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FrancoAngeli Journals

Saggi

No. 126 (2023)

What skills and competences profiles for the Patient Safety Manager?

DOI
https://doi.org/10.3280/mesa2023-126oa17290
Submitted
febbraio 16, 2024
Published
2024-04-24

Abstract

Improving the safety and protection of patients from health threats are fundamental objectives of the health policy of the State and of the European Union.
The guarantee of safety, understood as the “dimension of the quality of health care, which guarantees, through the identification, analysis and management of risks and possible accidents for patients, the design and implementation of operating systems and processes that minimize the probability of error, the potential risks and the consequent possible harm to patients” (Glossary of the Ministry of Health), requires the development of the skills and competences necessary to manage and implement changes in behavior and therefore changes to the system.
So much also because of the approving regulatory provisions on clinical risk which, net of their final drafting, provide a strong cultural intervention for training on risk prevention, reinforcing the concept of patient safety and therefore of quality of care, in compliance with what has already been recommended by the WHO since 2006 and by the European Union with the recommendation of Council of 2009.
In particular, it is hoped that clinical risk management activities are hinged within the scope of safety and quality management systems, as happens in all organizations ad high complexity in the world. The coordination of the main functions, then, could be divided into two areas, the first of which concerns the clinical activities of analysis and anticipation of adverse events, to be reported to experienced health professionals both in their own specialist field and in systemic analysis (clinical risk manager); the second, on the other hand, relates to the activities of monitoring and evaluation of safety and appropriateness, attributed to area professionals psycho-social and polytechnic (patient safety manager). Well, if for the first context it appears well defined the profile of the skills and competences required to perform the operational function of clinical risk manager, the patient safety manager as responsible for safe activities managerial cut, it is far from being defined both in terms of skills and competences necessary. This work aims to outline, drawing from the scientific literature, from health policy documents, rather than from the analysis of the implementation of particular organizational models already in place in certain public health companies, the framework within which to develop the necessary curriculum. to the definition of the patient safety manager, determining his physiognomy, starting from the principles of the WHO curriculum for the safety of care. Assuming that patient safety is based on the science of ergonomics and the human factor, it must be a professional with the skills and competences useful for managing the interactions between human, technological and organizational factors, in a systemic perspective, the only answer possible due to the complexity of the challenges posed by health services.

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