The digitization process and the evolution of Clinical Risk Management concept: The role of Clinical Engineering in the operational management of biomedical technologies

Frontiers in Public Health

Public Health

Gian Luca Viganò¹  Claudia Duri¹  Lucia Maria Ignoti¹  Martina Capuzzo¹  Paola Picozzi²  Matteo Verga²  Veronica Cimolin³ 

[1] ASST Spedali Civili di Brescia - SC Ingegneria Clinica, Brescia, Italy;ASST Spedali Civili di Brescia - SC Ingegneria Clinica, Brescia, Italy;Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy;Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy;S. Giuseppe Hospital, Istituto Auxologico Italiano, IRCCS, Piancavallo, Italy;

关键词: digitization process;    digital transformation;    thematic evolution;    clinical engineering;    operational management;    clinical risk management;    biomedical technologies;    management software;   

DOI  :  10.3389/fpubh.2023.1121243

 received in 2022-12-11, accepted in 2023-01-17,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionDigital transformation and technological innovation which have influenced several areas of social and productive life in recent years, are now also a tangible and concrete reality in the vast and strategic sector of public healthcare. The progressive introduction of digital technologies and their widespread diffusion in many segments of the population undoubtedly represent a driving force both for the evolution of care delivery methods and for the introduction of new organizational and management methods within clinical structures.MethodsThe CS Clinical Engineering of the “Spedali Civili Hospital in Brescia” decided to design a path that would lead to the development of a software for the management of biomedical technologies within its competence inside the hospital. The ultimate aim of this path stems from the need of Clinical Engineering Department to have up-to-date, realistic, and systematic control of all biomedical technologies present in the company. “Spedali Civili Hospital in Brescia” is not just one of the most important corporate realities in the city, but it is also the largest hospital in Lombardy and one of the largest in Italy. System development has followed the well-established phases: requirement analysis phase, development phase, release phase and evaluating and updating phase.ResultsFinally, cooperation between the various figures involved in the multidisciplinary working group led to the development of an innovative management software called “SIC Brescia”.DiscussionThe contribution of the present paper is to illustrate the development of a complex implementation model for the digitization of processes, information relating to biomedical technologies and their management throughout the entire life cycle. The purpose of sharing this path is to highlight the methodologies followed for its realization, the results obtained and possible future developments. This may enable other realities in the healthcare context to undertake the same type of pathway inspired by an accomplished model. Furthermore, future implementation and data collection related to the proposed Key Performance Indicators, as well as the consequent development of new operational management models for biomedical technologies and maintenance processes will be possible. In this way, the Clinical Risk Management concept will also be able to evolve into a more controlled, safe, and efficient system for the patient and the user.

【 授权许可】

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Copyright © 2023 Verga, Viganò, Capuzzo, Duri, Ignoti, Picozzi and Cimolin.