Risk Management In Paediatric Urology

Abstract

PURPOSE The issue of patient safety is one of the most current and relevant, both in clinical and management field. Patient safety is now a priority in direct assistance even in paediatric and surgical departments such as the Paediatric Urology. To develop a culture of safety that makes it possible to identify and prevent possible errors in the wards. To provide staff with tools for prevention, errors collection and registration in order to correct risk behaviours for young patients hospitalised at the Department of Paediatric Urology. MATERIAL AND METHODS Action to implement the inheritance of knowledge and exchange of experience of nursing staff through an organizing way were performed for the accomplishment of policies and procedures developed by Health Directorate. A non-punitive system was activated from January 2007, that favours voluntary reporting of errors by filling out the appropriate forms. To value subsequently the collective valuation of the adverse result's dynamics and debate about prevention's modality. RESULTS Informational/training meetings of doctors and nursing managers were conducted with the Health Directorate and Nursing Service. The sharing of contents with the UO staff allowed in short time to use the documentation and reporting of adverse events are increasing. From January to October 2008 the adverse events reports were 5, compared with one during the some period of 2007 year. CONCLUSIONS Paediatric patient safety in a surgical ward as the Paediatric Urology should improve through the identification, analysis, evaluation and correction of the error. The direct involvement of staff, favours the increase in reports of adverse events and is central point of Risk Management. It's important that the staff reaches the awareness that the error is a possible form of learning and improving the quality of care and that, recognizing the error means being able to prevent it.