1. An integrated approach to Risk Management in health care facilities Authors: Cinotti R. - Basini V. - Di Denia P. 11th International Conference HPH Florence – May 19-20, 2003

2. Integrated Risk Management  Patient safety and clinical risk  Safety and security of facilities  Worker safety  Outside emergencies  Economic risk The Approach to Error INDIVIDUAL ERROR FAILURE OF THE SYSTEM SYSTEM ERROR HUMAN FAILURE

3. Patient Safety Protection devices (workers and patients) Appropriateness of treatment Infection surveillance Pharmacovigilance Safety in facilities Worker Safety Quality Clinical risk Management of facilities Use of electromedical equipment Falls

4. General goal The Risk Management Project To develop an integrated risk management in health care facilities by means of a shared method of defining risk, handling information (both existing and new) and using such information to monitor activities and promoting continuous improvement, with respect for the independence and the responsibilities of the various departments involved.

5. Local Health Unit in Modena Local Health Unit in Reggio Emilia S. Maria Nuova Hospital in Reggio Emilia S. Orsola-Malpighi General Hospital in Bologna Parma General Hospital S. Anna Hospital in Ferrara Local Health Unit for Northern Bologna Local Health Unit in Piacenza Rizzoli Orthopaedic Institute in Bologna The Health Services participating in the project

6. Clinical Risk Management Glossary COMMUNICATION IN A COMMON LANGUAGE SHARING Created by The Regional Health Agency TRAINING METHODS AND TOOLS Safety ACCREDITATION Clinical Governance Management of human resources; legal and administrative matters

7. Incident Reporting Medical Record Review SDO(Hospital Discharge Database) Complaint Management Tools for Clinical Risk Management ANALYSIS IDENTIFICATION Root Cause Analysis FMEA – FMECA

8. Examples of management Unitary plan for managing the occupational safety and the accreditation of facilities Seminars Supervision of electrical safety Supervision of individual protection for workers Development for experimental integration among quality, safety and environment. Approach for integrating Quality and Occupational Safety