Innovation in Hospital Management: Strategies and Efforts for Patient and Healthcare Workers Safety and Prevention of Claims: 2nd Edition

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Healthcare Quality and Patient Safety".

Deadline for manuscript submissions: 31 January 2025 | Viewed by 865

Special Issue Editors


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Guest Editor
Department of Neuroscience, University of Padua, 35121 Padua, Italy
Interests: transfusion medicine; patient blood management; legal medicine; medico-legal autopsy; clinical risk management; damage; legal liability; medicolegal; implications
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Guest Editor
Department of Medicine, Surgery and Health Sciences, University of Trieste, 34127 Trieste, TS, Italy
Interests: public health education; legal medicine; medico-legal autopsy; clinical risk management; damage; legal liability; medicolegal implications; ethics; patient health organization
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Billions of medical and surgical procedures are performed every day in hospitals around the world. In recent years, and especially after the COVID-19 pandemic, the need for hospital organization capable of welcoming and managing the needs of the population is increasingly necessary. The World Health Organization (WHO) has urged member countries to implement reforms and promote new evidence-based practices.

In many ways, improvements and updates in clinical practice and organization are needed for the benefit of patients, their safety and health care workers. Hospital organization must consider the new general conditions in which it operates and in addition to the needs of COVID-19 patients, it must keep ordinary activities safe and this represents a challenge.

Western countries are experiencing what is called the "silver tsunami", a significant increase in the average age of the population with the consequent need to better calibrate the organization of hospitals and available resources. There is an evident lack of technologies and drugs such as plasma derivatives and it is therefore increasingly important to develop a strategy for the management of these new emerging aspects.

In Europe, investment programs are being developed that aim to increase the resilience of national systems in the health sector. These programs provide investment in technologies that can lead to technological and scientific innovation in order to maintain clinical activities and enable the development of scientific research innovation.

Clinical risk management is an increasingly necessary and important activity in this particular context that must be integrated in order to increase the safety of patients and healthcare professionals. A particular area of interest is nosocomial infections, which represent adverse events that must be prevented and often managed in the medical-legal field in terms of health responsibility and in the field of the autopsy.

Many publications on these topics can be found across the globe. This Special Issue aims to collect original research, case studies, literature evidence, case reports, studies that show examples of healthcare organization, peculiar cases in the organizational, medical staff, patient safety and safety at work and scientific innovation and research.

In this Special Issue, we invite researchers to submit research covering, but not limited to, the following potential topics: 

  • Health organization;
  • Technology innovation;
  • National rules and laws in medical liability and clinical risk management;
  • Patient safety;
  • Ethics in medicine;
  • Adverse events;
  • Violence against health workers;
  • Suicide risk prevention;
  • Infectious diseases;
  • Adverse drug reactions;
  • Patient blood management;
  • Environmental risks for healthcare personnel;
  • Healthcare-associated infections;
  • Death;
  • Autopsy;
  • Scientific research in medicine;
  • Postmortem investigation;
  • Vaccines.

Dr. Matteo Bolcato
Dr. Stefano D'Errico
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • clinical risk management
  • autopsy
  • medical liability
  • nosocomial infections
  • safety
  • technology
  • infectious diseases
  • diagnosis

Related Special Issue

Published Papers (2 papers)

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Research

24 pages, 2040 KiB  
Article
An Orthopedic Healthcare Facility Governance Assessed with a New Indicator System
by Flaviu Moldovan and Liviu Moldovan
Healthcare 2024, 12(11), 1080; https://doi.org/10.3390/healthcare12111080 - 24 May 2024
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Abstract
Background and Objectives: A sustainability-oriented hospital governance has the potential to increase the efficiency of healthcare services and reduce the volume of expenses. The objective of this research is to develop a new complex tool for evaluating healthcare facility governance as a component [...] Read more.
Background and Objectives: A sustainability-oriented hospital governance has the potential to increase the efficiency of healthcare services and reduce the volume of expenses. The objective of this research is to develop a new complex tool for evaluating healthcare facility governance as a component of social responsibility, integrated into sustainability. Materials and Methods: We designed the research to develop the domains of a new reference framework for evaluating healthcare facility governance. The methodology for designing the indicators that make up the new reference framework consists of collecting and processing the most recent and relevant practices regarding the governance of healthcare facilities that have been reported by representative hospitals around the world. Results: We designed eight indicators that are brought together in the healthcare facility governance indicators matrix. They have descriptions and qualitative and quantitative rating scales with values from 0 to 5 that allow the degree of fulfillment to be quantified. The importance of the indicators is evaluated on a specific scale described qualitatively and quantitatively by values from 0 to 5. The values of the degree of achievement–importance couples of the indicators allow the development of improvement measures with priority according to the results revealed by the Eisenhower-type assessment diagram. Conclusions: Validation in practice of the system of indicators at an emergency hospital in an orthopedic profile highlighted the fact that they can be integrated into other national and international reference frameworks implemented in the hospital. The added value of the implementation consists of the facilitation of sustainable development and the orientation of health personnel, patients, and interested parties toward sustainability. Full article
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16 pages, 4739 KiB  
Communication
South Tyrol Healthcare Company: A Look at a Peculiar Model of Claims Management in Italy and Analysis of Its Last 11 Years
by Martina Zanon, Francesco Randazzo, Valter Equisetto, Paolo Martini, Silvia Winkler, Christian Leuprecht, Stephan Vale, Antonia Tessadri, Monica Concato and Stefano D’Errico
Healthcare 2024, 12(11), 1070; https://doi.org/10.3390/healthcare12111070 - 24 May 2024
Viewed by 319
Abstract
Background: Alternative Disputes Resolution (ADR) systems are becoming increasingly important tools in recent years for the management and resolution of health responsibility cases, but their dissemination and efficiency are still poorly described. The purpose of this paper is to present an ADR system [...] Read more.
Background: Alternative Disputes Resolution (ADR) systems are becoming increasingly important tools in recent years for the management and resolution of health responsibility cases, but their dissemination and efficiency are still poorly described. The purpose of this paper is to present an ADR system in the autonomous province of Bolzano: the Conciliation Commission. Methods: systematic collection of all claims of the South Tyrol Sanitary Service that were dealt with in the Conciliation Commission from 1 January 2012 to 31 December 2022. Results: closing times of the applications received turn out to be less than a year in 63.8% of the cases, with a number of cases managed rather stably in the time, even if minimal if compared to the number of complaints received to the South Tirol Health Service. Only 5.3% of the application continued the legal process before a civil court. Conclusions: the Conciliation Commission of South Tirol appears to be an excellent instrument for the resolution of disputes in the healthcare field, with rapid resolution times and little to zero costs for the healthcare company, a public health institution. Despite its effectiveness, it seems to be a tool that is still little-known in South Tyrol. Full article
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