INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE最新文献

{"title":"The balance between professional autonomy and organizational obligations in resilient management of specialized health care: A Norwegian document study.","authors":"Anette Sleveland,&nbsp;Tone Hoel Lende,&nbsp;Håvard Søiland,&nbsp;Kirsten Lode,&nbsp;Geir Sverre Braut","doi":"10.3233/JRS-210003","DOIUrl":"https://doi.org/10.3233/JRS-210003","url":null,"abstract":"<p><strong>Background: </strong>Adverse events in hospitals may jeopardize the safety of patients. Failure in professional autonomy, organizational learning or in the contact between these two factors may explain the occurrence of injurious incidents in hospitals.</p><p><strong>Objective: </strong>To study reasons for failure in contact between professional autonomy and organizational learning in resilient management of specialized health care through document analysis.</p><p><strong>Methods: </strong>A total of 20 reports from the Norwegian Board of Health Supervision were evaluated by a retrospective in-depth document analysis. In the analysis of adverse events, we applied the Braut model to identify function or failure of 1. Professional autonomy, 2. Organizational learning and 3. Contact between professional autonomy and organizational learning.</p><p><strong>Results: </strong>Multivariable regression analysis showed that failure in organizational learning was the only explanatory variable for failure in contact between doctors and nurses autonomy and organizational learning. Failure in organizational learning had the strongest effect on failure in contact between doctors and nurse's autonomy and organizational learning (B = 1.69; 95% CI = 0.45 to 2.92). Failure in professional autonomy showed no significant effect on this contact.</p><p><strong>Conclusions: </strong>Failure in organizational learning is associated with failure in contact between professional autonomy and organizational learning. Failure in professional autonomy did not influence this contact.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 4","pages":"335-355"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39455841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of human error on medical procedures.","authors":"Daniela Frazão,&nbsp;José Sobral","doi":"10.3233/JRS-210019","DOIUrl":"https://doi.org/10.3233/JRS-210019","url":null,"abstract":"<p><strong>Background: </strong>Human error has been studied for large decades with special application to critical infrastructures and processes where the impact of such errors can induce severe or catastrophic consequences. In this sense it is of utmost importance to extend this type of analysis to other fields as medicine.</p><p><strong>Objective: </strong>This study proposes a semi-quantitative human error risk assessment methodology, including the analysis of the so-called Performance Shaping Factors (PSFs), in order to contribute to health services improvement.</p><p><strong>Methods: </strong>A questionnaire including the considered PSFs is answered in order to determine the impact of each PSF and its influence on human error. It allows performing a Human Error Risk Assessment (HERA) for both the patient (HERAp) and the quality of the service (HERAq).</p><p><strong>Results: </strong>The results show the PSFs with the highest impact factor. After applying corrective measures, it is possible to observe the impact on the reduction of the risk for patient and for the quality of the service.</p><p><strong>Conclusions: </strong>The application of the methodology with the inclusion of the impact of PSFs allows minimizing or mitigating failure modes with greater risk as well as increasing patient safety and promoting a better quality of medical procedures.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 3","pages":"287-298"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39455844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving nutritional assessment in acute medical admissions at a district general hospital.","authors":"Jeremy J Wong,&nbsp;Bhavesh V Tailor,&nbsp;Fangyue Chen,&nbsp;Robert Florance","doi":"10.3233/JRS-227025","DOIUrl":"https://doi.org/10.3233/JRS-227025","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition adversely affects clinical outcomes, necessitating a prompt and accurate assessment of nutritional status on admission. A variety of tools exist to aid nutritional assessment, of which the malnutrition universal screening tool (MUST) is recommended, but remains difficult to implement in practice.</p><p><strong>Objective: </strong>The aim of this audit was to improve the utilisation of the malnutrition universal screening tool (MUST) in the Acute Medical Unit (AMU) at Queen Elizabeth Hospital, King's Lynn. Specifically, patients should have a completed and accurate MUST score within 6 hours of arrival to AMU and high-risk patients (MUST score ≥2) should be referred to dieticians within 48 hours of admission. The first cycle was conducted by March 2019 and the second cycle was completed 1 year later to allow assessment of interventions actioned after the first cycle.</p><p><strong>Methods: </strong>We conducted a two-cycle audit evaluating the MUST completion and dietician referral rate of high-risk patients (defined as MUST ≥2) on the Acute Medical Unit in a district general hospital, with the standards of 80% and 100% respectively. A questionnaire was distributed after the first cycle exploring nurses' current experience and competence in using MUST.</p><p><strong>Results: </strong>In the first cycle, MUST scores were calculated correctly in 111/150 patients (74%) and 1/9 (11%) high-risk patients were referred to dieticians. After interventions, MUST scores were calculated correctly in 77/101 patients (76%) and 2/4 high-risk patients (50%) were referred to dieticians. The nurses (n = 19) who took part in the questionnaire felt confident in MUST completion, but the average score in an objective assessment was 67%.</p><p><strong>Conclusions: </strong>As per the literature, the first cycle demonstrated the under-utilisation of MUST in clinical practice. In response, we proposed additional face-to-face training for existing staff, the inclusion of an e-learning module within the staff's induction, and provision of ward MUST 'troubleshooting' booklets. MUST utilisation rates improved upon re-auditing, but not to target standards. We will need to consider potential barriers to sustainable change and implement interventions such as identification of nursing champions to overcome them.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 S1","pages":"S57-S61"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/24/jrs-33-jrs227025.PMC9844072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9329837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of digital solutions in alleviating the burden of IAPT's waiting times.","authors":"Keerthanaa Jayaraajan,&nbsp;Ahrabbey Sivananthan,&nbsp;Abeku Koomson,&nbsp;Aznavar Ahmad,&nbsp;Mohammed Haque,&nbsp;Mohammod Hussain","doi":"10.3233/JRS-227033","DOIUrl":"https://doi.org/10.3233/JRS-227033","url":null,"abstract":"<p><strong>Background: </strong>Previous reports have shown that there are long waiting times to commence therapy in the community-based mental health programme, IAPT (Improving Access to Psychological Therapies).</p><p><strong>Objective: </strong>This study aimed to explore both causes and potential solutions to alleviate the burden of these waits.</p><p><strong>Methods: </strong>A Systematic Literature Review (SLR) and Semi-Structured Interviews (SSIs) were conducted to identify causes and effects of these waits. Consequently, meaningful recommendations were made and tested with the aim of improving IAPT's waiting times.</p><p><strong>Results: </strong>SLR and SSIs revealed high 'Did Not Attend' (DNA) rates and a lack of support between initial appointments as being both a cause and effect of long waits. The identified issues were tackled with the development of an app design. Expert interviews and a mass survey fuelled the iterative process leading to a final prototype. Notable features included: therapist profile page, smart appointment reminders and patient timeline. Positive feedback was received from university students and ICS Digital, with scope to trial the app within Manchester CCG.</p><p><strong>Conclusions: </strong>In the long run, the app aims to indirectly shorten waiting times by addressing treatment expectations and serving as an IAPT companion along the patient journey, thus reducing anxiety and consequently DNAs.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 S1","pages":"S103-S110"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/0d/jrs-33-jrs227033.PMC9844064.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the documentation of chaperones during intimate examinations in a surgical admissions unit: A four-stage approach.","authors":"Anna Politis,&nbsp;Hannah Cook,&nbsp;Hugo M L Cohen,&nbsp;Anne Pullyblank","doi":"10.3233/JRS-227031","DOIUrl":"https://doi.org/10.3233/JRS-227031","url":null,"abstract":"<p><strong>Background: </strong>The General Medical Council (GMC) states that all intimate examinations should have a chaperone offered. Documentation of chaperone identity, or patient's refusal, is essential.</p><p><strong>Objective: </strong>This project aimed to improve documentation of chaperones during intimate examination of patients based in a Surgical Admissions Unit (SAU) within a large tertiary hospital in the Southwest of the UK.</p><p><strong>Methods: </strong>A Plan-Do-Study-Act (PDSA) cycle structure was used. Initial data collection and planning occurred in December 2019. Intervention implementation and analysis occurred from January 2020 to March 2021. Intervention 1 involved presenting results at a clinical governance meeting. Intervention 2 was information posters in the SAU and intervention 3 involved training sessions for nursing staff. Intervention 4 was editing the surgical clerking proforma.</p><p><strong>Results: </strong>Prior to interventions, chaperone identity or patient's refusal was correctly documented only 9.7% (N = 7 out of 72) of the time. Intervention 1 increased this to 34.6%. Following interventions 3 and 4, correct documentation was 25.0% and 28.6% respectively. After intervention 4 correct documentation was at 59.1%.</p><p><strong>Conclusions: </strong>Initial documentation of chaperones was poor. Interventions 1 to 3 were successful in educating clinicians how to document accurately, but engaging individuals in person was more successful than passive education through posters. Changing the proforma structure was the most successful intervention. This suggests a visual reminder for clinicians at the point of contact with the patient is the most effective way to encourage correct documentation of chaperones, improving patient care and clinical practice.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 S1","pages":"S91-S95"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/e8/jrs-33-jrs227031.PMC9844066.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10782287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic criteria for enduring sexual dysfunction after treatment with antidepressants, finasteride and isotretinoin.","authors":"David Healy,&nbsp;Audrey Bahrick,&nbsp;Maarten Bak,&nbsp;Angelo Barbato,&nbsp;Rocco Salvatore Calabrò,&nbsp;Barbara M Chubak,&nbsp;Fiammetta Cosci,&nbsp;Antonei B Csoka,&nbsp;Barbara D'Avanzo,&nbsp;Silvia Diviccaro,&nbsp;Silvia Giatti,&nbsp;Irwin Goldstein,&nbsp;Heiko Graf,&nbsp;Wayne J G Hellstrom,&nbsp;Michael S Irwig,&nbsp;Emmanuele A Jannini,&nbsp;Paddy K C Janssen,&nbsp;Mohit Khera,&nbsp;Manoj Therayil Kumar,&nbsp;Joanna Le Noury,&nbsp;Michał Lew-Starowicz,&nbsp;David E J Linden,&nbsp;Celine Lüning,&nbsp;Dee Mangin,&nbsp;Roberto Cosimo Melcangi,&nbsp;Omar Walid Muquebil Ali Al Shaban Rodríguez,&nbsp;Jalesh N Panicker,&nbsp;Arianna Patacchini,&nbsp;Amy M Pearlman,&nbsp;Caroline F Pukall,&nbsp;Sanjana Raj,&nbsp;Yacov Reisman,&nbsp;Rachel S Rubin,&nbsp;Rudy Schreiber,&nbsp;Stuart Shipko,&nbsp;Barbora Vašečková,&nbsp;Ahad Waraich","doi":"10.3233/JRS-210023","DOIUrl":"https://doi.org/10.3233/JRS-210023","url":null,"abstract":"<p><strong>Background: </strong>A set of enduring conditions have been reported in the literature involving persistent sexual dysfunction after discontinuation of serotonin reuptake inhibiting antidepressants, 5 alpha-reductase inhibitors and isotretinoin.</p><p><strong>Objective: </strong>To develop diagnostic criteria for post-SSRI sexual dysfunction (PSSD), persistent genital arousal disorder (PGAD) following serotonin reuptake inhibitors, post-finasteride syndrome (PFS) and post-retinoid sexual dysfunction (PRSD).</p><p><strong>Methods: </strong>The original draft was designed using data from two published case series (Hogan et al., 2014 and Healy et al., 2018), which represent the largest public collections of data on these enduring conditions. It was further developed with the involvement of a multidisciplinary panel of experts.</p><p><strong>Results: </strong>A set of criteria were agreed upon for each of the above conditions. Features of PSSD, PFS and PRSD commonly include decreased genital and orgasmic sensation, decreased sexual desire and erectile dysfunction. Ancillary non-sexual symptoms vary depending on the specific condition but can include emotional blunting and cognitive impairment. PGAD presents with an almost mirror image of unwanted sensations of genital arousal or irritability in the absence of sexual desire. A new term, post-SSRI asexuality, is introduced to describe a dampening of sexual interest and pleasure resulting from a pre-natal or pre-teen exposure to a serotonin reuptake inhibitor.</p><p><strong>Conclusions: </strong>These criteria will help in both clinical and research settings. As with all criteria, they will likely need modification in the light of developments.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 1","pages":"65-76"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/8b/jrs-33-jrs210023.PMC8925105.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39830630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EU health co-design policies to counteract the COVID-19 pandemic effect promoting physical activity.","authors":"Luca Zambelli,&nbsp;Francesco Pegreffi","doi":"10.3233/JRS-227012","DOIUrl":"https://doi.org/10.3233/JRS-227012","url":null,"abstract":"<p><strong>Background: </strong>The research is placed in the context of interdisciplinary medical-legal studies on the importance of promoting physical activity as a public health tool.</p><p><strong>Objective: </strong>The aim was to highlight the tools that can be used by EU members for planning interventions aimed at overcoming the consequences of the COVID-19 pandemic and for responding to a future crisis.</p><p><strong>Methods: </strong>First, the medical resources relating to the indirect and direct effects of the COVID-19 pandemic are analysed. Then, the results are compared with the measures of the EU bodies to verify the correspondence of the scientific arrests, with the political-regulatory interventions.</p><p><strong>Results: </strong>It was found that the prolonged closure of sports centres and the contagion from COVID-19 produce affects the body in a way that can only be recovered by motor activity. However, in the EU, there does not exist a regulatory harmonization about health issues that can directly impose the Members to implement their legislation to promote motor activity.</p><p><strong>Conclusions: </strong>The signing of the Rome Declaration at the Global Health Summit on 21 May 2021 constitutes an important and concrete commitment for the exchange in the medical-scientific field, and for an effective co-design of intervention strategies for the relaunch of physical activity within projects such as EU4Health and the two-year HealthyLifestyle4All campaign.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 2","pages":"133-144"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39771687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health protection and territorial health organization: The figure of the family and community nurse (IFeC).","authors":"di Paco D'Onofrio","doi":"10.3233/JRS-227005","DOIUrl":"https://doi.org/10.3233/JRS-227005","url":null,"abstract":"<p><strong>Background: </strong>The improvement of health represents a goal for all countries in the world in a global way and, compared to earlier stages of development, there is a significant focus by the public health system on community and home-based services in particular.</p><p><strong>Objective: </strong>This objective was reaffirmed during the last World Health Summit (May 2021), at which the leaders of the G20 countries, together with other member states, signed the \"Declaration of Rome\".</p><p><strong>Methods: </strong>The paper contains the study of the impact that the COVID-19 pandemic has determined on the organization of the health system, through the study of the data provided by the main national and international organizations in the health field.</p><p><strong>Results: </strong>It emerged that the field of personal, family and community care are certainly an area of growth for nursing, which also in the European context, is showing an increase importance given to services and care activities outside the hospital and home in particular. In all of this, the roles that nurses can assume are differentiated and articulated.</p><p><strong>Conclusions: </strong>In the complexity of this perspective, families and community seem to emerge as a point of reference for a nursing care that is certainly going through a decisive moment in the slow, but inexorable path towards the emancipation of its disciplinary status and the development of its ability to provide new, original and autonomous responses to the needs of the assisted population.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 2","pages":"177-183"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39910018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the quality of inpatient discharge summaries.","authors":"Samit Patel,&nbsp;Isabel Utting,&nbsp;Wan Wei Ang,&nbsp;Tessa Fautz,&nbsp;Rebecca Radmore,&nbsp;Panayiota Vourou,&nbsp;Lara Beaumont,&nbsp;Paula Ryeland,&nbsp;Ashling Lillis","doi":"10.3233/JRS-227026","DOIUrl":"https://doi.org/10.3233/JRS-227026","url":null,"abstract":"<p><strong>Background: </strong>Discharge summaries (DCS) are vital in facilitating handover to community colleagues. Unfortunately, at Whittington Health, General Practitioners (GPs) found it difficult to identify relevant information in DCS, and use of medical jargon meant patients did not understand details of their admission. With this quality improvement project, the team aimed to improve DCS to enhance patient-centered care.</p><p><strong>Objective: </strong>The aim of this quality improvement project (QIP) was to improve the quality of DCS by critiquing the ones produced within our trust and implementing various interventions.</p><p><strong>Methods: </strong>Multiple Plan-Do-Study-Act (PDSA) cycles were completed. A multi-disciplinary meeting was conducted to identify the needs of each party in a DCS. A new template was subsequently launched. Teaching was conducted and educational leaflets were disseminated hospital-wide. Quality of written communication was audited quarterly, and evaluated against quality indicators. Problems with DCS were identified via GP and patient feedback, and these became the focus of subsequent PDSA cycles.</p><p><strong>Results: </strong>From March 2019 to February 2020, all the audited categories improved, with an overall improvement from 67% to 92%. We also received positive feedback from GPs.</p><p><strong>Conclusions: </strong>Quality of DCS can be improved with appropriate interventions, leading to improved patient care. A similar PDSA cycle could be utilized elsewhere to achieve similar results.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 S1","pages":"S63-S67"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/b3/jrs-33-jrs227026.PMC9844071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9329834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digitizing health data for public health protection in the context of European and international coordination.","authors":"Jennifer Tuzii","doi":"10.3233/JRS-227011","DOIUrl":"https://doi.org/10.3233/JRS-227011","url":null,"abstract":"<p><strong>Background: </strong>The health sector has long been affected by programs, actions, plans to digitize data and care processes with a view to better protecting individual health, as well as public health, resulting in a slow and uneven development of different and often incompatible national services.</p><p><strong>Objective: </strong>This paper aims to explore the grounds behind the urgency of turning the digital priority into concrete actions, as acknowledged by political leaders in the Rome Declaration, by explaining the capacity of digital tools to enhance healthcare management and the current obstacles.</p><p><strong>Methods: </strong>It considers the progressive extension of the EU institutions' scope of action during the pandemic, the related supporting financial strategies launched and some examples of digital contact tracing systems.</p><p><strong>Results: </strong>It emerged that the pandemic highlighted the inadequacy of purely national policies and the advantages of leveraging the digital health data processing for governance, surveillance and response to cross-border and global threats.</p><p><strong>Conclusions: </strong>Considering what emerged during the pandemic and the solemn commitment of the world's major political leaders, the solution to the still existing technical and organizational interoperability issues will no longer be postponed.</p>","PeriodicalId":45237,"journal":{"name":"INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE","volume":"33 2","pages":"157-166"},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39771686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}