Full Title
MECOSAN
Publisher
FrancoAngeli
ISSN
1121-6921 (Printed Journal)
2384-8804 (Online Journal)
Journal Issue Number
118
Journal Issue Designation
118
Journal Issue Date
2021
Full Title
Hospital risk management at the time of Covid-19: An analysis of the Lombardy Region
By (author)
First Page
97
Last Page
116
Language of text
English
Publication Date
2021/08
Copyright
2021 FrancoAngeli srl
Introduction or preface
Covid-19 has imposed a rethinking of risk management systems in the healthcare sector. The aim of this paper is to investigate how the risk has been and is managed by the healthcare organizations, on the basis of regional directives. The analysis focuses on the health system of the Lombardy Region. In particular, the authors focused on the resolutions adopted by the Lombardy Region in the acute phase of the pandemic (2 March 2020-12 May 2020) with the aim of rebuilding the system put in place by the Region for risk prevention and management. Thanks to the resolutions, the Lombardy Region has established a risk management system, consisting of a surveillance system and an emergency management system that seems to have led to positive consequences.
Unstructured Citation
Aven T. (2018). How the integration of System 1-System 2 thinking and recent risk perspectives can improve risk assessment
and management. Reliability Engineering & System Safety, 180: 237-244.
https://doi.org/10.1016/j.ress.2018.07.031
Unstructured Citation
Barclay L. (2007). Improvements needed in infection control, survey suggests. Nursing, 28-36.
Unstructured Citation
Bates D. W., Leape L. L., & Petrycki S. (1993). Incidence and preventability of adverse drug events in hospitalized adults.
Journal of general internal medicine, 8(6): 289-294.
https://doi.org/10.1007/BF02600138
Unstructured Citation
Baxter R. L., Baxter H. C., Campbell G. A., Grant K., Jones A., Richardson P., & Whittaker G. (2006).
Unstructured Citation
Quantitative analysis of residual protein contamination on reprocessed surgical instruments. Journal of hospital infection,
63(4): 439-444. Belingheri M., Paladino M. E., & Riva M. A.
https://doi.org/10.1016/j.jhin.2006.03.011
Unstructured Citation
(2020). COVID-19: health prevention and control in non-healthcare settings. Occupational Medicine, 70(2): 82-83.
https://doi.org/10.1093/occmed/kqaa048
Unstructured Citation
Bizzarri G., Dario C., Jseppi R., & Roberti G. (2014). Lo sviluppo del sistema di controllo interno nelle aziende sanitarie. Come ridurre i rischi amministrativo-contabili e migliorare le performance: Come ridurre i rischi amministrativo-contabili e migliorare le performance. Milano: FrancoAngeli.
Unstructured Citation
Brannigan E. T., Murray E., & Holmes A. (2009). Where does infection control fit into a hospital management structure?. Journal
of Hospital Infection, 73(4): 392-396.
https://doi.org/10.1016/j.jhin.2009.03.031
Unstructured Citation
Brusoni M., Trinchero E., & Vescia M. (2014). La gestione del rischio in sanita: elementi organizzativi e gestionali. In: Aleo S., De Matteis R., & Vecchio G. (Eds.). La responsabilita in ambito sanitario. Padova: CEDAM.
Unstructured Citation
Cagliano A. C., Grimaldi S., & Rafele C. (2011). A systemic methodology for risk management in healthcare sector. Safety Science,
49(5): 695-708.
https://doi.org/10.1016/j.ssci.2011.01.006
Unstructured Citation
Canitano S., Ghirardini A., Migliazza M., & Trinchero E. (2010). Risk management, strumenti e cultura organizzativa per il governo della patient safety: dalla teoria alla pratica. Mecosan, 76: 89.
Unstructured Citation
Cao Y., Li Q., Chen J., Guo X., Miao C., Yang H., & Li L. (2020). Hospital emergency management plan during the COVID‐19 epidemic.
Academic Emergency Medicine, 27(4): 309-311.
https://doi.org/10.1111/acem.13951
Unstructured Citation
Capocchi A., Orlandini P., Pierotti M., Luzzi L., & Minetti L. (2019). Risk Management in the Healthcare Sector and the Important
Role of Education and Training Activities: The Case of Regione Lombardia. International Journal of Business and Management,
14(1): 180-191.
https://doi.org/10.5539/ijbm.v14n1p180
Unstructured Citation
Cesana G., Fornari C., Chiodini V., Madotto F., Merlino L., & Mantovani L. G. (2011). DENALI: il Data Warehouse di Sanita
Pubblica della Regione Lombardia. Farmeconomia. Health economics and therapeutic pathways, 12(2S): 19-23.
https://doi.org/10.7175/fe.v12i2S.991
Unstructured Citation
Cheng V. C., Chan J. F., To K. K., & Yuen K. Y. (2013). Clinical management and infection control of SARS: lessons learned.
Antiviral research, 100(2): 407-419.
https://doi.org/10.1016/j.antiviral.2013.08.016
Unstructured Citation
Cosmi L., & Del Vecchio M. (2004). Lo sviluppo della funzione risk management nelle aziende sanitarie: una prospettiva economico-aziendale. Difesa sociale, 1: 7-18.
Unstructured Citation
Degani L., Lopez A., Monturano M., Rinaldi O., & Ubezio M. (2013). Principi di risk management nei servizi sanitari e socio-sanitari. Maggioli Editore.
Unstructured Citation
D’Onza G. (2008). Il sistema di controllo interno nella prospettiva del risk management, Vol. 81. Milano: Giuffre editore.
Unstructured Citation
Duijm N. J. (2015). Recommendations on the use and design of risk matrices. Safety Science, 76: 21-31.
https://doi.org/10.1016/j.ssci.2015.02.014
Unstructured Citation
Dwosh H. A., Hong H. H., Austgarden D., Herman S., & Schabas R. (2003). Identification and containment of an outbreak of SARS in a community hospital. Cmaj, 168(11): 1415-1420.
Unstructured Citation
Ferrari A., Odone A., Florindo N., Mandelli P. G., & Signorelli C. (2017). La formazione nel risk management nelle aziende sanitarie alla luce delle novita legislative. Acta Bio Medica: Atenei Parmensis, 88(3): 365.
Unstructured Citation
Forster P., Forster L., Renfrew C., & Forster M. (2020). Phylogenetic network analysis of SARSCoV-2 genomes. Proceedings of
the National Academy of Sciences, 117(17): 9241-9243.
https://doi.org/10.1073/pnas.2004999117
Unstructured Citation
Gan W. H., Lim J. W., & David K. O. H. (2020). Preventing intra-hospital infection and transmission of COVID-19 in healthcare
workers. Safety and Health at Work, 11(2): 241-243.
https://doi.org/10.1016/j.shaw.2020.03.001
Unstructured Citation
Gasmi A., Noor S., Tippairote T., Dadar M., Menzel A., & Bjorklund G. (2020). Individual risk management strategy and potential
therapeutic options for the COVID-19 pandemic. Clinical Immunology, 108409.
https://doi.org/10.1016/j.clim.2020.108409
Unstructured Citation
Gazzola P., Amelio S., & Figus A. (2020). The Double Relationship Between Risk Management and CSR in the Italian Healthcare
Sector: The Case of the Lombard “Health Protection Agencies” (ATS). In: Contemporary Trends and Challenges in Finance, pp.
101-111. Cham: Springer.
https://doi.org/10.1007/978-3-030-43078-8_9
Unstructured Citation
Gopalakrishna G., Choo P., Leo Y. S., Tay B. K., Lim Y. T., Khan A. S., & Tan C. C. (2004). SARS transmission and hospital
containment. Emerging infectious diseases, 10(3): 395-400.
https://doi.org/10.3201/eid1003.030650
Unstructured Citation
Grasselli G., Pesenti A., & Cecconi M. (2020). Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early
experience and forecast during an emergency response. Jama, 323(16): 1545-1546.
https://doi.org/10.1001/jama.2020.4031
Unstructured Citation
Grasselli G., Zangrillo A., Zanella A., Antonelli M., Cabrini L., Castelli A., & Iotti G. (2020). Baseline characteristics
and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. Jama, 323(16): 1574-1581.
https://doi.org/10.1001/jama.2020.4031
Unstructured Citation
Gregis R., & Marazzi L. (2003). Il risk management nelle aziende sanitarie. Milano: FrancoAngeli. Guarner J. (2020). Three
emerging coronaviruses in two decades: the story of SARS, MERS, and now COVID-19. Am J Clin Pathol, 153: 420-421.
https://doi.org/10.1093/ajcp/aqaa029
Unstructured Citation
Gulino M., Vergallo G. M., & Frati P. (2011). The relevance of clinical risk management. Medicina nei secoli, 23(3): 901-914.
Unstructured Citation
Haley R. W., Culver D. H., White J. W., Morgan W. M., Emori T. G., Munn V. P., & Hooton T. M. (1985). The efficacy of infection
surveillance and control programs in preventing nosocomial infections in us hospitals. American journal of epidemiology, 121(2):
182-205.
https://doi.org/10.1093/oxfordjournals.aje.a113990
Unstructured Citation
Harbarth S., Sax H., & Gastmeier P. (2003). The preventable proportion of nosocomial infections: an overview of published
reports. Journal of Hospital infection, 54(4): 258-266.
https://doi.org/10.1016/S0195-6701(03)00150-6
Unstructured Citation
Harrington S. E., & Niehaus G. (2003). Capital, corporate income taxes, and catastrophe insurance. Journal of Financial Intermediation,
12(4): 365-389.
https://doi.org/10.1016/j.jfi.2003.07.001
Unstructured Citation
Imai T., Takahashi K., Hoshuyama T., Hasegawa N., Lim M. K., & Koh D. (2005). SARS risk perceptions in healthcare workers, Japan. Emerging Infectious Diseases, 11(3): 404-410.
Unstructured Citation
Jose A., & Lee S. M. (2007). Environmental reporting of global corporations: A content analysis based on website disclosures.
Journal of Business Ethics, 72(4): 307-321.
https://doi.org/10.1007/s10551-006-9172-8
Unstructured Citation
Kakodkar P., Kaka N., & Baig M. N. (2020). A comprehensive literature review on the clinical presentation, and management
of the pandemic coronavirus disease 2019 (COVID-19). Cureus, 12(4): e7560.
https://doi.org/10.7759/cureus.7560
Unstructured Citation
Kaya G. K., Ward J., & Clarkson J. (2019). A review of risk matrices used in acute hospitals in England. Risk Analysis, 39(5):
1060-1070.
https://doi.org/10.1111/risa.13221
Unstructured Citation
Koh D., Lim M. K., Chia S. E., Ko S. M., Qian F., Ng V., ... & Ng W. (2005). Risk Perception and Impact of Severe Acute Respiratory
Syndrome (SARS) on Work and Personal Lives of Healthcare Workers in Singapore What Can We Learn?. Medical Care, 43(7): 676-682.
https://doi.org/10.1097/01.mlr.0000167181.36730.cc
Unstructured Citation
Kohn L. T., & Corrigan J. M. (1999). To err is human: Building a safer health system. In: Donaldson M.S. (eds). Committee on Quality of Health Care in America. Washington, DC: Institute of Medicine.
Unstructured Citation
Kohn L. T., Corrigan J. M., & Donaldson M. S. (2000). Errors in health care: a leading cause of death and injury. In: To err is human: Building a safer health system. National Academies Press (US).
Unstructured Citation
Krippendorff K. (2018). Content analysis: An introand duction to its methodology. Los Angeles: Sage publications.
Unstructured Citation
Lajili K., & Zeghal D. (2005). A content analysis of risk management disclosures in Canadian annual reports. Canadian Journal
of Administrative Sciences/Revue Canadienne des Sciences de l’Administration, 22(2): 125-142.
https://doi.org/10.1111/j.1936-4490.2005.tb00714.x
Unstructured Citation
La Regina G. E. M., Romano E., Tardivo S., & Trinchero E. (2019). Rischio clinico in sanita e prevenzione dei rischi del paziente
ricoverato in ospedale. Italian Journal of Medicine, 7(1): 1-156.
https://doi.org/10.4081/itjm.q.2019.6
Unstructured Citation
Liu Q., Luo D., Haase J. E., Guo Q., Wang X. Q., Liu S., ... & Yang B. X. (2020). The experiences of health-care providers
during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health, 8(6): e790-e798.
https://doi.org/10.1016/S2214-109X(20)30204-7
Unstructured Citation
Livingston E., & Bucher K. (2020). Coronavirus disease 2019 (COVID-19) in Italy. Jama, 323(14): 1335-1335.
https://doi.org/10.1001/jama.2020.4344
Unstructured Citation
Loutfy M. R., Wallington T., Rutledge T., Mederski B., Rose K., Kwolek S., ... & Glassman E. (2004). Hospital preparedness
and SARS. Emerging infectious diseases, 10(5): 771.
https://doi.org/10.3201/eid1005.030717
Unstructured Citation
Lucas D. (1997). The causes of human error. In: Redmill R (Ed). Human Factors in Safety Critical Systems. Oxford: Butterworth Heinemann, 37-65.
Unstructured Citation
Mangram A. J., Horan T. C., Pearson M. L., Silver L. C., Jarvis W. R., & Hospital Infection Control Practices Advisory Committee
(1999). Guideline for prevention of surgical site infection, 1999. American journal of infection control, 27(2): 97-134.
https://doi.org/10.1016/S0196-6553(99)70088-X
Unstructured Citation
Mash B. (2020). Primary care management of the coronavirus (COVID-19). South African Family Practice, 62(1): e1-e4.
https://doi.org/10.4102/safp.v62i1.5115
Unstructured Citation
McAleer M. (2020). Prevention is better than the cure: Risk management of COVID-19. South African Family Practice, 62(1):
e1-e4.
https://doi.org/10.3390/jrfm13030046
Unstructured Citation
Melato M., Santin C., & Zigrino F. (2008). Da individuale a sociale: una proposta di gestione del rischio in sanita. Mecosan, 17(66): 75-85.
Unstructured Citation
Messano G., De Bono V., Di Folco F., & Marsella L. (2014). Past and present of risk management in healthcare. SANITA PUBBLICA, 421-427.
Unstructured Citation
Nesmith J. (2003). SARS economic impact soared above health costs. The Atlanta Journal-Constitution, 1.
Unstructured Citation
Peeri N. C., Shrestha N., Rahman M. S., Zaki R., Tan Z., Bibi S., ... & Haque U. (2020). The SARS, MERS and novel coronavirus
(COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned?. International journal of
epidemiology, 49(3): 717-726.
https://doi.org/10.1093/ije/dyaa033
Unstructured Citation
Perna A., Perrella G., Perna C., & Vacchiano G. (2010). L’affare rischio clinico. Trasferimento assicurativo e gestione diretta: Trasferimento assicurativo e gestione diretta. Milano: FrancoAngeli.
Unstructured Citation
Pittiruti M., & Scoppettuolo G. (2017). La prevenzione delle infezioni del sito chirurgico e le linee guida. Impatto e prevenzione delle infezioni del sito chirurgico: una proposta di lavoro sulle Linee guida, 11. Reason J. T. (2001). Understanding adverse events, the human factor. I Vincent C. Clinical risk management. Enhancing patient safety, 2.
Unstructured Citation
Sale D. (2005). Understanding Clinical Governance and Quality Assurance. New York: Palgrave Macmillan.
Unstructured Citation
Smith E. D., Siefert W. T., & Drain D. (2009). Risk matrix input data biases. Systems Engineering, 12(4): 344-360.
https://doi.org/10.1002/sys.20126
Unstructured Citation
Smith R. D. (2006). Responding to global infectious disease outbreaks: lessons from SARS on the role of risk perception, communication
and management. Social science & medicine, 63(12): 3113-3123.
https://doi.org/10.1016/j.socscimed.2006.08.004
Unstructured Citation
Spinelli A., & Pellino G. (2020). COVID‐19 pandemic: perspectives on an unfolding crisis. The British Journal of Surgery.
https://doi.org/10.1002/bjs.11627
Unstructured Citation
Tang J. W., & Chan R. C. W. (2004). Severe acute respiratory syndrome (SARS) in intensive care units (ICUs): limiting the
risk to healthcare workers. Current Anaesthesia & Critical Care, 15(3): 143-155.
https://doi.org/10.1016/j.cacc.2004.05.003
Unstructured Citation
Trinchero E. (2019). L’approccio sistemico alla gestione dei rischi in sanita. QUADERNI – Italian Journal of Medicine, 7(6): 1-7.
Unstructured Citation
Trinchero E. & Lega F. (2016). Governare la sala operatoria nell’ospedale del XXI secolo. Qualita, sicurezza, efficienza. Milano: Egea.
Unstructured Citation
Vatanpour S., Hrudey S. E., & Dinu I. (2015). Can public health risk assessment using risk matrices be misleading?. International
Journal of Environmental Research and Public Health, 12(8): 9575-9588. Wang C., Cheng Z., Yue X. G., & McAleer M. (2020).
Risk management of COVID-19 by universities in China. J. Risk Financial Manag., 13(2): 36.
https://doi.org/10.3390/ijerph120809575
Unstructured Citation
Xu K., Cai H., Shen Y., Ni Q., Chen Y., Hu S., ... & Qiu Y. (2020). Management of corona virus disease-19 (COVID-19): the Zhejiang experience. Journal of Zhejiang University (medical science), 49(1): 147-157.
Unstructured Citation
Yassi A., Moore D., FitzGerald J. M., Bigelow P., Hon M. C. Y., Bryce E., & BC Interdisciplinary Respiratory Protection Study
Group (2005). Research gaps in protecting healthcare workers from SARS and other respiratory pathogens: an interdisciplinary,
multi-stakeholder, evidence-based approach. Journal of occupational and environmental medicine, 47(1): 41.
https://doi.org/10.1097/01.jom.0000150207.18085.41
Unstructured Citation
Zangrandi A., Fanelli S., Lanza G., & Francesconi
Unstructured Citation
Zhu N., Zhang D., Wang W. et al. (2020). A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med, 382:
727-733.
https://doi.org/10.1056/NEJMoa2001017
Unstructured Citation
Zoia C., Bongetta D., Veiceschi P., Cenzato M., Di Meco F., Locatelli D., & Fontanella M. M. (2020). Neurosurgery during the
COVID-19 pandemic: update from Lombardy, northern Italy. Acta Neurochirurgica, 162: 1221-1222.
https://doi.org/10.1007/s00701-020-04305-w