Are you interested in certifying your ICU in Humanisation?

PURPOSE:

The HU-CI Project proposes, among its lines of actions, to certify compliance with humanisation standards of healthcare organisations, as well as of their professionals and the training they receive. Therefore, the HU-CI Project guides healthcare organisations and professionals in order to improve quality of work through certification and other projects that enhance humanisation in intensive care.

Certification requires express and public recognition for complying with the requirements that are deemed necessary to provide humanised and quality healthcare by the units that have embarked on a path of continuous improvement.

This certification programme includes a total of 160 good practices divided into 7 strategic lines.

SCOPE:

The certification programme to humanise intensive care units is aimed at intensive care units, resuscitation and any other units/departments that offer continuous healthcare to critical patients, belonging to hospitals that request it (public or private, national or international).

METHODOLOGY:

The certification process begins by filing a voluntary application for the unit to be part of the review process that will conclude with certification by the HU-CI Project-AENOR.

Said certification will be valid for four years once granted. Once this period of time has passed, the good practices must be re-certified to maintain the level of certification.

The process involves the following steps:

  • Application.
  • Self-assessment.
  • Assessment.
  • Certification.

PHASE 1: APPLICATION

The applications begins with a formal request indicating all the relevant information of the requesting unit, as well as the people responsible for the process. Once the application has been received, two tutors from the HU-CI Project team will be assigned and will be in charge of accompanying and advising the requesting unit throughout the certification process.The local leaders will receive access codes to the certification programme through which they will remain in contact with the team throughout the whole process. They will be provided the necessary tools to send the requested documents to verify the required good practices.

PHASE 2: SELF-ASSESMENT

This phase involves the local leaders meeting and providing evidence that verifies compliance with the required good practices. Said requirements are covered in this certification manual, which is a guide to prepare evidence on compliance. Once the process has started, a maximum time frame of two months is set to finalise this phase. The evidence provided is valid throughout this period and should be renewed if the established timeframe is exceeded. Self-assessment allows the requesting unit to identify their current position, determine where they want to reach and plan actions to achieve so. This phase comes to an end at the request of the requesting unit once they consider all the necessary requirements are met and, therefore, the evaluation phase can commence

PHASE 3: ASSESSMENT

Once the self-assessment phase finishes at the request of the requesting unit, an external audit will be carried out. The assessment teams will review the evidence provided throughout the certification process. This phase includes assessing the provided documents and on-site verification of the required good practices.

PHASE 4: CERTIFICATION

Based on the results obtained in the assessment phase, a report will be drafted to certify compliance with the proposed good practices. This report will include any details detected that could be improved. The report will certify a basic, advanced or excellent compliance level in accordance with the level of achievement of the proposed standards.

Good practices are divided into three groups:

On the one hand, those that are considered basics in order for the unit to have a basic level of humanisation (marked with the letter B)
On the other hand, good practices classed as advanced, but which are not obligatory to reach a basic level. Compliance with these good practices reaches a more advanced level of recognition (marked with the letter A).
Furthermore, although not considered obligatory or essential, there are excellent good practices that provide an excellent level of recognition and certification (marked with the letter E)

* This manual has been prepared by healthcare professionals with the participation and guidance from other professionals in fields related to the certification standards, as well as patients and family members.

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