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From Syndemic Lesson after COVID-19 Pandemic to a “Systemic Clinical Risk Management” Proposal in the Perspective of the Ethics of Job Well Done

Author

Listed:
  • Francesco De Micco

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Anna De Benedictis

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Vittorio Fineschi

    (Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, 00185 Rome, Italy)

  • Paola Frati

    (Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, 00185 Rome, Italy)

  • Massimo Ciccozzi

    (Medical Statistics and Molecular Epidemiology Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Leandro Pecchia

    (Applied Biomedical Signal Processing and Intelligent eHealth Lab, University of Warwick (UK), Warwick CV4 7AL, UK)

  • Rossana Alloni

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Nicola Petrosillo

    (Campus Bio-Medico University Hospital, 00128 Rome, Italy)

  • Simonetta Filippi

    (Non Linear Physics and Mathematical Models Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Giampaolo Ghilardi

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Laura Leondina Campanozzi

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Vittoradolfo Tambone

    (Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

Abstract

The syndemic framework proposed by the 2021–2030 World Health Organization (WHO) action plan for patient safety and the introduction of enabling technologies in health services involve a more effective interpretation of the data to understand causation. Based on the Systemic Theory, this communication proposes the “Systemic Clinical Risk Management” (SCRM) to improve the Quality of Care and Patient Safety. This is a new Clinical Risk Management model capable of developing the ability to observe and synthesize different elements in ways that lead to in-depth interventions to achieve solutions aligned with the sustainable development of health services. In order to avoid uncontrolled decision-making related to the use of enabling technologies, we devised an internal Learning Algorithm Risk Management (LARM) level based on a Bayesian approach. Moreover, according to the ethics of Job Well Done, the SCRM, instead of giving an opinion on events that have already occurred, proposes a bioethical co-working because it suggests the best way to act from a scientific point of view.

Suggested Citation

  • Francesco De Micco & Anna De Benedictis & Vittorio Fineschi & Paola Frati & Massimo Ciccozzi & Leandro Pecchia & Rossana Alloni & Nicola Petrosillo & Simonetta Filippi & Giampaolo Ghilardi & Laura Leo, 2021. "From Syndemic Lesson after COVID-19 Pandemic to a “Systemic Clinical Risk Management” Proposal in the Perspective of the Ethics of Job Well Done," IJERPH, MDPI, vol. 19(1), pages 1-6, December.
  • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:15-:d:707534
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    References listed on IDEAS

    as
    1. Kenneth E. Boulding, 1956. "General Systems Theory--The Skeleton of Science," Management Science, INFORMS, vol. 2(3), pages 197-208, April.
    2. Luke Slawomirski & Ane Auraaen & Nicolaas S. Klazinga, 2017. "The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level," OECD Health Working Papers 96, OECD Publishing.
    3. Davide Ferorelli & Biagio Solarino & Silvia Trotta & Gabriele Mandarelli & Lucia Tattoli & Pasquale Stefanizzi & Francesco Paolo Bianchi & Silvio Tafuri & Fiorenza Zotti & Alessandro Dell’Erba, 2020. "Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
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