S24: Implementation and prevention: elevating patient safety


28 August 2024 | 14:30-16:00


Format: Presentation
Stream: Safety


Part 1: Improving the palliative care access for people with intellectual disabilities


Individuals with intellectual disabilities (ID) often face challenges in accessing palliative care leading to unmet needs towards the end-of-life. This vulnerable group encounters multiple barriers. There is a lack of evidence-based integration models mentioned in current literature. Our innovative program, known as “Embracing the Setting Sun” aims to address these gaps by taking an approach in delivering palliative care services for ID patients living in Hong Kong residential care homes. Through training residential home nurses , involving palliative care specialist support, providing advance care planning and offering assistance to both patients and caregivers, this integrated model has successfully improved access to palliative care and reduced unnecessary interventions.


Wong Chi Yan Grantham Hospital, Hong Kong 


 


Part 2: Initiative infrared bed-exit sensor with voice prompts message to prevent potential falls


Falls are the most common inpatient accidents, and most hospital falls are preventable. Therefore, fall prevention is critical among healthcare institutions, as providing quality and safe care is the primary mission worldwide. Most falls occur during bed exits without calling for assistance. However, the existing bed exit sensors is lacking of evidence about their effectiveness in reducing inpatient falls. Furthermore, high false alarms has decreased the acceptability of bed exit sensors among healthcare providers.A new initiative infrared bed-exit sensor device with voice prompts (Luna Cat) was designed by hospital staff and one started up company to prevent fall risk patients’ falls when patients exit beds without assistance.


See Kee Fok Quality, Safety & Risk Management Department, Gleneagles Hospital Hong Kong


 


Part 3: Translational in-situ simulation to enhance system processes and patient safety


Healthcare simulation has long been vaunted as a key driver for patient safety. Recently, the role of translation simulation has gained popularity, particularly with the emergence of in-situ simulation. Leveraging advances in simulation technology and expertise in debriefing, our simulation centre has created a territory wide in-situ simulation program that engaged stakeholders across a spectrum of clinical specialties, including intensive care, cardiology, radiology, endoscopic procedures, surgery, obstetrics, emergency medicine, pediatrics, etc. By harnessing the power of in-situ simulation, not only did we enhance interprofessional training, but also identified key latent safety threats to patient safety in different clinical settings. We hope to share tips and nuances in running such programs.


Albert Chan Prince of Wales Hospital, Hong Kong


 


Part 4: Enhancing patient safety in trauma resuscitation


Trauma remains a leading cause of mortality and morbidity worldwide, despite the effectiveness of trauma systems and centers in reducing mortality rates. Yet, adverse events (AEs) persist in trauma resuscitation, impacting patient outcomes and healthcare systems. Identifying and analyzing AEs and their contributing factors is imperative for advancing trauma care. In this session, we will delve deeply into trauma resuscitation, focusing on the investigation of AEs. This involves examination of contributing factors, evaluation of assessment tools, and an exploration of how trauma video review can effectively address AEs. Emphasizing the pivotal role of trauma systems and center care, we aim to propose strategies to improve patient safety.


Anisa Nazir St. Michael’s Hospital, Canada