In the month of September, under the "PIR - Clinical Risk" project of the Tuscany Region, Giulia Dagliana and Adriana Romani Vidal have been again on a mission at Ruaraka Uhai Neema Hospital to continue the training of healthcare personnel on clinical risk management and patient safety.

The management of clinical risk, in accordance with the guidelines of the World Health Organization (WHO), must be an integral part of the work of every health worker. A system of job control which is taking place in the service of the patient, aimed at preventing and reducing avoidable errors and their possible harmful effects.

In 2016, Giulia Dagliana he had already started the training of the health workers of the RU Neema on these issues and in the same year had introduced a very useful tool for risk management: the use of checklist in the operating room. Specifically, two tools: the Safe Childbirth checklist (checklist for safe delivery) for the improvement of maternal and child care, and more generally Surgical Safety checklist (surgical safety checklist) for improving surgical care.

The adoption of the checklist as a tool to improve patient safety checks and prevent critical issues, was positively received by the hospital staff. In particular the Safe Childbirth checklist, able to guide them in maternal and child care and to reduce, thanks to the work of prevention, the main ones causes of maternal and neonatal death.

After a first year of pilot project, from the introduction of the checklist as a tool for risk management, in 2018 ainvestigation of the staff of the hospital in order to monitor its use and collect evaluations from health professionals after the first period of use. The feed backs obtained were useful to improve the services offered based on the experience gained with this new tool and consequently to review the structure of the lists to better adapt them to the specific needs of the hospital.

This September, Giulia Dagliana and Adriana Romani returned to our hospital to introduce a new tool for risk management, un form for adverse events, a report of errors and possible errors, in which to collect a series of fundamental information to trace the path that allowed the adverse event to occur. This will allow you to prevent, control, classify the main adverse events occurring within the hospital to get a clearer understanding of the way our hospital works and thus improve its functioning.