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

Author

Listed:
  • Davide Ferorelli

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Biagio Solarino

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Silvia Trotta

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Gabriele Mandarelli

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Lucia Tattoli

    (Città della Salute e della Scienza di Torino, Turin Hospital, 10126 Torino, Italy)

  • Pasquale Stefanizzi

    (Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Francesco Paolo Bianchi

    (Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Silvio Tafuri

    (Biomedical Science and Human Oncology, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Fiorenza Zotti

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

  • Alessandro Dell’Erba

    (Interdisciplinary Department of Medicine, Section of Legal Medicine, University of Bari, Piazza Giulio Cesare 11, 70100 Bari, Italy)

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.

Suggested Citation

  • Davide Ferorelli & Biagio Solarino & Silvia Trotta & Gabriele Mandarelli & Lucia Tattoli & Pasquale Stefanizzi & Francesco Paolo Bianchi & Silvio Tafuri & Fiorenza Zotti & Alessandro Dell’Erba, 2020. "Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6267-:d:405419
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    References listed on IDEAS

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    1. Jorun E Thoma & Marion A Waite, 2018. "Experiences of nurse case managers within a central discharge planning role of collaboration between physicians, patients and other healthcare professionals: A sociocultural qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1198-1208, March.
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    Cited by:

    1. Davide Ferorelli & Lorenzo Moretti & Marcello Benevento & Maurizio Mastrapasqua & Michele Telegrafo & Biagio Solarino & Alessandro Dell’Erba & Davide Bizzoca & Biagio Moretti, 2022. "Digital Health Care, Telemedicine, and Medicolegal Issues in Orthopedics: A Review," IJERPH, MDPI, vol. 19(23), pages 1-9, November.
    2. Francesco De Micco & Anna De Benedictis & Vittorio Fineschi & Paola Frati & Massimo Ciccozzi & Leandro Pecchia & Rossana Alloni & Nicola Petrosillo & Simonetta Filippi & Giampaolo Ghilardi & Laura Leo, 2021. "From Syndemic Lesson after COVID-19 Pandemic to a “Systemic Clinical Risk Management” Proposal in the Perspective of the Ethics of Job Well Done," IJERPH, MDPI, vol. 19(1), pages 1-6, December.
    3. Montserrat Gens-Barberà & Núria Hernández-Vidal & Elisa Vidal-Esteve & Yolanda Mengíbar-García & Immaculada Hospital-Guardiola & Eva M. Oya-Girona & Ferran Bejarano-Romero & Carles Castro-Muniain & Ev, 2021. "Analysis of Patient Safety Incidents in Primary Care Reported in an Electronic Registry Application," IJERPH, MDPI, vol. 18(17), pages 1-21, August.

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