Health and safety at work: the prevention model in Italy. WP C.S.D.L.E. “Massimo D’Antona”.IT – 408/2020

A research itinerary aimed at clarifying the substantive content and the type of prevention that shapes the rules for the protection of health and safety of workers in the Italian legal system. The focus will be on the difference between primary and secondary prevention in the warranty of fundamental right

Quality assessment of medical record as a tool for clinical risk management: a three year experience of a teaching hospital Policlinico Umberto I, Rome

Introduction: The medical record was defined by the Italian Ministry of Health in 1992 as "the information tool designed to record all relevant demographic and clinical information on a patient during a single hospitalization episode". Retrospective analysis of medical records is a tool for selecting direct and indirect indicators of critical issues (organizational, management and technical). The project’s aim being the promotion of an evaluation and self-evaluation process of medical records as a Clinical Risk Management tool to improve the quality of care within hospitals. Methods: The Authors have retrospectively analysed, using a validated grid, 1,184 medical records of patients admitted to the Teaching Hospital “Umberto I” in Rome during a three-year period (2013-2015). Statistical analysis was performed using SPSS for Windows © 19:00. All duly filled out criteria (92) were examined. “Strengths” and "Weaknesses" were identified through data analysis and Best and Bad Practice were identified based on established criteria. Conclusion: The data analysis showed marked improvements (statistically significant) in the quality of evaluated clinical documentation and indirectly upon behaviour. However, when examining some sub-criteria, critical issues emerge; these could be subject to future further corrective action

Malpractice and patient safety descriptors: an innovative grid to evaluate the quality of clinical records

Introduction: The medical record contains all the health information related to the patient’s clinical condition and its evolution during hospitalization. It was defined by the Italian Ministry of Health in 1992 as "The information tool designed to record all relevant demographic and clinical information about a patient during a single episode of hospitalization". The documents and information in a Medical Record must meet the following criteria: traceability, clarity, accuracy, authenticity, pertinence and completeness. The objectives of our study was to develop a tool capable of assessing the quality of the clinical record and pointed the critical point at the Organizational, Technical - Professional, Managerial level. Methods: To evaluate the quality of the medical documentation, we created an assessment grid composed of 4 sections with a total of 92 criteria. This grid was tested on 200 medical records that were randomly selected from 25 (18 medical and 7 surgical) wards of a teaching hospital in Rome. Results: The grid contains 4 sections. The first part regards administrative and clinical data; the second assesses the quality of hospital stay and surgical/invasive procedures; the third part is concerned with the discharge of the patient and the fourth aims to identify the presence of advisory reports given to the patient. This grid has been validated to verify internal consistency with Cronbach's Alpha = 0,743. Conclusions: Medical records were analyzed using a validated tool with grids to identify critical issues in care activities. Weaknesses in the system were identified in order to improve planning. The sample testing also in terms of ‘self-assessment' represents a tool to introduce activities to improve safety and quality of care, greatly reducing the costs of litigation

The Social Partners and the Welfare State in Italy: Challenges and Opportunities. WP C.S.D.L.E. “Massimo D’Antona”.IT – 388/2019

This paper offers a critical overview of the involvement of the social partners in the development of the Italian welfare state. The role taken on by the social partners in the Italian welfare system is considered a significant driving force for the development of collective bargaining at its different levels. Contractual social security is a dynamic and articulated reality in Italy, and it certainly contributes to the overall upkeep of the Italian system of industrial relations as much as to the qualitative and quantitative increase of the entire supply of social protection for workers. At the same time, the highly unequal spreading of access to forms of supplementary pensions and even more to corporate welfare, broadly speaking, with persistent discrepancies between strong or weak areas of the labour market, highlights all the limits of a system, which is typically the Italian one, that is not rooted to a strong base of universal public social protection schemes

Diritto, libertà, sicurezza. Fra inizio e compimento della Modernità

Il tema è la relazione del diritto con libertà e sicurezza. Definiti i tre lemmi, e indicata, in radice, una possibile connessione tra sicurezza e libertà, si passa a una storia della relazione nella Modernità, che inizia sotto il segno della sicurezza (spc. Hobbes) e si conclude sotto quello della libertà (spc. Tocqueville). In apertura e chiusura cenni sul bisogno post-moderno di sicurezz

Dpp e progetto di recupero funzionale e statico del Palazzo Ficini ad Orentano - Comune di Castelfranco di Sotto (PI)

La tesi riguarda il trasferimento della Biblioteca Comunale Decentrata delle Frazioni e del Polo Preistorico dell’Esposizione Comunale di Archeologia del Territorio, attualmente situati ad Orentano nei Locali del Vecchio Teatro, verso l’immobile ex-Palazzo Ficini, del quale l’Amministrazione Comunale di Castelfranco di Sotto (Pisa) ipotizza l’acquisto. La committenza si prefigge inoltre di diversificare i servizi culturali comunali, con la realizzazione di una biblioteca, un informagiovani, locali espositivi e spazi per riunioni. La tesi si propone di: • analizzare lo stato di fatto, comprese le vicende storiche di Orentano, poco note, e dell’ex-Palazzo Ficini, finora mai indagate, ed i servizi culturali attualmente presenti; • analizzare la consistenza attuale del Palazzo dal punto di vista della sicurezza strutturale ai fini della sua verifica, necessaria in seguito al cambio di destinazione d’uso, secondo l’ordinanza n° 3274 del 2003 con successive modifiche ed integrazioni; • progettare la nuova sistemazione dell’ex-Palazzo Ficini; • analizzare il progetto dal punto di vista della sicurezza strutturale, con la proposta degli interventi necessari all’adeguamento

I piani settoriali a scala urbana

Il contributo propone un focus su alcuni strumenti di settore che affrontano specifiche tematiche alla scala urbana, con particolare riferimento agli strumenti per la tutela della qualità ambientale e per il governo della mobilità. Si evidenziano, in entrambi i casi, le significative interrelazioni tra problematiche ambientali e scelte relative all’evoluzione/trasformazione dei contesti urbani e al governo della mobilità e la conseguente necessità di una più stretta integrazione tra strumenti generali e settoriali, difficilmente conseguibile attraverso il solo coordinamento a posteriori tra strumenti elaborati separatamente e sulla base di approcci settoriali

Main constraints in developing public organic procurement

The present study investigates how to increase and improve school catering supply chains, to understand hindering factors and their perception in order to reveal drivers and constraints for POP. These include policy implementation instruments, changed values and attitudes, healthy nutrition policies, supply chain bottle necks, premium prices (to producers), successful procurement strategies and certification procedures. This work is based on a two-step survey concerning the Italian school food service system. Initially questionnaires were submitted to a qualified group of 50 producers and 50 caterers (managers of national and international companies of food service for school, local administrators who manage food services for the schools). The results of the questionnaires have subsequently been the basis to plan in-depth interviews with few decision makers who could represent both caterers and producers. The aim of this second step being to view how identified problems could be solved. The results show how the understanding and the acceptance of the organic food concept among the catering staff is crucial for the degree of success in each step of public organic procurement. The introduction of organic food in serving outlets needs appropriate support (such as qualification of key actors and a specific financial support). Other key aspects in this regard are laws and regulations promoting the procurement of quality food, policy interventions tackling more than one aspect of the problem, education programs, calls for tenders, negotiated procurement contracts and quality standards

Studio, progettazione e sperimentazione di un sistema di sicurezza per il portiere elettronico El.Go.

Studio, progettazione e sperimentazione di un sistema di sicurezza per il portiere elettronico El.Go. Il sistema El.Go. è un ausilio per il gioco del calcio destinato alle persone disabili. Il presente eleborato si occupa della parte di sicurezza