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[Development, Application and Evaluation of a Concept for Safe Patient Identification in Hospital - How can Knowledge
S Santos1, C Lessing2, M Schrappe3
1Institut für Allgemeinmedizin, Medizinische Fakultät, Heinrich-Heine-Universität Düsseldorf, Düsseldorf.
A new knowledge transfer framework and multifaceted strategy successfully integrated patient identification recommendations into daily hospital routines. This approach helps reduce patient misidentification risks in clinical settings.
Area of Science:
- Patient Safety
- Healthcare Management
- Knowledge Transfer
Background:
- Patient misidentification poses significant risks in clinical settings.
- The German Coalition for Patient Safety issued recommendations for safe patient identification in 2008.
- Effective knowledge transfer is crucial for implementing safety protocols.
Purpose of the Study:
- To develop, implement, and evaluate a theoretical framework for knowledge transfer.
- To enhance hospital staff's application of safe patient identification recommendations.
- To integrate these recommendations into daily patient care routines.
Main Methods:
- Conducted a literature review on knowledge transfer, change management, and implementation science.
- Used content analysis of group interviews with hospital staff.
- Developed and applied a multifaceted implementation strategy across 8 hospital wards in 4 hospitals.
- Evaluated the concept's effectiveness using a written questionnaire 4 weeks post-implementation.
Main Results:
- The knowledge transfer framework comprised 4 phases: initiation, analysis, implementation, and evaluation.
- The implementation strategy included posters, computer-based training, and team meeting guidelines.
- 96% of respondents knew about the recommendations, 86% knew the content, 91% attempted application, and 71% integrated them into daily care.
- Respondents used an average of 2.3 interventions to learn about the recommendations, with computer-based training having a smaller effect.
Conclusions:
- The developed theoretical framework facilitates the integration of patient identification recommendations into daily practice.
- A multifaceted implementation strategy is effective in improving adherence to safety protocols.
- This approach helps counteract risk factors associated with patient misidentification.
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