Background: CARMINA (Clinical Assessment of Risk Management: an INtegrated Approach) is a self-assessment tool for Clinical Risk Management (CRM) developed and validated within the Italian National health system.; it is composed of seven Areas: 1)Governance, awareness and measurement; 2)Communication; 3)Knowledge and skills; 4)Safe and environment context; 5)Care processes; 6)Adverse event management; 7)Learning from experience. The tool has a total of 52 standards, each one built on progressive quality improvement steps from minimum essential standards to the higher showing continuous improvement. The aim of the study was to test the capability of CARMINA to depict the state of the art of CRM in Friuli Venezia Giulia (FVG) region healthcare systems (HCS). Methods: From 1st march to 30th april 2015 CARMINA was used by local Risk Managers for self-evaluation of CRM in 20 regional Organizations: 2 academic hospitals, 2 Scientific Institutes for clinical research (IRCCS), 11 hospitals and 5 nursing homes. The tool was administered through assisted interview to minimize interoperator variability. Results: Areas one and five had minimum standards achieved by all Organizations while the most critical was Area six (where no Organization achieved all minimum standards). On average, academic hospitals achieved minimum level in 96,1% of standards (50/52), reaching the maximum level of improvement in 40,3%(21/52); hospitals achieved minimum level in 82,6% (43/52), reaching the maximum level of improvement in 19,2 (10/52); IRCCS achieved minimum in 92,3% (48/52) and maximum in 25% (13/52); nursing homes in 76,9% (40/52) and 15,3% (8/52). Conclusions: CARMINA highlighted the level of CRM development in FVG Healthcare System, offering hints for improvement to all the system and to single organizations too. It highlighted the good results achieved in the governance and the processes managements but also emphasized the need for further efforts in nursing homes and in Area six.
Mapping the state of the art of clinical risk management in a regional healthcare system:
TRICARICO, Pierfrancesco;ARNOLDO, Luca;BRUSAFERRO, Silvio
2015-01-01
Abstract
Background: CARMINA (Clinical Assessment of Risk Management: an INtegrated Approach) is a self-assessment tool for Clinical Risk Management (CRM) developed and validated within the Italian National health system.; it is composed of seven Areas: 1)Governance, awareness and measurement; 2)Communication; 3)Knowledge and skills; 4)Safe and environment context; 5)Care processes; 6)Adverse event management; 7)Learning from experience. The tool has a total of 52 standards, each one built on progressive quality improvement steps from minimum essential standards to the higher showing continuous improvement. The aim of the study was to test the capability of CARMINA to depict the state of the art of CRM in Friuli Venezia Giulia (FVG) region healthcare systems (HCS). Methods: From 1st march to 30th april 2015 CARMINA was used by local Risk Managers for self-evaluation of CRM in 20 regional Organizations: 2 academic hospitals, 2 Scientific Institutes for clinical research (IRCCS), 11 hospitals and 5 nursing homes. The tool was administered through assisted interview to minimize interoperator variability. Results: Areas one and five had minimum standards achieved by all Organizations while the most critical was Area six (where no Organization achieved all minimum standards). On average, academic hospitals achieved minimum level in 96,1% of standards (50/52), reaching the maximum level of improvement in 40,3%(21/52); hospitals achieved minimum level in 82,6% (43/52), reaching the maximum level of improvement in 19,2 (10/52); IRCCS achieved minimum in 92,3% (48/52) and maximum in 25% (13/52); nursing homes in 76,9% (40/52) and 15,3% (8/52). Conclusions: CARMINA highlighted the level of CRM development in FVG Healthcare System, offering hints for improvement to all the system and to single organizations too. It highlighted the good results achieved in the governance and the processes managements but also emphasized the need for further efforts in nursing homes and in Area six.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
