The Impact on Healthcare Workers of Italian Law n. 24/2017 “Gelli–Bianco” on Patient Safety and Medical Liability: A National Survey

Giuseppe Davide Albano, Arianna Rifiorito, Ginevra Malta, Erika Serena Sorrentino, Vincenzo Falco, Alberto Firenze, Antonina Argo and Stefania Zerbo
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Giuseppe Davide Albano: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Arianna Rifiorito: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Ginevra Malta: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Erika Serena Sorrentino: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Vincenzo Falco: Department of Economics, Business, and Statistics, University of Palermo, Viale delle Scienze, Building 13, 90128 Palermo, Italy
Alberto Firenze: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Antonina Argo: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy
Stefania Zerbo: PROMISE Department, University of Palermo, Piazza Marina, 61, 90133 Palermo, Italy

IJERPH, 2022, vol. 19, issue 14, 1-13

Abstract: Italian “Gelli–Bianco” law (law n. 24 enacted by the Italian Government on 8 March 2017) introduced innovative changes and regulations regarding patient safety and healthcare workers’ (HCWs) liability. We promoted a national survey to evaluate the effect of the law on HCWs. The questionnaire was edited and distributed using the free online tool “Google Forms” (Google LLC). The mode of administration chosen for the questionnaire was telematic self-completion. In particular, the questionnaire was sent to several portals of information, websites, in the scientific and medical sectors. Four hundred forty-five subjects participated in the survey. The differences in categorical variables for Gelli–Bianco Law reading with professional variables were analyzed in a univariate analysis using the Chi-square test and Fisher’s exact test. Reading the law is significantly and positively related to knowledge and communication of adverse events and sentinel events, checklist adoption, and participation in educational activities on risk management. The law’s implementation and promotion is a reliable educational tool for increasing patient safety culture and involving HCWs in risk management activities. Knowledge of the law, related education, and understanding of its application are still inadequate; therefore, educational programs regarding patient safety, risk management, and the contents of the law itself must be vigorously promoted to achieve clinical governance goals.

Keywords: law “Gelli–Bianco”; patient safety; medical malpractice; medical liability; clinical risk management; survey; healthcare workers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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