Thursday, September 13, 2007

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Territory, as well as the slogan

The health risk management should be in the area. It 'a hope, a desire, a widespread need. It should work well on the hospital, in all its various manifestations of risk, primarily those related to damage caused to the patient. However, data in hand, are the local health services, and other local structures, which have the most urgent need, and spread of risk management policies are proportionate and intelligent. The cases of excellence we have already, of course. But often it is left to the determination and the desire to make individual managers or doctors, and to a lack of integrated planning. You can get there? Yes, sure, but without losing any more time. Waiting for your feedback ... especially from the territory.

Thursday, September 6, 2007

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Cost or opportunity?

Risk management is certainly a cost to the health facility. Especially if it is conceived and realized as a serious process, with different levels and areas of application, qualified staff, dedicated technology and insurance number. But just as unquestionably manage risk is in the medium to long term, which is essential for the survival of a local health or hospital. The cost becomes opportunity. Opportunities for professionals, doctors and paramedics in the first place, to work calmly and without swords of Damocles over the head. Opportunities for the structure as a whole, which can afford to enter the market with the best credentials of credibility e consapevolezza. La consapevolezza di non essere infallibile, e di essere in grado di fronteggiare con maturità qualsiasi defaillance del singolo, o dell'organizzazione. Ne avete già parlato con i vostri direttori generali? Con quali risultati?

Thursday, August 30, 2007

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us leave a review

La pausa estiva ce la lasciamo alle spalle, i problemi del risk management sanitario purtroppo no. E neppure i drammi connessi, come l'errore che nelle scorse settimane in un ospedale milanese ha portato alla soppressione di un feto sano anziché del gemello affetto da gravi menomazioni. Ma è una questione davvero troppo delicata, sulla quale non credo sia giusto spendere valutazioni gratuite, solo in base a quanto letto sulle cronache dei giornali. Preferisco start with a small, positive review. I find myself on a desk study of short and interesting, edited by Rasin Viganò (www.rva.it), and entitled "Risk management as the key to business success." Read This undoubtedly. It is not "tuned" universe health, but certainly provides some methodological and analytical insights of great interest. Above all, it clearly fits the concept of risk, and the figure is still too often evanescent, the risk manager. Happy reading, and good recovery of activity.

Thursday, July 19, 2007

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Who chooses those boxes?

I did not want to believe. But they showed me photos speak for themselves. And the source, as they say in these cases is one of those super reliable. Ci sono importanti ospedali (quanti? Anche se fosse uno solo, sarebbe troppo...ma temo la situazione sia diffusa) in cui farmaci tra loro assai differenti per composizione ed effetti sul paziente sono conservati in contenitori non solo pressochè identici, ma custoditi l'uno di fianco all'altro. E con divieto assoluto, ovviamente, di ricorrere a soluzioni alternative, diciamo personalizzate. La conseguenza? E' evidente, e denunciata a mezza voce dagli addetti ai lavori: in condizioni di emergenza, stress, o anche semplice distrazione, capita di somministrare il farmaco A anziché il B, magari a un bambino o a un anziano o a una persona già indebolita. Chi è, a livello ministeriale o regionale, il responsabile della scelta di questi containers? We would like to know, and interview him to understand. If anyone knows him, make him know that we are looking for.

Thursday, July 12, 2007

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Training? Pay pants ...

How important is training in a path of prevention and risk management capacity in health? So ask the question, the answer seems obvious: the training needed, and much, both in terms of medical staff nurses. However, confronted daily with those who know a thousand times more than me about this, or those responsible for risk and quality of local health authorities and hospitals, I feel strong emergence of distinctions, and some irritation. Do not like the approach with which to date has been mostly managed node formation. Troppo slegato da un reale vissuto professionale ed ospedaliero, troppo avulso da un progetto complessivo, da una strategia di insieme. E troppo spesso in mano, detto fuori dai denti e con tutti i distinguo del caso, ad affaristi senza tanti scrupoli, pronti a offrire pacchetti formativi standardizzati e "a pioggia", spesso utili solo ai bilanci aziendali della loro azienda. Tanto paga sempre Pantalone...

Thursday, July 5, 2007

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The regions do they do?

Le Regioni stanno davvero offrendo un contributo importante alla messa a punto di politiche di risk management in Sanità? I servizi sanitari regionali sono per le Asl e gli Ospedali un referente importante, o un semplice interlocutore burocratico, che appesantisce anzichè aiutare? L'impressione è that the picture is uneven, and too fragmented near perfect course, but certainly well under way (Lombardy, Emilia Romagna) there are other cases of inaction, if not a boycott. But then play the blame game when the error occurs sensational, front-page ...

Thursday, June 28, 2007

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A direct risk to health

four years directing the Health Management, a monthly magazine specializing in issues of innovation for the professional world of health care, and addressed to the industry.
risk management in the health magazine about every month, giving a voice to professionals within local health and public and private hospitals, with clinical risk are confronted day after day, on field. During a recent round table organized by the Health Management in Milan has shown a real need for direct comparison, without too many filters between the various representatives of the "chain" of risk in healthcare. This blog was created so as a part of a larger project, which will run from September in the journal and through meetings in the area. It is aimed at managers and directors of health insurers, providers of specialized technology services, citizens sensitive to the issue.
All are invited to engage in quiet stand space, and to provide incentives, considerations, recommendations that could lead to a fruitful study of a subject of great centrality for insiders, and equally important consequences in the lives of us all, as potential patients in the NHS.