scholarly journals Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk

2022 ◽  
Vol 19 (2) ◽  
pp. 831
Author(s):  
Raffaele La Russa ◽  
Stefano Ferracuti
Keyword(s):  
Risk Management ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Performance Quality ◽  
Management Of Care ◽  
Modern Tool

Clinical Risk Management aims to improve the performance quality of healthcare services through procedures that identify and prevent circumstances that could expose both the patient and the healthcare personnel to risk of an adverse event [...]

Mapping lean experiences and emerging connections with clinical risk management in Italian context

2015 ◽  
Vol 21 (5) ◽  
pp. 1091-1116 ◽  
Author(s):  
Maria Crema ◽  
Chiara Verbano
Keyword(s):  
Risk Management ◽  
Web Sites ◽  
Clinical Risk Management ◽  
Content Type ◽  
Clinical Risk ◽  
Multiple Challenges ◽  
Italian Context ◽  
Almost All ◽  
First Time

Purpose – The purpose of this paper is to describe the Italian state of art of Health Lean Management (HLM) and to analyze the Italian projects that connect this approach with clinical risk management (CRM). Design/methodology/approach – After introducing Italian healthcare system and its main challenges, relevant Italian experiences have been searched investigating regional health plans (RHPs), managerial reports, books, workshops, conference proceedings and hospital web sites. The degree of experience of each Italian region has been first studied. Further, field of applicability, objectives, tools, practices and results of the projects with first signs of HLM and CRM integration have been analyzed. Findings – Although interest in new managerial approaches is spreading in almost all the territory and new managerial solutions are fostered in many RHPs, HLM projects are implemented patchy in Italy. For what regards HLM projects with CRM connections, the Italian context seems aligned with the international one, apart from few features. First indications for the implementation of HLM projects with CRM connections emerged. Originality/value – Healthcare systems are facing multiple challenges in a context where public funds decrease but quality of care must be guaranteed. Combining different managerial approaches could solve these issues. In this research, for the first time, a map about Italian HLM adoption has been drawn, and Italian HLM projects with CRM connections have been analyzed. The results constitute one of the first contributions useful to develop guidelines for the implementation of projects pursuing efficiency, quality and safety objectives.

scholarly journals Sepsis and Nosocomial Infections: The Role of Medico-Legal Experts in Italy

Antibiotics ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 199 ◽  
Author(s):  
Lucia Tattoli ◽  
Alessandro Dell’Erba ◽  
Davide Ferorelli ◽  
Annarita Gasbarro ◽  
Biagio Solarino
Keyword(s):  
Risk Management ◽  
Nosocomial Infections ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Healthcare Services ◽  
Medical Liability ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Significant Burden

Sepsis is a leading cause of morbidity and mortality worldwide. It is defined as the presence of a Systemic Inflammatory Response Syndrome, and it represents a significant burden for the healthcare system. This is particularly true when it is diagnosed in the setting of nosocomial infections, which are usually a matter of concern with regard to medical liability being correlated with increasing economic costs and people’s loss of trust in healthcare. Hence, the Italian governance promotes the clinical risk management with the aim of improving the quality and safety of healthcare services. In this context, the role of medico-legal experts working in a hospital setting is fundamental for performing autopsy to diagnose sepsis and link it with possible nosocomial infections. On the other hand, medico-legal experts are party to the clinical risk management assessment, and deal with malpractice cases and therefore contribute to formulating clinical guidelines and procedures for improving patient safety and healthcare providers’ work practices. Due to this scenario, the authors here discuss the role of medico-legal experts in Italy, focusing on sepsis and nosocomial infections.

Does Clinical Risk Management Improve the Quality of Health Care?

Clinical Risk ◽  
1995 ◽  
Vol 1 (5) ◽  
pp. 171-174
Author(s):  
Don Harper Mills ◽  
G. E. von Bolschwing
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Quality Of Health Care ◽  
Clinical Risk Management ◽  
Clinical Risk

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

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