Summary
Italian law No. 24/2017 focused on patient safety and medical liability in the Italian National Health Service. The law required the establishment of healthcare risk management and patient safety centres in all Italian regions and the appointment of a Clinical Risk Manager (CRM) in all Italian public and private healthcare facilities. Through a survey, this study in Healthcare looks at the law's implementation since it was passed five years ago. The results demonstrate that it has not yet been fully implemented, revealing:
- a lack of adequate permanent staff in all the Regional Centres, with two employees on average per Centre.
- few meetings were held with the Regional Healthcare System decision-makers with less than four meetings per year. This reduces the capacity to carry out functions.
- the role of the CRMs is weak in most healthcare facilities, with over 20% of CRMs have other roles in the same organisation.
- some important tasks have reduced application, e.g., assessment of the inappropriateness risk (reported only by 35.3% of CRM) and use of patient safety indicators for monitoring hospitals (20.6% of CRM).
- the function of the Regional Centres during the Covid-19 pandemic was limited despite the CRMs being very committed.
- the CRMs' units undertake limited research and have reduced collaboration with citizen associations.
Despite most of the CRMs believing that the law has had an important role in improving patient safety, 70% of them identified clinicians’ resistance to change and lack of funding dedicated to implementing the law as the main barriers to the management of risk.
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