Медицинская халатность: актуальность и перспективы

Summary. 29 of June 2012 the workshop with the agenda “Medical negligence”, organized by the Association “Economy, Management and Psychology in medicine” of the Republic of Moldova, Collective Member of the International Latin Association of Health Care System Analysis. There participated more than 30 persons including representatives of the Parlament of the Republic of Moldova Health Ministry scientists of the “Medical University” Nicolae Testemitanu and chiefmanagers of medical institutions. Besides of that, there were representatives from the other countries (Italy, Romania, Spain). In general, there were listened 12 reports, devoted to topical problems of medical negligence in different countries and there were made proposals in the sphere of improvement of legislation in this field.Резюме. 29 июня 2012 в г. Кишинэу был проведен рабочий семинар с повесткой дня “медицинская халатность", организованный Ассоциацией Экономика, менеджментa и психологии в медицине Республики Молдова - коллективным членом Международной Латинской Ассоциации Анализа Систем Здравоохранения. В работе семинара приняли участие более 30 человек, в том числе представители Парламента Республики Молдова, Министерства здравоохранения, ученые Медицинского университета им. Н. Тестемицану и руководители медицинских учреждений. В семинаре участвовали также 7 представителей из других стран - Италии, Румынии и Испании. Всего было заслушано 12 докладов, посвященных актуальным проблемам медицинской халатности в различных странах и сделаны предложения по улучшению законодательства в этой области

Canicola, mortalità e interventi di pronto soccorso durante l'estate

L'estate del 2003 è stata caratterizzata da temperature eccezionalmente elevate durante periodi insolitamente lunghi. Questo fenomeno non ha risparmiato né il Ticino, né la Svizzera in generale, con il riscontro di diversi primati meteorologici. Le ondate di calore hanno provocato un aumento significativo della mortalità in numerosi paesi europei, in particolar modo nei grandi centri urbani in Francia, in Germania e in Spagna. L'analisi dei dati per quanto concerne il Ticino, non evidenzia un aumento importante e persistente nel tempo della mortalità in occasione delle ondate di calore dell'estate 2003. A livello di popolazione con 65 anni e più e con 75 anni e più, non è stata osservata alcuna mortalità significativamente superiore ai valori attesi, né per quanto riguarda il bilancio delle tre ondate di calore, né per quanto riguarda la mortalità totale dal 1° giugno al 31 agosto 2003. Si osserva in compenso un aumento degli interventi in urgenza con autoambulanza sia durante il mese di giugno, sia durante le tre ondate di calore di giugno, luglio e agosto considerate insieme, così come sul bilancio globale del periodo dal 1° giugno al 31 agosto. Visto che la mortalità non è aumentata, si può ipotizzare una reazione efficace dei servizi sanitari presenti sul territorio nel nostro Cantone. [Autori]]]> Heat ; Climate ; Aged ; Mortality ita oai:serval.unil.ch:BIB_184 2022-05-07T01:11:28Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_184 Notes on African Lepidoptera - foodplant relationships as phyletic clues. Spichiger, R Vuattoux, R Savolainen, V info:eu-repo/semantics/article article 1997 Candollea, vol. 52, pp. 113-117 oai:serval.unil.ch:BIB_184074146752 2022-05-07T01:11:28Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_184074146752 Caractéristiques des participants à l'étude comparative des programmes de méthadone en Suisse romande Dauwalder, J. P. Cattaneo, A. Poncioni-Derigo, R. info:eu-repo/semantics/article article 1997 Recherches de l'OFSP en matière de dépendances, 1993-1996, pp. 235-240 oai:serval.unil.ch:BIB_18408 2022-05-07T01:11:28Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_18408 Des différences de traitement fiscal entre des personnes juridiques sont déclarées contraires à la Convention européenne des droits de l'homme. Flauss, JF info:eu-repo/semantics/article article 2001 Actualité juridique de droit administratif, vol. 7-8, pp. 658-662 oai:serval.unil.ch:BIB_1840808F2B60 2022-05-07T01:11:28Z openaire documents <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_1840808F2B60 The Interdisciplinary Centre for Mountain Research (CIRM): Fostering Transdisciplinarity for Transformation Research in Mountains info:doi:10.1659/mrd-journal-d-20-00051.1 info:eu-repo/semantics/altIdentifier/doi/10.1659/mrd-journal-d-20-00051.1 Reynard, Emmanuel Otero, Iago Clivaz, Mélanie info:eu-repo/semantics/article article 2020-11-20 Mountain Research and Development, vol. 40, no. 2 info:eu-repo/semantics/altIdentifier/pissn/0276-4741 Development; General Environmental Science; Environmental Chemistry eng https://serval.unil.ch/resource/serval:BIB_1840808F2B60.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_1840808F2B608 info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_1840808F2B608 info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/openAccess CC BY 4.0 https://creativecommons.org/licenses/by/4.0/ application/pdf oai:serval.unil.ch:BIB_18409 2022-05-07T01:11:28Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_18409 Partenariat enregistré. La situation en Suisse de lege ferenda: tendances et options. Sandoz, S. info:eu-repo/semantics/article article 2001 RSDIE, vol. 25.7.2001 fre oai:serval.unil.ch:BIB_1840A5FD6859 2022-05-07T01:11:28Z <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_1840A5FD6859 [ Compte-rendu de ] Un cartel parfait. Réseaux, R&amp;D, profits dans l'industrie suisse des câbles / Cortat Alain, Neuchâtel : Editions Alphil - Presses universitaires suisses, 2009 https://www.revue-traverse.ch/ausgabe/2010/2/les-intellectuels-en-suisse-au-20e-siecle-milieux-postures-engagements Humair, C info:eu-repo/semantics/article article 2010 Traverse : Revue d'histoire, no. 2, pp. 179-180 info:eu-repo/semantics/altIdentifier/pissn/978-3-905315-50-9 fre oai:serval.unil.ch:BIB_1840E4FACA48 2022-05-07T01:11:28Z openaire documents urnserval <oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"> https://serval.unil.ch/notice/serval:BIB_1840E4FACA48 Retrospective Analysis of the Production of the Revue d’Anthropologie des Connaissances https://www.cairn.info/revue-anthropologie-des-connaissances-2017-2-page-cy.htm The editorial board info:eu-repo/semantics/article article 2017-06-30 Revue d'Anthropologie des Connaissances, vol. 11, no. 2, pp. cy-du info:eu-repo/semantics/altIdentifier/pissn/1760-5393 <![CDATA[Based on the corpus of all articles published during the ten-year existence of the Revue d’Anthropologie des Connaissances, this article offers a retrospective analysis of the status of authors, of the categories of published items, of contents of abstracts and keywords, and of references enlisted in the contributions. This analysis makes it possible to understand what the editorial project has generated during the 10 years of publication of the journal with regard to its editorial project and its willingness to foster an open science. This retrospective analysis leads to a synthesis of the way in which the Revue d’Anthropologie des Connaissances contributes to the landscape of scientific publishing today

Utilizarea medierii transformative în aplanarea conflictului medic − pacient (studiu de caz)

Atelier de lucru al Asociaţiei Latine pentru Analiza Sistemelor de Sănătate (ALASS) cu tema: „Malpraxis medical: actualităţi şi perspective”, organizat de Asociaţia Economie, Management şi Psihologie în Medicină din Republica Moldova, membru instituţional, 29 iunie 2012, Chișinău, Republica MoldovaSummary. Using transformative mediation in settling the confl ict between doctors and patients (case study). Transformative mediation has been adapted (by Me.Dia.Re association) and experienced for the fi rst time in the Italian healthcare sector in 2005. Since then it has been proposed and applied in selected cases in most public healthcare structures in northern Italy, to prevent and reduce litigation. Transformative mediation (not mandatory) encourages each party to understand the needs, interests and views of the opposite party, aiming to transform relations between the parties. Thus it contributes to reduce litigation. In this article, the mediation team of the National Institute of Cancer in Milan describes and illustrates the transformative mediation tool, through two real cases from the experience of the Mediation Service, created in 2010.Rezumat. Utilizarea medierii transformative în aplanarea conflictului medic – pacient (studiu de caz). Medierea transformativă a fost adaptată (de către asociaţia Me.Dia.Re) şi experimentată pentru prima dată în sectorul sanitar italian în 2005. De atunci a fost propusă şi aplicată, în cazuri atent selecţionate, pentru prevenirea şi reducerea contenciosului în majoritatea structurilor sanitare publice din nordul Italiei. Medierea transformativă (care nu este obligatorie) încurajează fi ecare parte să înţeleagă nevoile, interesele şi punctele de vedere ale părţii opuse, având scopul de a transforma relaţiile dintre părţi. În acest fel, ea contribuie la reducerea contenciosului. În acest articol, echipa de mediatori a Institutului Naţional de Tumori din Milano descrie şi ilustrează metoda medierii transformative, cu ajutorul a două cazuri concrete din experienţa Serviciului de Mediere, creat în 2010

Exploring the patient safety culture in preventive medicine settings: an experience from Northern Italy

IntroductionPatient safety and quality in healthcare are inseparable. Examining patient safety culture in staff members contributes to further develop quality in healthcare. In Italy there has been some experience involving hospital staff. In this study we explored the safety culture in public health staff working in the Italian Local Health Authorities.MethodsWe carried out a descriptive cross sectional study in four Italian territorial Prevention facilities in Northern Italy. We administrated via web an adapted Italian version of the US Hospital Survey of Patient Safety Culture to all the staff. The survey consisted of 10 dimensions based on 33 items, according to results of previous psychometric validation.ResultsSeventy% of the staff responded to the survey (n. 479). Overall, six out of the 10 dimensions exhibited composites scores of positive responses frequency for patient safety culture below 50%. While communication openness (65%) was the most developed factor, team work across Units (37%) was the poorest one. The highest composites scores were obtained by the Management and the Public Health Laboratory, across the work areas, and by the Physicians, across the professional categories. The patient safety culture in the staff participating in this study was poorer than in hospital staff.DiscussionOur descriptive cross sectional study has been the first one to be carried out in preventive medicine settings in Italy. It has clearly indicated the need of improvement. Consequently, several interventions with this aim have been implemented

Malpraxis medical: actualităţi şi perspective

Atelier de lucru al Asociaţiei Latine pentru Analiza Sistemelor de Sănătate (ALASS) cu tema: „Malpraxis medical: actualităţi şi perspective”, organizat de Asociaţia Economie, Management şi Psihologie în Medicină din Republica Moldova, membru instituţional, 29 iunie 2012, Chișinău, Republica MoldovaSummary. The medical negligence: topicality and perspectives. 29 of June 2012 the workshop with the agenda “Medical negligence”, organized by the Association “Economy, Management and Psychology in medicine” of the Republic of Moldova, Collective Member of the International Latin Association of Health Care System Analysis. There participated more than 30 persons including representatives of the Parlament of the Republic of Moldova Health Ministry scientists of the “Medical University” Nicolae Testemiţanu and chief-managers of medical institutions. Besides of that, there were representatives from the other countries (Italy, Romania, Spain). In general, there were listened 12 reports, devoted to topical problems of medical negligence in different countries and there were made proposals in the sphere of improvement of legislation in this field.Резюме. Медицинская халатность: актуальность и перспективы. 29 июня 2012 в г. Кишинэу был проведен рабочий семинар с повесткой дня “медицинская халатность", организованный Ассоциацией Экономика, менеджмент и психология в медицине Республики Молдова - коллективный член Международной Латинской Ассоциации Анализа Систем Здравоохранения. В работе семинара приняли участие более 30 человек, в том числе представители Парламента Республики Молдова, Министерства здравоохранения, ученые Медицинского университета им. Н. Тестемицану и руководители медицинских учреждений. В семинаре участвовали также 7 представителей из других стран - Италии, Румынии и Испании. Всего было заслушано 12 докладов, посвященных актуальным проблемам медицинской халатности в различных странах и сделаны предложения по улучшению законодательства в этой области

Survival of European patients diagnosed with lymphoid neoplasms in 2000–2002: results of the HAEMACARE project

BACKGROUND: The European Cancer Registry-based project on hematologic malignancies (HAEMACARE), set up to improve the availability and standardization of data on hematologic malignancies in Europe, used the European Cancer Registry-based project on survival and care of cancer patients (EUROCARE-4) database to produce a new grouping of hematologic neoplasms (defined by the International Classification of Diseases for Oncology, Third Edition and the 2001/2008 World Health Organization classifications) for epidemiological and public health purposes. We analyzed survival for lymphoid neoplasms in Europe by disease group, comparing survival between different European regions by age and sex. DESIGN AND METHODS: Incident neoplasms recorded between 1995 to 2002 in 48 population-based cancer registries in 20 countries participating in EUROCARE-4 were analyzed. The period approach was used to estimate 5-year relative survival rates for patients diagnosed in 2000-2002, who did not have 5 years of follow up. RESULTS: The 5-year relative survival rate was 57% overall but varied markedly between the defined groups. Variation in survival within the groups was relatively limited across European regions and less than in previous years. Survival differences between men and women were small. The relative survival for patients with all lymphoid neoplasms decreased substantially after the age of 50. The proportion of 'not otherwise specified' diagnoses increased with advancing age. CONCLUSIONS: This is the first study to analyze survival of patients with lymphoid neoplasms, divided into groups characterized by similar epidemiological and clinical characteristics, providing a benchmark for more detailed analyses. This Europe-wide study suggests that previously noted differences in survival between regions have tended to decrease. The survival of patients with all neoplasms decreased markedly with age, while the proportion of 'not otherwise specified' diagnoses increased with advancing age. Thus the quality of diagnostic work-up and care decreased with age, suggesting that older patients may not be receiving optimal treatment

Survival of European patients diagnosed with lymphoid neoplasms in 2000-2002: results of the HAEMACARE project

The European Cancer Registry-based project on hematologic malignancies (HAEMACARE), set up to improve the availability and standardization of data on hematologic malignancies in Europe, used the European Cancer Registry-based project on survival and care of cancer patients (EUROCARE-4) database to produce a new grouping of hematologic neoplasma(defined by the International Classification of Diseases for Oncology, Third Edition and the 2001/2008 World Health Organization classifications) for epidemiological and public health purposes. We analyzed survival for lymphoid neoplasms in Europe by disease group, comparing survival between different European regions by age and sex. Design and Methods Incident neoplasms recorded between 1995 to 2002 in 48 population-based cancer registries in 20 countries participating in EUROCARE-4 were analyzed. The period approach was used to estimate 5-year relative survival rates for patients diagnosed in 2000-2002, who did not have 5 years of follow up. Results: The 5-year relative survival rate was 57% overall but varied markedly between the defined groups. Variation in survival within the groups was relatively limited across European regions and less than in previous years. Survival differences between men and women were small. The relative survival for patients with all lymphoid neoplasms decreased substantially after the age of 50. The proportion of ‘not otherwise specified’ diagnoses increased with advancing age.Conclusions: This is the first study to analyze survival of patients with lymphoid neoplasms, divided into groups characterized by similar epidemiological and clinical characteristics, providing a benchmark for more detailed analyses. This Europe-wide study suggests that previously noted differences in survival between regions have tended to decrease. The survival of patients with all neoplasms decreased markedly with age, while the proportion of ‘not otherwise specified’ diagnoses increased with advancing age. Thus the quality of diagnostic work-up and care decreased with age, suggesting that older patients may not be receiving optimal treatmen

Burden and centralised treatment in Europe of rare tumours: results of RARECAREnet - a population-based study

Background Rare cancers pose challenges for diagnosis, treatments, and clinical decision making. Information about rare cancers is scant. The RARECARE project defined rare cancers as those with an annual incidence of less than six per 100 000 people in European Union (EU). We updated the estimates of the burden of rare cancers in Europe, their time trends in incidence and survival, and provide information about centralisation of treatments in seven European countries. Methods We analysed data from 94 cancer registries for more than 2 million rare cancer diagnoses, to estimate European incidence and survival in 2000–07 and the corresponding time trends during 1995–2007. Incidence was calculated as the number of new cases divided by the corresponding total person-years in the population. 5-year relative survival was calculated by the Ederer-2 method. Seven registries (Belgium, Bulgaria, Finland, Ireland, the Netherlands, Slovenia, and the Navarra region in Spain) provided additional data for hospitals treating about 220 000 cases diagnosed in 2000–07. We also calculated hospital volume admission as the number of treatments provided by each hospital rare cancer group sharing the same referral pattern. Findings Rare cancers accounted for 24% of all cancers diagnosed in the EU during 2000–07. The overall incidence rose annually by 0.5% (99·8% CI 0·3–0·8). 5-year relative survival for all rare cancers was 48·5% (95% CI 48·4 to 48·6), compared with 63·4% (95% CI 63·3 to 63·4) for all common cancers. 5-year relative survival increased (overall 2·9%, 95% CI 2·7 to 3·2), from 1999–2001 to 2007–09, and for most rare cancers, with the largest increases for haematological tumours and sarcomas. The amount of centralisation of rare cancer treatment varied widely between cancers and between countries. The Netherlands and Slovenia had the highest treatment volumes. Interpretation Our study benefits from the largest pool of population-based registries to estimate incidence and survival of about 200 rare cancers. Incidence trends can be explained by changes in known risk factors, improved diagnosis, and registration problems. Survival could be improved by early diagnosis, new treatments, and improved case management. The centralisation of treatment could be improved in the seven European countries we studied. Funding The European Commission (Chafea)