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

Massimo Ciccozzi,Rossana Alloni,Leandro Pecchia,Nicola Petrosillo,Vittorio Fineschi,Anna De Benedictis,Vittoradolfo Tambone,Simonetta Filippi,Paola Frati,Laura Campanozzi,Giampaolo Ghilardi,Francesco De Micco

doi:10.3390/ijerph19010015

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.

Highlights

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
Clinical risk management based on a syndemic approach means recognizing the influence that legislative measures, hospital governance, data transparency, family involvement, the medical education system as well as multisectoral and multinational synergies have on patient safety
We propose a stronger foundation of the Syndemic approach in the Systemic Theory [16] because it is necessary to implement effective Clinical Risk Management (CRM) in complex situations

Summary

Introduction

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. Clinical Risk Management is concerned with improving the quality and safety of healthcare services by identifying the circumstances and opportunities that put patients at risk of harm and acting to prevent or control those risks [11,12]. Good clinical risk management has a dual projection: individual, regarding patient safety; collective, considering socio-cultural, political, organisational and economic consequences [12].

Results

Conclusion