Riassunto
La sicurezza del paziente si è dimostrata essere un tema difficile da affrontare dal punto di vista culturale, tecnico, clinico e psicologico, oltre che per la sua importante portata e vastità. Esiste un consenso generale sul fatto che non siano stati ad oggi raggiunti gli ambiziosi obiettivi degli anni precedenti e si potrebbero fare varie considerazioni sul perché questo non sia avvenuto. Vi sono ad oggi limitate evidenze scientifiche che dimostrano che i livelli di sicurezza per i pazienti siano migliorati e, al contempo, ve ne sono invece molte che dimostrano che i pazienti sono in realtà meno sicuri [1, 2]. Gli esperti in tema di sicurezza del paziente generalmente affermano che vi sono stati progressi in alcuni settori, quali nell’utilizzo del sistema di incident reporting, nel ruolo svolto dalle autorità di regolamentazione e dagli organismi professionali.
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Bibliografia
Landrigan CP, Parry GJ, Bones CB et al (2010) Temporal trends in rates of patient harm resulting from medical care. N Engl J Med 363(22):2124–2134
Wachter RM (2004) The end of the beginning: patient safety five years after “To err is human”. Health Affairs Suppl Web Exclusives:W4-534-45
Vincent CA (1989) Research into medical accidents: a case of negligence? BMJ 299(6708):1150–1153
Vincent C (2010) Patient safety, 2nd edn. Wiley Blackwell, Oxford
Cook RI (2005) Lessons from the war on cancer: the need for basic research on safety. Journal of Patient Safety 1(1):7–9
Vincent C (2013) Science and patient safety. Can Med Assoc J 185:110–111
de Vries EN, Ramrattan MA, Smorenburg SM et al (2008) The incidence and nature of inhospital adverse events: a systematic review. Qual Saf Health Care 17(3):216–223
Vincent C, Aylin P, Franklin BD et al (2008) Is health care getting safer? BMJ 337:a2426
Christian CK, Gustavson ML, Roth EM et al (2006) A prospective study of patient safety in the operating room. Surgery 139(2):159–173
Hull L, Arora S, Kassab E et al (2011) Observational teamwork assessment for surgery: content validation and tool refinement. J Am Coll Surg 212(2):234–243
de Vries EN, Hollmann MW, Smorenburg SM et al (2009) Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care 18(2):121–126
Pronovost P, Needham D, Berenholtz S et al (2006) An intervention to decrease catheter-related bloodstream infections in the ICU. New Engl J Med 355(26):2725–2732
Haynes AB, Weiser TG, Berry WR et al (2009) A surgical safety checklist to reduce morbidity and mortality in a global population. New Engl J Med 360(5):491–499
Baker GR, MacIntosh-Murray A, Porcellato C et al (2008) High performing healthcare systems. Delivering quality by design. Longwoods, Toronto
Benn J, Burnett S, Parand A et al (2012) Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. BMJ Qual Saf 21(7):559–568
Benning A, Dixon-Woods M, Nwulu U et al (2011) Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ 342:d199
Michel P, Quenon JL, Djihoud A et al (2007) French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care 16(5):369–377
Amalberti R, Benhamou D, Auroy Y et al (2011) Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform 44:390–394
Nagpal K, Arora S, Vats A et al (2012) Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. doi:10.1136/bmjqs-2012-000886
Beatty PC, Beatty SF (2004) Anaesthetists’ intentions to violate safety guidelines. Anaesthesia 59(6):528–540
Carthey J, Walker S, Deelchand V et al (2011) Breaking the rules: understanding non-compliance with policies and guidelines. BMJ 343:d5283
Davis RE, Koutantji M Vincent CA (2008) How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Qual Saf Health Care 17(2):90–96
Wears RL, Berg M (2005) Computer technology and clinical work: still waiting for Godot. JAMA 293(10):1261–1263
Kahneman D (2011) Thinking fast and slow. Allen Lane, London, p 499
Dixon-Woods M, Bosk CL, Aveling EL et al (2011) Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 89(2):167–205
Arora S, Tierney T, Sevdalis N et al (2010) The Imperial Stress Assessment Tool (ISAT): a feasible, reliable and valid approach to measuring stress in the operating room. World J Surg 34(8):1756–1763
Parand A, Benn J, Burnett S et al (2012) Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health C 24(4):380–390
Burnett S, Franklin BD, Moorthy K et al (2012) How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. doi:10.1136/bmjqs-2011-000442
Inouye SK, Bogardus ST Jr, Charpentier PA et al (1999) A multicomponent intervention to prevent delirium in hospitalized older patients. New Engl J Med 340(9):669–676
Vincent C, Batalden P, Davidoff F (2011) Multidisciplinary centres for safety and quality improvement: learning from climate change science. BMJ Qual Saf 20(Suppl 1):i73–i78
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Vincent, C. (2013). Introduzione. In: Tartaglia, R., Vannucci, A. (eds) Prevenire gli eventi avversi nella pratica clinica. Springer, Milano. https://doi.org/10.1007/978-88-470-5450-9_1
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