Sumamos Excelencia Project: Implementation of Best Practices in Clinical Practice (Thrid Edition)

Launched by INSTITUTO DE SALUD CARLOS III · Jul 24, 2024

Keywords

ClinConnect Summary

The Sumamos Excelencia Project is a clinical trial aimed at improving healthcare practices for several common conditions, including pain management, obesity, urinary incontinence, breastfeeding support, smoking cessation, fall prevention, and pressure injury prevention. The trial seeks to close the gap between research findings and everyday clinical practice, ensuring that healthcare providers follow the best evidence-based recommendations. To achieve this, the project will train healthcare staff, analyze local needs, and provide feedback on their practices. Data will be collected at the start of the project and at three points during the first year to track progress.

Patients who might be eligible for this trial include those receiving care in participating hospitals, nursing homes, or primary care settings. Specific groups include adults suffering from pain, urinary incontinence, or pressure injuries; children up to 12 years old who are not overweight; breastfeeding individuals; smokers over 18; and older adults at risk of falls. Participants can expect to receive support and care based on the best available evidence, and healthcare professionals will work together to improve how they manage these important health issues. The trial is currently recruiting participants, and all healthcare professionals in the participating units are also involved in improving hand hygiene practices.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• 1. Unit inclusion criteria:
• • NHS units and nursing homes which voluntary adhere to the project.
• • NHS units and nursing homes providing direct patient care and commit to implement evidence-based recommendations on hand hygiene and one of the following topics: pain assessment and management, urinary incontinence management, obesity prevention and breastfeeding promotion, Smoking Cessation, falls prevention, pressure injuries prevention. For the purposes of this study, a "unit" is defined as any service, centre or institution that delivers health services to a homogeneous group of patients who share similar characteristics.
• 2. Patient inclusion criteria: The study will include all patients attended in the units participating in the study, who meet the following criteria, depending on the recommendations to be implemented in each unit:
• 1. Pain:
• • People susceptible to suffering some type of pain regardless of age.
• • Patients treated in acute or chronic health institutions (Hospitals, Nursing Homes or Primary Care).
• 2. Urinary incontinence:
• • - Patients 18 years or older.
• • - Patients with uncomplicated stress, urge or mixed urinary incontinence
• • - At least 7 days of admission or possibility of continuity of care preferably up to 6 weeks.
• 3. Obesity:
• • Babies and preschool children up to 12 years old.
• • For ages 2 to 12 years (inclusive), children must not be overweight or obese 1 year prior to baseline measurement (in February 2021 or at the closest review to February 2021 at which BMI is recorded).
• • Good general health.
• 4. Breastfeeding:
• • Lactating people.
• • Healthy neonates of gestational age greater than 36 weeks, with birth weight greater than or equal to 2500 gr.
• • Couples and relatives within the support network.
• • Postpartum period and up to 6 months of life of the baby (183 days of life, included).
• • In primary care, only non-urgent care will be included.
• 5. Smoking Cessation:
• • - ≥ 18 years of age
• • Smokers
• 6. Pressure injury prevention:
• • - Adults population (≥ 18 years).
• • Admitted to hospitals, nursing homes or included in home care programmes.
• • Patients at risk of developing pressure injuries.
• 7. Falls prevention:
• • Adults aged 65 years or older, and adults aged 18 years or older who may potentially present problems in walking as a result of neurological or traumatic diseases, medication, or who suffer from loss of strength or drowsiness.
• 8. Hand hygiene:
• • - All health professionals who care for patients in the units participating in the study.
• Exclusion Criteria:
• • -