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10. Risk management in un reparto di urologia. Preliminare esperienza.

Author

Marino, G., Di Primio, O. G., Cortese, F. C., Pedalino, M., Vella, R., and Vercesi, E.

Subjects
RISK management in business, UROLOGY, MEDICAL care, GENITOURINARY diseases, DIAGNOSIS, MEDICAL errors
Abstract

INTRODUCTION. The activities of Risk Management at a department of urology involve specialist health workers, technical and administrative staff as the common denominator is communication, simplification of processes and the quality of health care provision. The Authors present their experience on the management of risk in urology and an attempted classification of adverse events with possible dysfunction in the clinical management in urology department. MATERIALS AND METHODS. Our analysis included those adverse events that occurred from January to December 2008. A total of 18 adverse events were identified from 638 urological procedures divided according to diagnosis, treatment and type of hospitalization. RESULTS. The following events were assessed: number of cases with wound infection: 5 (4.7%), diastasis of the surgical wound: 3 (0.47%), catheter obstructions that required therapeutic endoscopic or surgical haemostatic procedures: 5 (0.78%), delayed administration of treatment: 3 (0.47%) and accidental fall out of bed: 2 (0.31%). CONCLUSIONS. The transition from a reactive to a preventive system remains the key to provide the citizen with the best health care in safety conditions. The involvement of different organizational and managerial levels in an optimal atmosphere in the absence of stress appears to be the most balanced and successful approach, especially putting aside the attitude of assigning error culpability. The transmission of individual experiences at a regional and national level will allow refining the project, which foresees the identification and classification of possible events and especially the ways and preventive procedures to achieve them. [ABSTRACT FROM AUTHOR]

Published
2009
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