Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety.

Szczegóły
Abstrakt

Tytuł:: Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety.
Autorzy:: Ferorelli D; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Solarino B; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Trotta S; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Mandarelli G; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Tattoli L; Città della Salute e della Scienza di Torino, Turin Hospital, 10126 Torino, Italy.
Stefanizzi P; Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Bianchi FP; Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Tafuri S; Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Zotti F; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Dell'Erba A; Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy.
Źródło:: International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Aug 28; Vol. 17 (17). Date of Electronic Publication: 2020 Aug 28.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Basel : MDPI, c2004-
MeSH Terms:: Patient Safety*
Data Collection/*methods
Medical Errors/*prevention & control
Quality of Health Care/*statistics & numerical data
Risk Management/*organization & administration
Safety Management/*statistics & numerical data
Hospitals, University ; Humans ; Italy ; Management Audit ; Medical Errors/statistics & numerical data ; Medical Records Systems, Computerized ; Safety Management/organization & administration ; Total Quality Management/organization & administration
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Contributed Indexing:: Keywords: clinical risk management; healthcare system resilience; incident reporting; legal medicine; patient safety; performance management systems
Entry Date(s):: Date Created: 20200903 Date Completed: 20201123 Latest Revision: 20201123
Update Code:: 20240104
PubMed Central ID:: PMC7503737
DOI:: 10.3390/ijerph17176267
PMID:: 32872189
: Czasopismo naukowe

Clinical risk management constitutes a central element in the healthcare systems in relation to the reverberation that it establishes, and as regards the optimization of clinical outcomes for the patient. The starting point for a right clinical risk management is represented by the identification of non-conforming results. The aim of the study is to carry out a systematic analysis of all data received in the first three years of adoption of a reporting system, revealing the strengths and weaknesses. The results emerged showed an increasing trend in the number of total records. Notably, 86.0% of the records came from the medical category. Moreover, 41.0% of the records reported the possible preventive measures that could have averted the event and in 30% of the reports are hints to be put in place to avoid the repetition of the events. The second experimental phase is categorizing the events reported. Implementing the reporting system, it would guarantee a virtuous cycle of learning, training and reallocation of resources. By sensitizing health workers to a correct use of the incident reporting system, it could become a virtuous error learning system. All this would lead to a reduction in litigation and an implementation of the therapeutic doctor-patient alliance.

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