italian hospital surgeons society - president vincenti speech
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8/7/2019 Italian Hospital Surgeons Society - President VIncenti Speech
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Born on 25th nov. 1980
ITALIAN HOSPITAL SURGEONS SOCIETY
ASSOCIAZIONE DEI CHIRURGHI OSPEDALIERI ITALIANI ± A.C.O.I.
2010 - 6.100 fellows
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Bylaw³The mission of ACOI´
� surgeons technical education� surgeons education on risk management and clinical governance
Since 2008 it has been added
� how to impr ove r elationship with citizens
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A.C.O.I.
surgeons technical education
National Program of C.M.E.
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� National or Regional Congr ess
� Seminar s
� Workshops
� Videofor um
� Live Surgery� Etc.
13
> 500
diagnostic and ther apeutic certif ied guidelines
National Pr ogr am of C.M.E.
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ACOI Schools of Surgery
� robotic
� laparoscopy� day surgery
� morbid obesity
� endocrine
� hepatic surgery
� coloproctology
� senology� pediatric
� microsurgery
National Pr ogr am of C.M.E.
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surgeons education
on risk management and clinical gover nance
Err or in execution Err or in planning
Institute of Medicine
ERRORS IN SURGERY
rule based mistake
knowledge based mistake
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BUT largely caused
lack of organization
and
clinical gover nance
Patient
Safety
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Italian Ministry of Health
Polytechnic Univer sity of Milan
Activecitizenship
ACOI Enterprises on Clinical Risk in Surgery
Advanced Cour ses
on Risk Management
in Surgery
National Pr oject on
Quality and Safety in the Oper ating Theatr e
Partners
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to impr ove r elationship with citizens
Quality Charter in Surgery
Pr oject on Quality and Safety in the Oper ating Theatr e
partner ship
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The Pr oject on Quality and Safety in the Oper ating Theatr e
was born in continuity with the initiative of the
³Quality Charter in Surgery´ and
wants to spread a culture of quality and safety
by the selection and promotion of best practices and
performance targets to support the processes of
assessment, benchmarking and
quality continuous improvement
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six oper ational objectives
� Inter nal Communication: To e s re a ong operators involve
in t e patient care effective and compre ensive inf or mation
� Documentation and tr aceability: an inf or mation tool of t e
team, ens ring t e tracea ilit of content and
perf or mance prescri ed and dispensed.
� Testing technology , dr ug contr ol
� Identif ying the right patient and the right site- to decrease
risk of mistaken identit
� Clinical Management: correctl set t e characteristics of the
patient: comor idities, aller gies, s r gical and anesthetic
risk assessment etc.
� Empowerment of the patient: so that he can acquire
k nowledge in the care pr ocess and sharing decisions.
the patient's contri ution to the err or prevention.
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�Visit
�Pre-admission
�Acceptance
�Pre-operative Care
�Patient¶s Check Out from Department
�Setting of Operating Room and staff
�Patient¶s Check In in Operative Room
�To Prepare patient for surgery
�Anesthesia Procedures
�Making Operation and patient monitoring�End of Operation
�Check-out of Operative Room
�Patient¶s Check-out from Operative Room
�Post-operative Care
�Patient¶s Discharge from Hospital
the working group has
identified
85 Actions (for 16 steps)
for Quality and Safetyalong the path of surgery
16 steps
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along two years of the project on a sample of 45
Hosp. (for about 150 O.R. and 18,000 sick beds)
the study showed, among other things
a good spr ead of clinical best pr actices (86%)
but on the contr ary
a clear lack of active involvement of the patient in
scheduled safety measur es (lack of empowerment)
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for these r easons A.C.O.I. decided on May 2010
to constitute a no-pr of it Foundation
�Surgeons
�Activecitizenship
�Bioethicists
�Sociologists
�Volunteers
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FONDAZIONE CHIRURGO E CITTADINO
what ar e its aims?
� professional development and training of surgeons
� the promotion of scientific research activities (M.I.S.)
� the organization of citizen health education campaigns
in the field of surgical disease
� Health information ³certified´ by ACOI
to achieve
a therapeutic alliance with the Citizen
and the involvement of Surgeons
willing to take an active part
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www.chirurgocittadino.it
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in order to celebrate
the 5th European Patients¶ Rights Day and
to contribute for putting Citizensat the Centre of EU Health Policy
has organized a major initiative to listen to
the Citizens¶ demands
The Day of Listening The Week of Listening
A mobilization of 258 Units of Surgerythrough a questionnaire,
based on the contents of the ³Charter of Quality in Surgery´,
on what the Citizen ³asks the surgeon´
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The Week of Listening
258 S.O.U.
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The Day of Listening
Rome 2nd April 2011
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at the end of the survey over 10,000
questionnaires will be analysed to detect the
critical issues
on what we could realistically build
ameliorating actions in the future.
for a patient oriented care in a holistic view !
final goal for the future
knowledge, dialogue, sharing