Risk Management in healthcare: results from a national-level survey and scientometric analysis in Italy Risk management in healthcare, intended as all processes employed to detect, monitor, assess, mitigate, and prevent risks in healthcare facilities and safeguard patient safety, is a crucial component of Italy’ National Health Service. Aim of the current study is to assess the role and progress of research and training, in the field of Risk Management. We carried out a scientometric analysis to quantify and describe scientific outputs on Risk Management at the global and national level, over the last forty years; in addiction, we conducted a national-level cross-sectional survey to systematically retrieve and assess research and training activities within Italian postgraduate medical programmes in Hygiene and Preventive Medicine. We report increasing scientific production on Risk Management-related topics from 1980 to 2017 at the global level (12% annual increase rate). Clinical Trials and Systematic reviews/meta-analysis make up for respectively 5% and 6% of global scientific output. Italy ranks 4th for scientific production, after USA, UK and Germany. 88% of Italian postgraduate medical programmes in Hygiene and Preventive medicine research on Risk Management, 42% through international collaborations. The main research themes are Healthcare-Associated Infections (HAIs) (97%), analysis of organizational models for safety in healthcare (62%), while training is focused on internships (87%) and academic lectures (73%). While research provides the evidence required to plan, implement and monitor effective interventions in healthcare risk management, training allows its dissemination in a synergic action to promote the value of patient safety and quality of care. (www.actabiomedica.it)
[1]
G. Damiani,et al.
Post-graduate medical education in public health: the case of Italy and a call for action
,
2017,
Public Health Reviews.
[2]
Niek Klazinga,et al.
The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level
,
2017
.
[3]
Merrilyn Walton,et al.
The WHO patient safety curriculum guide for medical schools
,
2010,
Quality and Safety in Health Care.
[4]
F. Venneri,et al.
Risk Management in Sanità Il problema degli errori
,
2009
.
[5]
D. Bates,et al.
Global priorities for patient safety research
,
2009,
BMJ : British Medical Journal.
[6]
T. Brennan,et al.
Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I*
,
2004,
Quality and Safety in Health Care.
[7]
A. Odone,et al.
La Formazione nel Risk Management nelle Aziende sanitarie alla luce delle novità legislative
,
2017,
Acta Bio Medica : Atenei Parmensis.
[8]
C. Signorelli,et al.
[Risk management in health care systems: the new legislative orientations in medical civil responsibility].
,
2004,
Annali di igiene : medicina preventiva e di comunita.
[9]
William R. Hendee,et al.
To Err is Human: Building a Safer Health System
,
2001
.