan. Collaboration was coordinated with all the professionals of the schools of Dentistry, Medicine, School of Public Health, Health Professions, Nursing and Pharmacy, these professionals made it possible to vaccinate our university community.
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.
Mr. Joan Canovas
Technician at La Unió Catalana D’Hospitals, Spain
Home care is one of the most relevant issues in the future in the process of transforming the health care model to meet the needs of an increasing population. Bringing care to people’s homes is widely recognized as a priority, however this does not translate into setting objectives and goals achieved. A great variety of strategies have been identified and analyzed, but their common denominator is the need to integrate health and social services.
Dr. Carlos Peña-Salazar
Psychiatrist and neurologist 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.
Prof. Natalja Fatkulina
Director of Institute of Health Sciences at Vilnius University, Lithuania
Home care is one of the most relevant issues in the future in the process of transforming the health care model to meet the needs of an increasing population. Bringing care to people’s homes is widely recognized as a priority, however this does not translate into setting objectives and goals achieved. A great variety of strategies have been identified and analyzed, but their common denominator is the need to integrate health and social services.
Dr. Zhaleh Abdi
Assistant professor at Assistant professor. Tehran University of Medical Sciences, Iran
The aim of this study was to find out the priorities for research that could improve service provision across public hospitals in Iran using CHNRI (Child Health and Nutrition Research Initiative) approach, which involves a range of stakeholders in priority setting process. By setting the priorities with patients, carers, health care professionals and managers, we tried to look at the issues that really matter to people who are receiving or delivering care in hospital wards. Following the prevalence of the Covid-19, our results were updated considering research questions that emerged following Covid-19 in hospital sector.
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
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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.
Hospitals are forced to put efficiency as variable to consider on a daily basis, mainly in areas with high resource consumption and high added value such as the surgical area. Based on methods inspired by Lean management in the industry, this poster explore the application of a recognized approach Overall Equipment Effectiveness (OEE) adapted to a healthcare environment, converting it to Overall Surgery Effectiveness (OSE) This global indicator is the base to align different collectives into a unique objective. It is the starting point to deliver sustainable improvements implementing Lean approach based on continuous improvement cycle (PDCA)
Mr. Estephan Arredondo
Director Of Tissue For Research Unit at Donation And Transplantation Institute (DTI Foundation), Spain
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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.
Ms. Silvia Sancliment
Nurse infection at Fundació Hospital Sant Joan de Déu, Spain
How nurse leadership contributed during the first stage of the pandemic in a county hospital.
There was a situation of chaos, fear, anguish, lack of knowledge …
High adaptative capacity to change have been the key factor that allowed to get out from the situation of having the high care load of 700 CoVID19 patients during the first wave, with a 120 beds availability, 35% of the healthcare workers off sick and lack of material.
Teamwork achieved the reorganisation of available spaces, the optimisation of material resources and the relocation of professionals in order to provide dignified and quality care.
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.
The stablisment of PIPPI CoP will bring healthcare stakeholders together for knowledge sharing and cross-border value-based procurement of innovative digital healthcare solutions. The creation of multi-SH platform has been used to establish, leverage and scale up a shared set of tools and practices for the benefit of patients, healthcare providers, technology providers and policy makers. The better understanding of innovation and value-based procurement enabled the elicitation of unmet needs to be further defined in the future by stakeholders.
In this poster you will learn more about the process of development of PIPPI CoP and its unmet need detection process
Dependence of healthcare services provisioning on health technology (HT) tools is at all-time high and expected to grow further. It’s critical that plans are adopted to optimally support capacity to manage needed resources to meet the challenges of the past 2 years. It was demonstrated that the world was ill- prepared nor equipped with programs to meet healthcare services’ needs as experienced during global devastation from COVID-19.
From temporary care spaces to staff protection and patient’s airway & monitoring support – local/regional technology lack coordinated assets inventory, competent engineers’ network, access to tools & parts, and safe performance protocols.
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.
Dr. Nuria Marti
Director of Innovation at Biocat, the Bioregion of Catalonia, Spain
Academic research centers and therapeutic developers around the globe are investigating the application of regenerative medicine technologies to treat COVID-19 in the short term and address related complications in the future. In addition, therapeutic developers continue to advance clinical programs in a wide variety of indications with unmet medical needs not related to COVID-19. Innovative translational research in this field helps develop regenerative processes towards the ultimate clinical goal, among others, of addressing unmet clinical needs of large patient groups.
Pain management is needed to fulfill the patient’s right to be free from experiencing pain. The Patient’s 100% prevalence of experiencing pain after their surgery and prolonged pharmacology procedures in coping with patient’s pain becomes the main reason for non-pharmacological therapy. Non-pharmacological treatment will work as a companion to reduce patient’s pain, such as breathing relaxation technique, distraction, musical therapy, and child play therapy. Based on this innovation we can conclude that there’s a reduction of cost/cost-effective with an increase in quality of service and patient’s comfort
Ms. Umkulthum Salim AlBarwani
Clinical Pharmacist at Royal Hospital, Oman
During COVID-19 pandemic, the Healthcare workers participated in the Royal hospital service came from different Healthcare services. This led in high medication consumption due to lack of awareness of medication safety standards. Our targets as following 1. Reduction of 50% of all accumulated medication 2. Introduce medication safety awareness to > 20% of pharmacist and staff nurses working in Covid19 areas 3. Implementation clinical pharmacy services in covid19 areas We were able to save 57.6% from initial budget. 32.2% of COVID-19 staff covered by awareness sessions. The Clinical pharmacy service were able covered covid-19 critical areas and ambulatory
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. Ana Ventosa
Special Nurse at Benito Menni CASM, Spain
Contributing to the reduction of falls has a direct impact in the health of the people receiving care. Introducing politics focused on patient safety implies developing strategies to reduce the risk that patients may suffer unnecessary harm and subsequent complications. In the field of Mental Health, with patients who are more vulnerable and at a higher risk, it may turn out even more invalidating. Hence, the results obtained are important for the implementation of future measures which will improve integral health care to these patients, allowing them to fulfill their individual process of recovery.
Dr. Naseem Abdalla
Consultant Family Physician at UAE Ministry Of Health And Prevention, United Arab Emirates
Premarital screening programs aim to support couples in making informed decisions when getting married by offering genetic and infection screening tests and counselling for any potential risks that the healthcare provider might foresee.According to local law, any couple with a desire to get married in the UAE, must get a pre-marital screening exam and certificate issued before the marriage.This screening focuses on detecting not only hereditary hemoglobinopathies but also on critical Sexually transmissible infections.To make our program efficient and effective, we implemented it in three gradual phases to provide appropriate screening, counselling,to make the process efficient and minimize any errors
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. Konstantinos Petsios
Head of Research Unit at Onassis Cardiac Surgery Center, Greece
Project CEREBRO introduces a value based approach to guide procurement decisions based on improved patient outcomes. It focused on the effective application of commonly agreed clinical protocols, the sharing of data and the measurement of clinical outcomes against predetermined benchmarks. Risk share agreements may be used as an alternative and innovative management tool aiming towards delivering better patient outcomes and controlling overall costs of care. Moreover, the implementation strategy guided our clinical teams to share goals and to focus on targeted progress. A strategic partnership, as described above, assists managers to support the creation of a value based healthcare environment
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.
Ms. Shuju Chang
Nurse at Changhua Christian Hospital, Taiwan
This disease causes neuromuscular dysfunction, restricts the patient’s activities, requires a long period of rehabilitation, causes psychological anxiety, and also brings a great burden to their own family and society. Therefore, nursing staff should be familiar with the focus of care and medical treatment. The team discusses the future treatment direction, under the cross-field professional common care, so that they can receive complete and continuous care in rehabilitation and medical treatment, so that patients and family members can get a perfect quality of care, thereby reducing the burden on society.
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.
Mr. Mohammad Mehdi Kiani
Researcher at Health Equity Research Center’s (HERC) and P.h.D. student of health policy at Tehran University of Medical Sciences (TUMS), Iran
The poster demonstrates the findings of the paper titled “The relationship between producing health and contextual factors across countries: A Panel Data Analysis” which has looked into the issue of contextual factors’ impact on health outcomes across the globe and highlighted the health gaps between countries of different income levels.
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
Dr. Maria-Josep Carreras
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.