AUTHOR: Sante Venettoni, Lucia Rizzato, Paola Di Ciaccio, Alessandro Nanni Costa
KEYWORDS: Organ transplantation, risk management, adverse events
ABSTRACT: Many activities contribute to the success of organ transplant, each of them characterized by different levels of efficiency and efficacy. Even if such a complexity is inborn in this system and influences its performance, safety must always be guaranteed. In order to ensure this prerequisite, planning and management are the best solutions. Even though it is impossibile to eliminate human errors, clinical governance principles can reduce adverse events and help to learn from them.
For this reason all the workers in the transplant field should transform the fatalistic approach to risk management into a scientific approach, moving from corrective-reactive actions to corrective- preventive actions. This change would allow European National Heath Systems to better meet the requirements of the forthcoming European Directive on organ transplant.
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