Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety
Articolo
Data di Pubblicazione:
2020
Abstract:
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.
Tipologia CRIS:
03A-Articolo su Rivista
Keywords:
incident reporting, performance management systems, patient safety, clinical risk management, healthcare system resilience, legal medicine
Elenco autori:
Davide Ferorelli, Biagio Solarino, Silvia Trotta, Gabriele Mandarelli, Lucia Tattoli,
Pasquale Stefanizzi, Francesco Paolo Bianchi, Silvio Tafuri, Fiorenza Zotti, Alessandro Dell’Erba
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