91100 - Risk Management in the Radiological Area (RN)

Learning outcomes

The student acquires the knowledge of the epidemiology of adverse events, the error in medicine (cultural aspects). Methods and tools for risk identification, analysis and management. Risk management tools (IR, RCA, FMEA / FMECA) and Clinical Governance. Knows EBP (evidence based practice) and biomedical computerization. Authorization, accreditation, contractual agreements. The accreditation model of the Emilia Romagna region.

Course contents

Presentation of the risk management process, specific peculiarities of the health area, with particular reference to the technical-diagnostic one. Below is a summary of the topics addressed:

• The human factor and the genesis of error.
• Systemic approach, methods and tools of the proactive and reactive approach. Proactive identification of any improvement actions to reduce the risk of errors, software and hardware barriers.
• In-depth analysis of methods and tools: SEA (Significant Event Audit), RCA (Root Cause Analysis) and FMCA (Failure Mode and Critical Effect Analysis), specific peculiarities and their implementation.
• How to develop the perception of risk and the priority of intervention, especially in the radiological / diagnostic field and the ability to convey the value of the safety of care: 
• - The value of non-technical skill.  
• - The reports of significant events (events and quasi / events), their weighting and mapping of the areas at greatest risk.
• - Ability to use the Incident Reporting (IR) module specific to the diagnostic area.
• - Application of the Emilia Romagna Regional Council Resolution n. 1706 “Identification of areas for improving the quality of care and integration of insurance and risk management policies”, November 2009.

Readings/Bibliography

• Caminati A., DiDenia P., Mazzoni R. RISK MANAGEMENT (October 2007)

• Bellandi T. Errors in health care. Donaldson (WHO): “Every year 43 million patients suffer damage from incorrect treatment in hospital. Reductions of up to 50% if communication between operators improves ". Article published on the QuotidianoSanità online site on June 20, 2015

• Watzlawick P, Beavin J et al. Pragmatics of human communication. W.W. Norton, New York, 1967. Tr. it. Pragmatics of human communication, Astrolabe, Rome

•Ministry of Health. Risk management in health, the problem of errors. Rome, March 2004

• Ministry of Labor, Health and Social Policies. METHODS OF ANALYSIS FOR CLINICAL RISK MANAGEMENT Root Cause Analysis - RCA Root Cause Analysis (September 2009)

•Ministry of Health. Sentinel event monitoring. 5th Report (September 2005- December 2012). Rome, 2015.

• Marcon G. Work them in a team: from theory to practice. Health Risk: 2005. 18: 32-37

•Ministry of Health. Patient Safety and Clinical Risk Management: Healthcare Professionals Training Manual; 2007

•Ministry of Health. "Doctor-patient communication and between healthcare professionals". Rome, 2016

• Negrini G. Clinical Handover and surroundings: synergies for the continuity and safety of care. Health Risk: 2009. 34:

• NHS Quick Guide for Conducting a Significant Event Audit (October 2008)

Teaching methods

Interactive frontal lesson with presentation and discussion of IR reported through the specific: Spontaneous event reporting form in the diagnostic field.

Assessment methods

Oral, critical discussion and analysis of quasi-events and their weighting through the use of methods and tools characteristic of risk management.

Teaching tools

Viewing of educational simulation films and short films. Creation of working groups for in-depth critical analysis contextualized to the different settings.

Office hours

See the website of Roberta Camagni