Evolution of risk management in health care system: Survey on the adverse events occurred in Palermo University Hospital Policlinico “Paolo Giaccone”

Alberto Firenze, Omar Enzo Santangelo, Sandro Provenzano, Daniele Domenico Raia, Omar Enzo Santangelo, Francesca Rocca, Francesco Armetta, Alberto Firenze, Daniele Domenico Raia, Sandro Provenzano

Risultato della ricerca: Article

Abstract

Introduction. We aimed at carrying out a quantitative and qualitative analysis of claims for adverse events addressed to Palermo University Hospital Policlinico “Paolo Giaccone” in order to promote evidence-based interventions and increase patient safety. Methods. A retrospective study of 296 claims collected between 1st of January, 2014 and 31st of December, 2017 by Quality and Clinical Risk Management staff unit was performed along with descriptive analysis of any associated determinant factors. Results. The most frequent causes of claims consisted of wrong surgical procedures (33.8%), mistaken diagnoses (18.6%), falls (17.6%), infections (6.4%), postoperative complications (5.4%) and wrong therapies (3.1%). At the end of the survey, the judicial process was not concluded in the majority of cases (82.8%). Claims were closed by receipt payment in 12.2% of cases, without any payment in 5.1%. Conclusions. Clinical risk management plays a pivotal role in providing information and tools to prevent medical adverse events, avoid claims addressed to hospitals and improve the quality of health care. Evoluzione della gestione dei rischio clinico nel siste-ma sanitario: indagine sugli eventi avversi verificatasi nell'Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone” di Palermo.
Lingua originaleEnglish
pagine (da-a)244-250
Numero di pagine7
RivistaRECENTI PROGRESSI IN MEDICINA
Volume110
Stato di pubblicazionePublished - 2019

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Health Care Surveys
Risk Management
Insurance Claim Review
Delivery of Health Care
Quality of Health Care
Patient Safety
Retrospective Studies
Infection
Therapeutics
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Evolution of risk management in health care system: Survey on the adverse events occurred in Palermo University Hospital Policlinico “Paolo Giaccone”. / Firenze, Alberto; Santangelo, Omar Enzo; Provenzano, Sandro; Raia, Daniele Domenico; Santangelo, Omar Enzo; Rocca, Francesca; Armetta, Francesco; Firenze, Alberto; Raia, Daniele Domenico; Provenzano, Sandro.

In: RECENTI PROGRESSI IN MEDICINA, Vol. 110, 2019, pag. 244-250.

Risultato della ricerca: Article

Firenze, Alberto ; Santangelo, Omar Enzo ; Provenzano, Sandro ; Raia, Daniele Domenico ; Santangelo, Omar Enzo ; Rocca, Francesca ; Armetta, Francesco ; Firenze, Alberto ; Raia, Daniele Domenico ; Provenzano, Sandro. / Evolution of risk management in health care system: Survey on the adverse events occurred in Palermo University Hospital Policlinico “Paolo Giaccone”. In: RECENTI PROGRESSI IN MEDICINA. 2019 ; Vol. 110. pagg. 244-250.
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title = "Evolution of risk management in health care system: Survey on the adverse events occurred in Palermo University Hospital Policlinico “Paolo Giaccone”",
abstract = "Introduction. We aimed at carrying out a quantitative and qualitative analysis of claims for adverse events addressed to Palermo University Hospital Policlinico “Paolo Giaccone” in order to promote evidence-based interventions and increase patient safety. Methods. A retrospective study of 296 claims collected between 1st of January, 2014 and 31st of December, 2017 by Quality and Clinical Risk Management staff unit was performed along with descriptive analysis of any associated determinant factors. Results. The most frequent causes of claims consisted of wrong surgical procedures (33.8{\%}), mistaken diagnoses (18.6{\%}), falls (17.6{\%}), infections (6.4{\%}), postoperative complications (5.4{\%}) and wrong therapies (3.1{\%}). At the end of the survey, the judicial process was not concluded in the majority of cases (82.8{\%}). Claims were closed by receipt payment in 12.2{\%} of cases, without any payment in 5.1{\%}. Conclusions. Clinical risk management plays a pivotal role in providing information and tools to prevent medical adverse events, avoid claims addressed to hospitals and improve the quality of health care. Evoluzione della gestione dei rischio clinico nel siste-ma sanitario: indagine sugli eventi avversi verificatasi nell'Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone” di Palermo.",
author = "Alberto Firenze and Santangelo, {Omar Enzo} and Sandro Provenzano and Raia, {Daniele Domenico} and Santangelo, {Omar Enzo} and Francesca Rocca and Francesco Armetta and Alberto Firenze and Raia, {Daniele Domenico} and Sandro Provenzano",
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AU - Firenze, Alberto

AU - Santangelo, Omar Enzo

AU - Provenzano, Sandro

AU - Raia, Daniele Domenico

AU - Santangelo, Omar Enzo

AU - Rocca, Francesca

AU - Armetta, Francesco

AU - Firenze, Alberto

AU - Raia, Daniele Domenico

AU - Provenzano, Sandro

PY - 2019

Y1 - 2019

N2 - Introduction. We aimed at carrying out a quantitative and qualitative analysis of claims for adverse events addressed to Palermo University Hospital Policlinico “Paolo Giaccone” in order to promote evidence-based interventions and increase patient safety. Methods. A retrospective study of 296 claims collected between 1st of January, 2014 and 31st of December, 2017 by Quality and Clinical Risk Management staff unit was performed along with descriptive analysis of any associated determinant factors. Results. The most frequent causes of claims consisted of wrong surgical procedures (33.8%), mistaken diagnoses (18.6%), falls (17.6%), infections (6.4%), postoperative complications (5.4%) and wrong therapies (3.1%). At the end of the survey, the judicial process was not concluded in the majority of cases (82.8%). Claims were closed by receipt payment in 12.2% of cases, without any payment in 5.1%. Conclusions. Clinical risk management plays a pivotal role in providing information and tools to prevent medical adverse events, avoid claims addressed to hospitals and improve the quality of health care. Evoluzione della gestione dei rischio clinico nel siste-ma sanitario: indagine sugli eventi avversi verificatasi nell'Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone” di Palermo.

AB - Introduction. We aimed at carrying out a quantitative and qualitative analysis of claims for adverse events addressed to Palermo University Hospital Policlinico “Paolo Giaccone” in order to promote evidence-based interventions and increase patient safety. Methods. A retrospective study of 296 claims collected between 1st of January, 2014 and 31st of December, 2017 by Quality and Clinical Risk Management staff unit was performed along with descriptive analysis of any associated determinant factors. Results. The most frequent causes of claims consisted of wrong surgical procedures (33.8%), mistaken diagnoses (18.6%), falls (17.6%), infections (6.4%), postoperative complications (5.4%) and wrong therapies (3.1%). At the end of the survey, the judicial process was not concluded in the majority of cases (82.8%). Claims were closed by receipt payment in 12.2% of cases, without any payment in 5.1%. Conclusions. Clinical risk management plays a pivotal role in providing information and tools to prevent medical adverse events, avoid claims addressed to hospitals and improve the quality of health care. Evoluzione della gestione dei rischio clinico nel siste-ma sanitario: indagine sugli eventi avversi verificatasi nell'Azienda Ospedaliera Universitaria Policlinico “Paolo Giaccone” di Palermo.

UR - http://hdl.handle.net/10447/366633

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