Description
Description (LT): Pagrindiniai iššūkiai, su kuriais susiduria Kauno ir Daugpilio regioninės ligoninės - mokymų, kurie padidintų medicinos personalo kompetenciją, stoka ir nepakankamas gerosios chirurginės patirties keitimasis tarp Lietuvos ir Latvijos specialistų. Atsižvelgiant į skirtingą šalių chirurgijos specifiką, toks bendradarbiavimas abiems partneriams suteiktų didelę naudą.
Numatytos veiklos yra skirtos įvairių sričių chirurginių paslaugų stiprinimui pasidalinant gerąja patirtimi tarp Lietuvos ir Latvijos chirurgų. Tai vienas iš svarbiausių elementų, kuris gali pakelti medicinos personalo kompetenciją, o inovatyvių priemonių diegimas pagerins chirurginių paslaugų lygį bei sudarys galimybę išvengti klaidų teikiant chirurgines paslaugas.
Daugpilio regioninė ligoninė projekto metu planuoja sukurti daugiafunkcinį mokymo centrą, kuris bus aprūpintas telemedicinine įranga, skirta transliuoti vykdomas chirurgines operacijas. Tokiu būdu, bus padidinta tarpvalstybinė kvalifikuotų medicininių paslaugų teikimo galimybė. Pagrindinis daugiafunkcinio mokymo centro įrengimo tikslas – pagerinti sveikatos priežiūros paslaugų kokybę, naudojant veiksmingas, aukšto lygio technologijas.
Projekto metu planuojama organizuoti mokymus, kurie didintų personalo gebėjimus. Planuojami trijų tipų mokymai, kiekvienų mokymų metu, bus apmokoma 20 asmenų grupė. „Kvalifikacijos kėlimo mokymai“ apims šias temas (kiekvienam partneriui po 11 mokymų): komandinis darbas, konfliktų valdymas, lyderystė, organizacijos rezultatų vertinimas, žmogiškųjų išteklių valdymas, viešoji kalba, strateginis planavimas, sėkmingas organizacijos įvaizdis, streso valdymas, tarptautinė komunikacija, laiko valdymas. „Chirurgų/daktarų kvalifikacijos kėlimo kursams“ - numatyta po 3 mokymus kiekvienam partneriui, kurių metu kiekvienoje grupėje bus išmokyta po 20 asmenų. Kauno regioninės ligoninės organizuojami „Chirurgų/daktarų/administracijos kvalifikacijos kėlimo kursai“ apims šias temas: Minimaliai invazinė laparoskopinė chirurgija kirkšnies išvaržoms, Minimaliai invazinė laparoskopinė storosios žarnos chirurgija ir Minimaliai invazinė laparoskopinė chirurgija ir gydymas sergantiems varikoze. Daugpilio regioninėje ligonėje mokymai apims šias temas: Laparoskopinė chirurgija, Šiuolaikinės parenteralinės mitybos tendencijos ir Pacientų asmens duomenų apsaugos organizavimas.
Siekiant patobulinti ligoninių technines galimybes, abu partneriai įsigis chirurginę (telemedicininę) įrangą: kameras, leidžiančias filmuoti ir archyvuoti medicininius vaizdo įrašus, kurie bus naudojami švietimo ir kitais konsultaciniais tikslais. Taip pat bus suremontuota ir Daugpilio ligoninės konferencijų salė.
Darbui su naujai įdiegta įranga, Kauno regioninės ligoninės chirurgijos klinikoms (operacijų departamentams) bus sukurta metodinė medžiaga, kurioje bus parengtos procedūros ir darbo organizavimo tvarka. Taip pat abiejų partnerių specialistai parengs metodinę medžiagą, skirtą darbui su telemedicinine įranga. Metodinės medžiagos tikslas – užtikrinti aiškius darbo su telemedinine įranga principus bei detalizuoti bendradarbiavimo tarp partnerių procesą.
Projekto metu sukurtas bendradarbiavimas tarp Daugpilio ir Kauno chirurgijos specialistų taps pamatu tolimesniam bendradarbiavimui medicinos srityje. Naudojantis nauja įranga, nuotolinės konsultacijos sudarytų sąlygas partneriams dalintis medicinine patirtimi ir tokiu būdu suteiktų galimybę gerinti chirurginių paslaugų kokybę tiek Latvijoje, tiek Lietuvoje.
Read more Description (LV): Kopējie izaicinājumi, ar kurām saskaras projekta partneri, ir medicīniskā personāla praktisko apmācību trūkums, lai palielinātu viņu kompetenci un nepietiekamu informācijas apmaiņu par ķirurģiskajiem pakalpojumiem un par labās prakses piemēriem ķirurģijā starp Latviju un Lietuvu.
Tā kā abām valstīm ir savas īpatnības ķirurģijas jomā, šādai sadarbībai vajadzētu nest zināmus ieguvumus. Projekts risina ķirurģisko pakalpojumu stiprināšanu plašā spektrā. Informācijas apmaiņa par ķirurģiskajām darbībām starp latviešu un lietuviešu ķirurgiem ir viens no galvenajiem punktiem, kas var paaugstināt ķirurģisko darbinieku zināšanu līmeni, ieviešot dažādus jauninājumus, uzlabojot ķirurģisko pakalpojumu līmeni, izvairoties no kļūdām ķirurģiskās darbībās.
Ka arī Daugavpils Reģionālā slimnīca izveidos daudzfunkcionālu mācību centru, kas tiks aprīkots ar telemedicīnas sistēmu, nodrošinot iespēju pārraidīt operācijas, tādējādi palielinot savas spējas kā pārrobežu kvalificētu medicīnas pakalpojumu sniedzēju. Daudzfunkcionālā mācību centra galvenais mērķis ir uzlabot veselības aprūpes nodrošināšanas līmeni un kvalitāti, balstoties uz augsta līmeņa informācijas tehnoloģiju efektīvu izmantošanu.
Lai palielinātu personāla kapacitāti tiks organizētas apmācības. Projekta īstenošanai plānoti trīs mācību veidi personāla kapacitātes paaugstināšanai. Plānots, ka katrā mācību (tēmu) grupā tiks apmācītas 20 personas. “Kvalifikācijas kurss” sastāv no šādām tēmām (11 mācības katram partnerim) kā komandas darbs, konfliktu pārvarēšana, vadība, organizāciju rezultātu novērtēšana, AP vadība, publiska uzstāšanās, stratēģiskā plānošana, veiksmīga organizācijas pārstāvība un tēls, Stresa vadība, iekšējā komunikācija, laika pārvaldība. “Profesionālās apmācībās ķirurgiem / ārstiem / administrācijai” abiem partneriem būs 3 tēmas un katrā no tēmām tiks apmācīti 20 speciālisti. “Profesionālās apmācības ķirurgiem / ārstiem / administrācijai”, ko organizēs Kauņas reģionālā slimnīca, sastāv no šīm tēmām: minimāli invazīvā laparoskopiskā operācija cirkšņa trūcēm; minimāli invazīvā laparoskopiskā resnās zarnas operācija un, minimāli invazīvā endovaskulārā terapija varikozas vēnām. Savukārt mācības Daugavpils reģionālajā slimnīcā sastāvēs no šīm tēmām: laparoskopiskā ķirurģija; mūsdienu aktualitātes parenterālā ēdināšanā un, pacientu personas datu aizsardzība.
Lai palielinātu abu slimnīcu tehnisko kapacitāti, projekta partneri iegādāsies mūsdienīgas ķirurģiskās (telemedicīnas) iekārtas, un pacienta novērošanas iekārtas. Kā arī kameras ar iespēju filmēt un arhivēt video ierakstus, kurus būs iespējams izmantot apmācībās, reāllaikā konsultāciju vajadzībām vai citiem mērķiem. Tāpat tiks veikta Daugavpils reģionālās slimnīcas konferenču zāles telpu atjaunošana.
Projekta ietvaros tiks izstrādāts metodiskais materiāls, kas sastāvēs no darba organizēšanas kārtības, metodēm un, kā strādāt ar jauno medicīnas iekārtu (telemedicīnas iekārtu). Metodisko materiālu lietos Kauņas reģionālās slimnīcas ķirurģijas klīnika (operāciju nodaļa). Tāpat abi partneri sadarbībā izstrādās vēl vienu metodisko materiālu, kas ieviesīs jaunas metodes un jaunas pieejas telemedicīnas apraides nodrošināšanai.
Projekta rezultātā tiks izveidota sadarbība starp Daugavpils un Kauņas ķirurģijas speciālistiem, kas būs platforma turpmākai profesionālai sadarbībai citās medicīnas jomās. Attālās konsultācijas, kuras būs iespējamas ar jaunām iekārtām, ļaus partneriem dalīties medicīnas pieredzē un zinātībā, tādējādi uzlabojot ķirurģisko pakalpojumu kvalitāti Latvijā un Lietuvā.
Read more Description (EN): The common challenges faced by the project partners are lack of practical trainings of medical staff to increase their competences and lack of exchange of information about surgical services and surgical best practise cases between Latvia and Lithuania. As both of countries have own surgical specific, such a cooperation should bring some benefits. The project shall address strengthening of surgical services in wide range of them. Sharing information about surgical activities between Latvian and Lithuanian surgeons is one of the key point, which can raise the level of knowledge of surgical staff by that implement different innovations, to improve surgical service level, avoid mistakes per surgical activities.
Also Daugavpils Regional Hospital will be create the multifunctional training center with the possibility of operations broadcasting and equipped with telemedicine system, thus increasing its capacities as a cross-border qualified medical service provider. The main goal of the multifunctional training center is to improve the level and quality of health care provision, based on the efficient use of high-level information technology.
To raise capacities of the personnel by organizing training. Three types of training are planned for the implementation of the project to raise capacities of the personnel. It is planned, that 20 persons will be trained per each training (topic) group. “Refresher course” will consist of such topics (11 trainings per each partner) as Team work, Conflicts management, Leadership, Organization results evaluation, HR management, Public speaking, Strategic planning, Successful organisation representation and image, Stress management, Internal communication, Time management. “Vocation training for surgeons/doctors/ administration” both partners will have 3 topics and will train 20 students per topic. “Vocation training for surgeons/doctors/ administration“ that will be organised by Kaunas regional hospital will consist of these topics: Minimally invasive laparoscopic surgery for groin hernias, Minimally invasive laparoscopic colon surgery and Minimally invasive endovascular treatment of varicose veins. While trainings in Daugavpils Regional Hospital will consist of these topics: Laparoscopic surgery, Modern tendencies of parenteral nutrition and Organization of patient personal data protection.
To increase technical capacities of the hospitals surgical (telemedicine) equipment meeting the existing requirements and patient’s surveillance equipment will be purchased by both project partners. Like cameras, which allow to film and archive the videos, use the videos for educational or other specific purposes and in real time for consultation purposes. Also, a conference hall in Daugavpils regional hospital will be repaired.
The methodological material consisting of the procedures and methods on organizing of work and how to work with the new medical equipment (telemedicine equipment) will be developed for the use of the Kaunas regional hospital Surgery Clinics (operations departments). Also, both partners in cooperation will develop another methodological material, which implement new methods and new approaches to provide telemedicine broadcasting.
As a result of the project, partnership cooperation between Daugavpils and Kaunas surgical specialists will be established, which will be a platform for further professional cooperation in other areas of medicine. Remote consultations using new equipment would allow partners to share medical experience and know-how information, which inevitably leads to improving of quality of surgical services in Latvia and Lithuania.
Read more Achievements (EN): Project’s Hospitals for CBC implementation is coming to end. Until the end of 2019 there were implemented these activities:
1. In the beginning of the project during the project kick – off meeting in Kaunas on 3rd of October 2018 partners signed the Partnership agreement and discussed the project implementation plan.
Project kick – off meeting, Republican hospital of Kaunas, 3rd of October 2018.
2. Leading partner (Republican hospital of Kaunas) organized refresher courses for the medical and administration staff. The aim of these courses – to build and strengthen overall medical and administration specialists’ qualification in the field of 11 topics such as:
• Team work. Participants discovered the importance of team work, effective ways of working in teams and how to strengthen and motivate teams.
• Participants were introduced to the concept of leadership behaviors and received effective leadership knowledge to improve organization’s performance.
• Conflicts management. Participants have received both theory about the reasons for emergence of conflicts and practical exercises on working with different types of people and turning arguments into discussion.
• Organization results evaluation. Participants were introduced to organizational assessment process in order to get valid information about the performance of an organization and the factors that affect that performance.
• Human resource management. During this training participants have received information about the role of human resource management and its impact on the results of the organization.
• Internal communication. Participants restored and strengthened respect ant conversation between different colleagues and departments and learned how to avoid potential crises.
• Strategic planning. Participants have learned the basic elements of strategic planning and developed the best strategic planning process to achieve organization’s goals.
• Time management. Participants have improved ability to plan and prioritize work and learned how to deal with unexpected events that steal time.
• Public speaking. Participants have developed and strengthened public speaking skills and received knowledge about preparation for public speaking and audience management during the speech.
• Stress management. During training participants were introduced to stress symptoms and basic principles of managing emotions and stress.
• Successful organization representation and image. Participants were provided with structure and content of organization’s image and developed its creating practical skills.
About 250 medical and administration specialists from different hospital’s departments from November 2018 till May 2019 have participated in these courses and received huge qualification upgrade which is and will be very useful for their everyday work. Most of the participants expressed very positive feedback and hope to participate in other project’s activities in the future.
Refresher course “Leadership” for staff of Republican hospital of Kaunas, 30th November 2018.
Project partner Daugavpils regional hospital also started the refresher courses. Within the period from July 23 till August 30, 2019 project partner organized training for the hospital medical and administration staff. Eleven training cycles and practical classes were led by associate professor at Daugavpils University, Dr. psych. Vitālijs Raščevsks.
Various topical topics were covered during the training, for example: the consequences of professional burnout, how to protect yourself from burnout at work, prevention of emotional burnout, emotional intelligence, cooperation with colleagues, communication modes and styles, time management, leadership, strategic planning, problem solving, etc. During the training, various practical classes were organized to learn different methods, including stress reduction in everyday life. 223 employees of the hospital improved their professional qualification. Of particular note were cycles such as body-oriented stress therapy, which also included acquisition of practical stress reduction techniques. Emotional self-regulation – how to deal with your emotional tension without affecting other people’s psyche and how to manage your emotions. Participants were actively involved in the training cycle, asking questions, discussing and participating in practical classes.
Refresher course for staff of Daugavpils regional hospital.
3. In order to develop surgical procedures and raise their administration capacities leading partner (Republican hospital of Kaunas) has purchased and in July 2019 installed telemedicine equipment which allows to film, translate, archive and review videos for these specific purposes:
1. Record and archive surgery cases and use this information in cases of medical consiliums and medical audits.
2. Use of interesting surgery cases in educational activities for medical students and surgery residents. Both live and recorded video material can be used for educational purposes.
3. Record and archive diagnostic cases and use them to evaluate current situation and the effectiveness of the treatment before the surgery and to evaluate the research dynamically for choosing the most effective surgical method.
4. Live consultations by senior and experienced surgeon. This equipment allows performing these consultations without leaving his current location and entering the surgery room, making disinfection and putting special clothes. These preparation actions prolong surgeries, increase operation costs and leave more possibilities for prolonged anesthesia and in rare cases can cause hospital infections. Equipment allows for consulting specialist to have a live conversation with colleague in surgery room from his cabinet or other working place.
5. Live translations from all 8 surgery rooms and corridors of surgery block allow to observe the working process and to know the exact phase of operations. This allows to reduce time for preparation for surgeries and to perform more operations per day. As the result, the waiting time for scheduled operations will be shortened. Telemedicine equipment in surgery room of Republican hospital of Kaunas
4. Daugavpils regional hospital staff work placements in Republican hospital of Kaunas
In order to gain experience from Lithuanian colleagues 10 doctors and nurses from Daugavpils regional hospital had come to Republican hospital of Kaunas for 1 week work placements. The work placements took place on 11-15 of November and 9-13 of December 2019.
The main work activity topic was abdominal Wall Repair Workshop. Work was divided in two parts – theoretical and practical. First of all surgeons and nurses discussed possible methods of operations, indicative operations, equipment needed for surgeries, organization of surgeries, postoperative nursing and treatment of patients.
The second part include live demonstration of operations and a review and discussion of complicated clinical case records. Practical training aim was to improve the skills and knowledge of laparoscopic general abdominal wall hernia surgery, which will allow for the implementation of minimally invasive procedures in Daugavpils regional hospital Surgery units.
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Website: https://2014-2020.latlit.eu/
Expected Results (EN): Number of solutions improving public services
Expected Outputs (EN): The expected results will have an impact for the following activities:
- Improved surgical treatment: shorter operations with mutual benefit both for the hospital and patient.
- Improved surgical procedure standard.
- New training programmes developed.
- Implementing simple repair works to create nonfunctional training center to ensure the possibility to provide high level continuous training for medical specialist.
- Improving the surgical process and its administration
- Creating the material database for educational purposes.
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