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Organisational and healthcare

Advanced Simulation Programme and Darwin Home

Problem and solution

The Advanced Simulation Programme is based on the need to improve the training of professionals and their teamwork dynamics to improve patient safety.

The SJD Barcelona Children's Hospital simulation programme creates an environment in which they can appropriately train with advanced simulation techniques. Simulation can help reduce morbidity/mortality by 20%.

Darwin Home is a mobile app that allows the simulation area to be brought home so that professionals can continue training in neonatal resuscitation. This app can be obtained in the AppStore on an iOS device or in Google Play on an Android device. 

Current status

  • More than 50 simulation instructors trained at the Hospital.
  • Around 150 internal simulation sessions and 70 external simulation sessions.
  • Many different areas involved: Emergency Care, Obstetrics, Anaesthesia, ICU, Neonatology, Surgery, Paediatric Transport, Haemodynamics.
  • Harvard Medical School training methodology (agreement with Boston Children's Hospital Pediatric Simulator Program).
  • Broadening of lines of work: training, space test, medical equipment test and clinical procedure test.
  • Member hospital of the International Pediatric Simulation Society (IPSS)
  • 600 Darwin Home licences, many of them sold to Nestlé.    

Source

Internal innovation (hospital strategic priority, Paidhos 2010).

Simulation Programme - SJD Barcelona Children's Hospital (in Spanish)

Pediatria dels Pirineus 

Problem and solution

In the past, the region of Alt Urgell always had difficulties providing paediatric care, due to both a lack of professionals specialising in Paediatrics and the geographic location of the area.

In 2010, SJD Barcelona Children's Hospital, together with a group of innovative paediatricians in the area, founded a cooperative society, Pediatria dels Pirineus, to provide healthcare both at primary care centres in the region and at the Hospital del Alt Urgell.

This management model, which is the first of its kind in Catalonia, at once gives greater prominence to professionals and ensures the integration of primary care and hospital care.

The professionals who form part of this cooperative participate in continuing education courses given at SJD Barcelona Children's Hospital Barcelona and are in regular contact with the centre.  

Current status

SJD Barcelona Children's Hospital coordinates paediatric, gynaecological and obstetric care in the region of Alt Urgell.

Source

Internal innovation (Dr. Andreu Parareda, Paediatric Oncology Department).



PrevenGo: a programme to prevent childhood obesity

Problem and solution

The data indicate that the child population has an overweight and obesity problem (31% of children in Spain, compared to 34% of children in the United States). According to scientific studies (New England Journal of Medicine, 2011), obese children have a 5,4 times higher risk than non-obese children of developing type 2 diabetes mellitus when they are adults.

An analysis by McKinsey (2014) on obesity in the world (“How the world could better fight obesity”) noted that the problem of obesity, which is preventable, is multifactorial. 

SJD Barcelona Children's Hospital is treating more than 500 patients for obesity. The data indicated that 40% would not come back following the first visit, since obesity is not socially considered to be a disease. 

PrevenGo is a hybrid health programme (technology + professionals) that aims to increase children's adherence to treatment (diet and exercise).

Each family is given two monitoring devices (Fitbit or Garmin fitness trackers), one to the child and the other to the parents. This digital intervention is accompanied by the help of a specialist (nutritionist, expert in lifestyle changes) who supports and motivates children and their families throughout the programme.

With the PrevenGo problem, not only do patients become active and involved, but so do their family members, through lifestyle changes, monitoring and professional help. In addition, it is a great way to prevent type 2 diabetes and cardiovascular complications.

Current status

  • Pilot conducted with 40 children (2013 - June 2016).

Source

External innovation (co-innovation project between Sanofi and the Hospital). For our part, leadership has fallen to Dr. Marta Ramon Krauel (Head of the Endocrinology Department), Marina Llobet (dietician/nutritionist in the Endocrinology Department), Maria Jesús Leal (dietician/nutritionist) and Marina García (nurse).

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