Advertisement

How Can the Cartorisk Sham Method Boost Up the Risk Management in the Healthcare System of Piedmont?

  • E. SoranoEmail author
  • Anna Guerrieri
  • Vincenza Palermo
  • Rebecca Rotti
Chapter

Abstract

An increasing number of researches have dealt with risk management in healthcare organizations. In Italy, the “Gelli” Law has recently stated the safety of therapies as an integral part of the human right to healthcare as established by the Italian Constitution. However, healthcare organizations need to know how to identify, face, and prevent the risks.

The study analyzes the risks connected to the services provided in excellent hospital units of the Piedmont Region by the “Cartorisk” tool. Firstly, it maps the risks of the main health service supply processes, the barriers used to contain them, and the residual risk that has to be managed. Secondly, it identifies specific activities useful to improve patient safety.

Keywords

Patient safety Clinical governance Process analysis A priori risk analysis Clinical risk management 

References

  1. Aguinis, H., Pierce, C. A., Bosco, F. A., & Muslin, I. S. (2009). First decade of organizational research methods trends in design, measurement, and data-analysis topics. Organizational Research Methods, 12(1), 69–112.Google Scholar
  2. Atwal, A. (2002). Getting the evidence into practice: The challenges and successes of action research. The British Journal of Occupational Therapy, 65(7), 335–341.CrossRefGoogle Scholar
  3. Bate, P. (2000). Synthesizing research and practice: Using the action research approach in health care settings. Social Policy & Administration, 34(4), 478–493.CrossRefGoogle Scholar
  4. Berkowitz, S. L. (2001). Enterprise risk management and the healthcare risk manager. Journal of Healthcare Risk Management, 21(1), 29–38.CrossRefGoogle Scholar
  5. Bjørn, P., & Boulus, N. B. (2011). Dissenting in reflective conversations: Critical components of doing action research. Action Research, 9(3), 282–302.Google Scholar
  6. Blanke, S. L., & McGrady, E. (2016). When it comes to securing patient health information from breaches, your best medicine is a dose of prevention: A cybersecurity risk assessment checklist. Journal of Healthcare Risk Management, 36(1), 14–24.Google Scholar
  7. Bryman, B., & Bell, E. (2011). Business research methods. Oxford: Oxford University Press.Google Scholar
  8. Bunting, R. F. Jr., & Groszkruger, D. P. (2016). From to err is human to improving diagnosis in health care: The risk management perspective. Journal of Healthcare Risk Management, 35(3), 10–23.Google Scholar
  9. Bunting, R. F. Jr., & Siegal, D. (2017). Developing risk management dashboards using risk and quality measures: A visual best practices approach. Journal of Healthcare Risk Management, 37(2), 8–28.Google Scholar
  10. Card, A. J., & Klein, V. R. (2016). A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. Journal of Healthcare Risk Management, 35(3), 31–37.Google Scholar
  11. Carroll, R. L. (2015). Where we’ve been, where we are, and where we are going: A 35-year perspective on healthcare risk management. Journal of Healthcare Risk Management, 35(2), 9–20.CrossRefGoogle Scholar
  12. Carroll, R. L. (2016). Identifying risks in the realm of enterprise risk management. Journal of Healthcare Risk Management, 35(3), 24–30.CrossRefGoogle Scholar
  13. Da Silva Etges, A. P. B., de Souza, J. S., Kliemann Neto, F. J., & Felix, E. A. (2018). A proposed enterprise risk management model for health organizations. Journal of Risk Research, 1–19.Google Scholar
  14. Dossier 223—2012 Regione Emilia Romagna Agenzia Sanitaria e Sociale regionale, Analisi e misurazione dei rischi nelle organizzazioni sanitarie.Google Scholar
  15. Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14(4), 532–550.CrossRefGoogle Scholar
  16. Gibbs, G. R. (2007). 4 Thematic coding and categorizing. Analyzing Qualitative Data. London: Sage.Google Scholar
  17. Haney, J. R., Church, J., & Cockerill, R. (2013). Pursuing enterprise RM: A local road map for Canadian healthcare leaders. Healthcare Management Forum, 26(3), 145–149.Google Scholar
  18. Hoyt, R. E., & Liebenberg, A. P. (2011). The value of enterprice risk management. The Journal of Risk and Insurance, 78(4), 795–822.Google Scholar
  19. Huges, I. (2008). Action research in healthcare. In P. Reason & H. Bradbury (Eds.), Handbook of action research. London: Sage.Google Scholar
  20. Janesick, V. J. (1994). The dance of qualitative research design: Metaphor, methodolatry, and meaning. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 209–219). Thousand Oaks, CA: Sage.Google Scholar
  21. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To err is human: building a safer health system. Washington, DC: National Academy Press.Google Scholar
  22. Koshy, E., Koshy, V., & Waterman, H. (2011). Action research in healthcare. London: Sage.Google Scholar
  23. Kuhn, A. M., & Youngberg, B. J. (2002). The need for risk management to evolve to assure a culture of safety. BMJ Quality & Safety, 11(2), 158–162.Google Scholar
  24. La Pietra, L., Calligaris, L., Molendini, L., Quattrin, R., & Brusaferro, S. (2005). Medical errors and clinical risk management: State of the art. Acta Otorhinolaryngol Italica, 25(6), 339–346.Google Scholar
  25. Labelle, V., & Rouleau, L. (2017). The institutional work of hospital risk managers: Democratizing and professionalizing risk management. Journal of Risk Research, 28(8), 1053–1075.Google Scholar
  26. Marshall, P. H., Willson, P. P., de Salas, K. L., & McKay, J. (2010). Action research in practice: Issues and challenges in a financial services case study. Qualitative Report, 15(1), 76–93.Google Scholar
  27. Miller, V. B., Miginsky, C. S., & Connelly, N. C. (2012). The risk manager’s contribution to patient safety and RM in the ambulatory or physician practice setting. Journal of Healthcare Risk Management, 31(4), 31–39.Google Scholar
  28. Nisio, A., & Magrì, F. (2016). L’ERM nel settore sanitario italiano: proposta di un modello. Retrieved from https://www.researchgate.net/publication/304412755_L’ERM_nel_settore_sanitario_italiano_proposta_di_un_modello.
  29. Postholm, M. B., & Skrøvset, S. (2013). The researcher reflecting on her own role during action research. Educational Action Research, 21(4), 506–518.Google Scholar
  30. Rhineberger, G. M., Hartmann, D. J., & Van Valey, T. L. (2005). Triangulated research designs—A justification? Journal of Applied Sociology, 1, 56–66.Google Scholar
  31. Simeone, C. L. (2015). Business resilience: Reframing healthcare risk management. Journal of Healthcare Risk Management, 35(2), 31–37.CrossRefGoogle Scholar
  32. Stake, R. E. (1995). The art of case study research. Thousand Oaks, CA: Sage.Google Scholar
  33. Voigt, J. R., Hansen, U. M., Glindorf, M., Poulsen, R., & Willaing, I. (2014). Action research as a method for changing patient education practice in a clinical diabetes setting. Action Research, 12(3), 315–336.Google Scholar
  34. Yin, R. K. (2016). Qualitative research from start to finish (3rd ed.). New York: The Guilford Press.Google Scholar
  35. Yin, R. K. (2017). Case study research and applications: Design and methods. Thousand Oaks, CA: Sage.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  • E. Sorano
    • 1
    Email author
  • Anna Guerrieri
    • 2
  • Vincenza Palermo
    • 3
  • Rebecca Rotti
    • 1
  1. 1.Department of ManagementUniversity of TurinTurinItaly
  2. 2.ShamRomeItaly
  3. 3.ASL TO 4IvreaItaly

Personalised recommendations