From Syndemic Lesson after COVID-19 Pandemic to a “Systemic Clinical Risk Management” Proposal in the Perspective of the Ethics of Job Well Done

Francesco De Micco, Anna De Benedictis, Vittorio Fineschi, Paola Frati, Massimo Ciccozzi, Leandro Pecchia, Rossana Alloni, Nicola Petrosillo, Simonetta Filippi, Giampaolo Ghilardi, Laura Leondina Campanozzi and Vittoradolfo Tambone
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Francesco De Micco: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Anna De Benedictis: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Vittorio Fineschi: Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, 00185 Rome, Italy
Paola Frati: Department of Anatomical, Histological, Forensic and Orthopaedic Sciences (SAIMLAL), Sapienza University of Rome, 00185 Rome, Italy
Massimo Ciccozzi: Medical Statistics and Molecular Epidemiology Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Leandro Pecchia: Applied Biomedical Signal Processing and Intelligent eHealth Lab, University of Warwick (UK), Warwick CV4 7AL, UK
Rossana Alloni: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Nicola Petrosillo: Campus Bio-Medico University Hospital, 00128 Rome, Italy
Simonetta Filippi: Non Linear Physics and Mathematical Models Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Giampaolo Ghilardi: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Laura Leondina Campanozzi: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy
Vittoradolfo Tambone: Bioethics and Humanities Research Unit, Campus Bio-Medico University of Rome, 00128 Rome, Italy

IJERPH, 2021, vol. 19, issue 1, 1-6

Abstract: 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.

Keywords: clinical risk management; enabling technologies; big data; quality of care; patient safety; sustainability; support for policy making; medical ethics; Bayesian network (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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