Azienda ospedaliero-universitaria "Policlinico G.Rodolico - San Marco"
Via C. A. Ciampi, Catania
095 4794436
qualita.rischioclinico@policlinico.unict.it
U.O. per la Qualità
e Rischio Clinico
dal 19 febbraio 2018
Per maggiori informazioni:
v.parrinello@ao-ve.it
095 4794434
info: qualita.rischioclinico@policlinico.unict.it
Live streaming on facebook page Qualità-e-Rischio-clinico
The official languages of the congress are Italian and English
Available simultaneous translation
Eng-ITA
ITA-Eng
Presentation
It has long been recognized that some widely used exams, as well as various surgical, pharmacological and healthcare treatments, do not benefit patients and may in fact do harm.
Requesting the AST, LDH, total CK, CK-MB or myoglobin for the diagnosis of an acute myocardial infarction; requesting the determination of markers for the diagnosis of neoplastic diseases in asymptomatic subjects; requesting routine pre-operative lab tests in low-risk patients of ASA classes 1-2 for minor and intermediate surgery; performing pre-operative chest scans in the absence of symptoms and clinical evidence of disorders capable of influencing surgery success; routinely performing skull x-rays after mild brain trauma; using bladder catheterization in the absence of specific evidence; using bladder training before removing a urinary catheter; dressing a surgical wound in the first 48 hours after surgery when there are no complications; replacing the mechanical ventilation circuits at regular intervals to reduce the risk of VAP; routinely using personal protective equipment to allow family members access into intensive therapy departments. These are just a few examples from a long list of diagnostic, therapeutic, and healthcare services that are not supported by evidence, yet continue to be prescribed and performed.
These exams and treatments represent a real, genuine waste of resources and a potential harm to patients.
This happens for many reasons: out of habit; to satisfy pressing demands by patients; for fear of medical and legal complications; because explaining to the patient that such procedures are not necessary requires more time; due to economic interests; because in healthcare organisations the quantity of services is rewarded over quality and appropriateness; to demonstrate an extensive scientific knowledge to the patient; or to blindly apply the concept of “doing everything possible”.
In 2011, the OECD (Organisation for Economic Co-operation and Development) estimated that in our country there are 22.4 MRIs and 31.6 CAT scans performed per one million inhabitants, both much higher than the OECD average (12.5 and 22.6, respectively).
A 2011 study carried out in an Italian hospital showed that only 56% of outpatient radiological services were appropriate. This means that 44% of these could have been avoided without having caused any harm to the patient.
The per capita consumption of antibiotics in Italy is among the highest in the OECD countries, though there are some differences among the Italian regions.
To start addressing these issues, in December 2012 Slow Medicine launched the project “DOING MORE DOES NOT MEAN DOING BETTER” (similar to the “CHOOSING WISELY” project already in place in the United States), joined by professional associations and numerous Italian scientific associations.
The Italian project is integrated into the Choosing Wisely International movement, which includes 25 countries on 5 continents, and has taken the name “Doing more does not mean doing better – Choosing Wisely Italy”.
The conference on May 7 and 8, 2020, also during the Year of the Nurse and the Midwife, has the purpose of encouraging reflection in our region about the current practice of healthcare professions and the future, increasingly affected by both limited resources and an increasing need for healthcare assistance.
The goal is to spread a new culture of quality healthcare services, in the interests of citizens and their health. Leading international and national experts will be present to illustrate methodologies, tools and ideas for a safer and more efficient approach to healthcare services.
PROGRAM
May 7
1:30-2:30 pm
Welcome coffee and participant registration
2:30-2:45 pm
V.Parrinello
Welcome
2:45-3:00 pm
A. Bonaldi
Presentation
3:00-3:45 pm
S. Pogliese, R. Razza, C. Spica, V. Torrisi, G. Bonaccorsi, M. Lanza, F. De Nicola, S. Giuffrida, A. Lazzara
Welcome remarks
1° SESSION
Choosing Wisely: doing more does not mean doing better
moderators:
A.M. Longhitano
B. Ragonese
4:00-4:30 pm
Daniel Wolfson
Choosing Wisely USA
4:30-5:00 pm
Wendy Levinson
Choosing Wisely Canada and International
5:00-5:30 pm
S. Vernero
Choosing Wisely Italy: achievements, strengths and upcoming challenges
5:30-6:00 pm
L. Gabutti
The Choosing Wisely project in the EOC (Cantonal Hospital Institution): development and results
May 8
2° SESSION
Health professionals and citizens together for better healthcare
Moderators:
A. Colombo
E. Fisicaro
9:00-9:30 am
P. Lachman
The partnership possible between health professionals, patients and citizens
9:30-10:00 am
F. Braga
Alliance with citizens in Choosing Wisely Italy
10:00-10:30 am
Trudy van der Weijden
Patient Decision Aids
Debate
11:00-11:30 am
Coffee break
3° SESSION
Choosing Wisely and training
Moderators:
A. Cappellani
D. Wolfson
11:30 am-12:00 pm
W. Levinson
Medical training and Choosing Wisely: the Canadian experience
12:00-12:20 pm
M. Francaviglia and the SISM working group
In collaboration with the National Conference of the Italian Secretariat of Medical Students
Recommendations by the Italian Secretariat of Medical Students
12:20-12:40 pm
M. Claus
Choosing Wisely and training specialists
12:40-1:00 pm
D. Colimberti
Choosing Wisely and training of senior personnel: the Executive Master’s program in the region of Sicily
1:30-2:30 pm
Light lunch
4° SESSION
Recommendations
moderators:
P. Vasta
C. Spica
2:30-2:50 pm
A. Agodi
Recommendations by the ANMDO- SITI (The Italian Association of Doctors of the Hospital Directions - Italian Society of Hygiene, Preventive Medicine and Public Health) and their evaluation in the hospitals
Hand hygiene, perioperative antibiotic prophylaxis, flow of people and equipment in the operating room and communication regarding hospital discharge and transfer
DISCUSSANT
R. Cunsolo
3:10-3:30 pm
B. Cavaliere
Recommendations by the FNOPI (National Federation of Nursing Profession Orders), ANIPIO (National Association of Nurses for the Prevention of Hospital Infections) and ANIARTI (Italian Association of Critical Care Nurses)
Bladder catheterization, preparing the patient for surgical procedure and access to the intensive care unit by family members.
DISCUSSANT
G. Scaravilli
3:50-4:10 pm
M. Lucchese
Recommendations by the SIPMeL (Italian Society of Clinical Pathology and Laboratory Medicine)
Laboratory investigations for pre-operative evaluation of low-risk patients, markers of acute myocardial infarction, neoplastic markers
DISCUSSANT
P. Noto
Moderators and Speakers
Antonella Agodi
Professor of Hygiene and Public Health
Director of the “GF Ingrassia” Department of Medical and Surgical Sciences and Advanced Technologies
University of Catania
Alessandro Cappellani
Professor of General Surgery
Director of the Department of General Surgery and Medical Surgical Specialties
University of Catania
Rosario Cunsolo
Medical Director of the San Marco Hospital of Catania
Scientific Secretary for the National Association of Hospital Medical Directors – Sicily
Franca Braga
Head of the Altroconsumo Centre for Health and Nutrition, Milano
Bruno Cavaliere
Head of the Health Professions – IRCCS San Martino Policlinic Teaching Hospital, Genoa
President of the Italian Committee of Nursing Directors
Domenico Colimberti
Scientific Director of the Executive Master in Slow Medicine, Palermo
Mirko Claus
National President of Federspecializzandi, Padua
Anna Colombo
Head of the UOS Risk Management Operating Unit, ARNAS Garibaldi, Catania
Emilia Fisicaro
Head of UOS Quality and Clinical Risk Management, ASP Catania
Martina Francaviglia
National Public Health Officer of the Italian Secretariat of Medical Students, Catania
Luca Gabutti
Medical Director, Department of Internal Medicine, Cantonal Hospital Institution, Ticino, Switzerland
Professor of Internal Medicine and Nephrology, University of Italian Switzerland, Lugano, Switzerland
Wendy Levinson
Professor of Medicine, University of Toronto
Chair of Choosing Wisely Canada and of Choosing Wisely International
Peter Lachman
CEO of the International Society for Quality in Health Care, Dublin
Mariano Lucchese
Medical Laboratory Director at the S. Antonio Abate Hospital, Trapani
Anna Maria Longhitano
Head of the Clinical Risk Medical Operating Unit at the Cannizzaro Hospital
Barbara Ragonese
Director of Quality and Patient Safety-Risk Manager- Six Sigma Black Belt, UPMC Italy
Carmelo Spica
President of the Order of Nurse Professionals in the Province of Catania
Gabriella Scaravilli
Nurse Coordinator of the Stroke Unit, Cannizzaro Hospital, Catania
Paola Noto
Physician of MCAU (Emergency Medicine and Surgery), Catania University Hospital
Pieremilio Vasta
President of the Advisory Board of the Catania University Hospital
Sandra Vernero
Vice President of Slow Medicine Italy. Coordinator of Choosing Wisely Italy
Daniel Wolfson
Executive Vice President and Chief Operating Officer of the ABIM Foundation
Trudy van der Weijden
Professor in Implementation of Clinical Practice Guidelines
School CAPHRI, Department of Family Medicine at Maastricht University, the Netherlands
2nd international meeting
1th international meeting
3rd international meeting
4th international meeting
SCIENTIFIC COMMITTEE
Francesco Basile
Antonio Bonaldi
Diana Cinà
Domenico Colimberti
Rosario Cunsolo
Sebastiano Ferlito
Giuseppe Giammanco
Giuseppe Liberti
Anna R. Mattaliano
Walter Mazzucco
Giuseppe Murolo
Antonino Rapidarda
Nuccio Sciacca
Carmelo Spica
Sandra Vernero
SCIENTIFIC SECRETARY
Epifania Giusa, Gabriella Patanè,
Maria Rosa Zinna
ORGANIZATIONAL SECRETARIAT
Responsabile: Angelo Gambera
Rosaria Di Stefano, Maria Grasso, Michela Messina, Federica Nicolosi, Paola Ragusa, Cristina Ruggieri, Alma Scalia, Anna Torrisi, Gianluca Vaccaro, Rosario Viglianesi
TECHNICAL STAFF
Rosario Trovato, Rosario D’Amico,
Santo Di Dio, Cristoforo Finocchiaro,
Vito Freni
MULTIMEDIA SERVICES
Responsabile: Salvatore Favitta
Pina Catania, Agata Lanzafame,
Damiano Nicosia, Francesca Patanè
MEDICAL INFORMATICS
Antonino Drago, Rosario Raineri
ADMINISTRATIVE MANAGEMENT
Maurizio Grasso, Monica Castro, Giusi Cavalli, Francesco D’Antoni, Mario Di Dio, Simona Di Virgilio, Giovanni Gullotta, Rina Musumeci, Salvatore Privitera, Vittoria Venuto, Orazio Vinciguerra, Maria Vassallo
ORGANIZING COMMITTEE
Vincenzo Parrinello
Maria Anelli
Antonietta Campo
Anna Colombo
Carmela Conte
Antonio Di Maria
Emilia Fisicaro
Anna M. Longhitano
Tommaso Mannone
Giuseppe Saglimbeni
Salvatore Scarlata
Patrizia Settanni
Torre Biologica F. Latteri, via S. Sofia n. 89, Catania
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