B9412 - Promozione della sicurezza delle cure e Rischio clinico

Learning outcomes

Patient and healthcare safety are increasingly important elements in the daily work of every healthcare professional, and the development of a culture of safety is proposed. Upon completion of the course, students will be able to: • recognize the risk factors that characterize the main aspects of healthcare, such as falls, restraints, drug therapy, etc., and the related error prevention and risk reduction strategies; • identify useful strategies to ensure the circulation of information, such as communication flows and non-technical skills; • use the main risk management tools. The course will address the topics of gender medicine and intercultural medicine to ensure inclusive and quality healthcare.

Course contents

INTRODUCTION TO CLINICAL RISK:

Regulatory Framework for Patient Safety and Clinical Risk Management
Best Practices and Recommendations for Safe Care
Introduction to Safety Culture
SYSTEMIC APPROACH TO RISK MANAGEMENT

Definitions, Taxonomy, and Classification of Errors
Human Factors
The Risk Management Process
RISK MANAGEMENT TOOLS

Methodologies for Analyzing Clinical and Care Processes
Risk Identification and Incident and Near-Event Reporting Systems
Reactive Incident Analysis Tools (Significant Event Audit-SEA, Root Cause Analysis-RCA)
Proactive Analysis Tools (FMEA/FMECA, Safety Visits, Direct Observations)
NURSING CARE AND SAFETY

Impact of Nursing Care on Safe Care
Nurse Sensitive Outcomes
COMMUNICATION AND SAFETY PATIENTS

Communication as a contributing factor in the genesis of adverse events
Non-technical skills and care safety
Equity and Safety

Readings/Bibliography

- C. Vincent, "Safer Healthcare." Springer International Publishing, 2022

- C. Fidelia, M. La Regina, W. Ricciardi, R. Tartaglia, "Handbook of Patient Safety and Clinical Risk Management." Perugia: Cultura e Salute, 2022

- G. Bizzarri, M. Canciani, M. Farina, "Strategy and Management of Clinical Risk in Healthcare Organizations." FrancoAngeli, 2018

- Ministry of Health, Clinical Governance and Safety of Care 2022. Ministry Recommendations. [Online] https://www.salute.gov.it/portale/sicurezzaCure/homeSicurezzaCure.jsp

- Articles suggested by the instructor during the course

Teaching methods

- Lecture

- Case analysis and discussion

- Exercises and practical application of risk management methods and tools

Assessment methods

Written test with multiple-choice and open-ended questions

Teaching tools

PC with video projector, internet connection, slides, articles and worksheets for group work

Office hours

See the website of Riccardo Triani