The impact of the implementation of clinical risk management tools in Pediatric or Neonatal Intensive Care Units: a systematic review

Maria Lucia Specchia, Gualtiero Ricciardi, Gianfranco Damiani, Andrea Di Pilla, Elettra Carini, Nila Tofani, Alessio Perilli

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Clinical risk management is a key area in terms of healthcare quality, especially within intensive-care settings and in the case of pediatric patients. The objective of this review is to assess the impact of tools for clinical risk management in pediatric intensive-care settings. Pubmed and Web of Science were queried to carry out a systematic review, using the PICO methodology (June 2019). Primary studies of applicative experiences of clinical risk management that had impacts in pediatric intensive care units were included. A total of 1178 articles were reviewed and 20 were included. Reactive risk management tools were used in 10 studies; proactive tools in 7; both reactive and proactive tools in 3. Sixteen studies out of 20 concerned drugs; other topics included: transition from hospital to primary care, hand hygiene, organizational aspects, human milk administration. Seven studies (35%) reported organizational impacts; Ten studies (50%) reported clinical and organizational impacts; Three studies (15%) reported organizational, clinical and economic impacts. The introduction of clinical risk management tools resulted in changes within the setting considered; combined use of reactive and proactive methodologies was highlighted in various studies, as well as an increasing focus on proactive tools, both drawing a growing trend over time.
Lingua originaleEnglish
pagine (da-a)225-239
Numero di pagine15
RivistaIGIENE E SANITÀ PUBBLICA
Volume76
Stato di pubblicazionePubblicato - 2020

Keywords

  • Child
  • Hospitals
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Quality of Health Care
  • Risk Management

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