Abstract Body

The correct management of stop-carts and advanced cases for urgent care in Primary Care is a key element for patient safety and its variability can be a source of potentially serious adverse events.

Goals:

1.Patient safety in urgent care

2.Homogenize the resources.

3.Involve healthcare professionals.

Organization: A multidisciplinary working group was formed that drew up an Urgent Care Equipment Manual, which includes the provision of the necessary material/medications in the stop car and the advanced briefcase and establishes the need for a responsible professional of its review and maintenance, through checklists and an audit procedure led by the Management based on the Lean Healthcare methodology through the Kaizen 5´S.

Duration:November 2018 and currently active.

Results: Non-conformities were detected and corrected both due to defect (most frequent due to expiration) and due to excess material (usually due to duplication). The mean number of non-conformities per center was, in the stop cart: material(2.49) and medication(6.58), and in the advanced briefcase: material(10.60) and medication(9,70).

Among the strong points identified, the great involvement of the person in charge (76%), the correct distribution (68%) and good functioning of the stop trolley apparatus (40%) prevailed.

In relation to the areas for improvement, they highlighted the need to reorganize the medication and the material of the briefcases(40%) and the cart(28%), as well as the replacement of the absent or expired(24%); in 16% excess material was removed.

Conclusions: The results have made it possible to detect areas for improvement and the implementation of actions that benefit patient safety.