Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy.
Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, 00185 Rome, Italy.
Int J Environ Res Public Health. 2021 Dec 21;19(1):15. doi: 10.3390/ijerph19010015.
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.
该综合征框架提出的 2021-2030 年世界卫生组织 (世卫组织) 行动计划，为病人安全和启用技术在卫生服务中涉及更有效的解释数据，了解因果关系。基于系统理论，本通信提出了“系统临床风险管理”(SCRM)，以提高医疗质量和患者安全。这是一个新的临床风险管理模型，能够发展观察和综合不同元素的能力，从而进行深入干预，以实现与卫生服务可持续发展相一致的解决方案。为了避免与使用使能技术相关的无控制决策，我们设计了一个基于贝叶斯方法的内部学习算法风险管理 (LARM) 级别。此外，根据“做好工作的伦理”，SCRM 不是对已经发生的事件发表意见，而是提出一种生物伦理合作，因为它从科学的角度建议了采取行动的最佳方式。
