/library/oar/handle/123456789/689 2025-11-14T01:26:26Z 2025-11-14T01:26:26Z Vella Bonanno, Patricia Srulovici, Einav Mira, José Joaquín Strametz, Reinhard Tella, Susanna Marinkovic, Valentina Rafaeli, Anat Tumelty, Mary Elizabeth Pitz, Andreas Guerra Paiva, Sofia Venesoja, Anu Buttigieg, Sandra C. /library/oar/handle/123456789/140794 2025-11-13T14:01:39Z 2025-01-01T00:00:00Z

Title: A framework for integrated safety in safety-management systems in healthcare Authors: Vella Bonanno, Patricia; Srulovici, Einav; Mira, José Joaquín; Strametz, Reinhard; Tella, Susanna; Marinkovic, Valentina; Rafaeli, Anat; Tumelty, Mary Elizabeth; Pitz, Andreas; Guerra Paiva, Sofia; Venesoja, Anu; Buttigieg, Sandra C. Abstract: Purpose – Notwithstanding increased patient safety initiatives, adverse events and their impact on those involved continue. The strategic approaches adopted to manage safety by other high-intensity, high-risk and complex industries, such as aviation, have led to an increase in the systems approach for safety management in healthcare organisations. Professional expertise from members of the European Researchers’ Network for Second Victims (ERNST) highlighted that safety and the second victim phenomenon are interconnected across the healthcare ecosystem, extending beyond individual healthcare organisations. Design/methodology/approach – Evidence from different sources, mainly the literature and practitioner professional expertise, was iteratively aggregated and analysed using theoretical systems-based approaches to conceptualise a framework for integrated safety in safety management systems in health. Findings – A cross-sectional view of the healthcare organisation affected by adverse events was presented as a baseline. The whole system (system levels) approach, representing the healthcare system at the micro-, meso- and macro-level, adapting the model for integrated care, was then adopted. A safety-generating culture was considered to integrate and network across the levels of the healthcare system. The “system” (processes) approach, also considering external factors, was incorporated. This iterative conceptualisation led to a proposed framework for integrated safety. This framework was applied to systematically make recommendations for actions to support safety across the healthcare ecosystem. Originality/value – Aggregation of evidence from the literature, together with expertise from professionals and iterative conceptualisation across models adopting the systems approach, led to a comprehensive framework for integrated safety in safety-management systems.

2025-01-01T00:00:00Z Noto, Guido De Domenico, Francesca Buttigieg, Sandra C. Barresi, Gustavo /library/oar/handle/123456789/139056 2025-09-17T10:04:20Z 2025-01-01T00:00:00Z

Title: Managing and measuring performance of health prevention services : a simulation-based approach Authors: Noto, Guido; De Domenico, Francesca; Buttigieg, Sandra C.; Barresi, Gustavo Abstract: Purpose – This study focuses on the application of performance management (PM) in health prevention services. Unlike other healthcare services that focus on individual health results, prevention activities aim at community-wide benefits, often related to the avoidance of negative health outcomes. This, coupled with delayed effects of prevention activities, external influences on results and multiple stakeholders, poses challenges for the management, measurement and accountability of the results achieved by healthcare organisations and systems. To address these challenges, the research proposes the adoption of simulation techniques, specifically system dynamics (SD), to enhance PM in the prevention sector. Design/methodology/approach – SD is a methodological approach developed for modelling and simulating complex systems and experimenting with the models to design strategies and policies. It provides a systemic perspective and a set of conceptual tools that enable one to frame the structure and behaviour of complex, nonlinear, multi-loop feedback systems through an illustrative case focused on the management of primary and secondary prevention of chronic care conditions within a Beveridge healthcare system. Findings – By employing SD, the study aims to provide decision-makers with the capability to understand the link between immediate outputs and long-term outcomes, facilitating the evaluation of alternative policy options and scenarios that are otherwise untestable due to the long latency of diseases, delayed impact of preventive actions and systemic fragmentation. Originality/value – Through the development of an SD model, this research contributes to the field by offering a novel approach to overcoming the measurement and accountability obstacles in prevention as part of healthcare PM.

2025-01-01T00:00:00Z Abed, N. Buttigieg, Sandra C. Feichtinger, C. Sousa, P. Knezevic, B. Tella, S. Srulovici, E. Bessa Vilela, N. Cohen, R. Põlluste, K. Odalovic, M. Klemm, V. Strametz, R. Mira, J. J. /library/oar/handle/123456789/139055 2025-09-17T09:53:11Z 2025-01-01T00:00:00Z

Title: Enhancing home care safety Authors: Abed, N.; Buttigieg, Sandra C.; Feichtinger, C.; Sousa, P.; Knezevic, B.; Tella, S.; Srulovici, E.; Bessa Vilela, N.; Cohen, R.; Põlluste, K.; Odalovic, M.; Klemm, V.; Strametz, R.; Mira, J. J. Abstract: Caregiving has become a fundamental aspect of health-care systems, particularly as aging populations continue to grow worldwide. By 2030, the global population aged 60 and older is expected to reach 1.4 billion, with projections indicating an increase to 2.1 billion by 2050. This demographic shift places substantial pressure on healthcare infrastructures, with informal caregivers assuming a critical role in addressing these growing demands. Often, these caregivers, predominantly women and family members, or low-wage immigrant workers, provide essential support in daily activities, medication management, and specialized care, often without sufficient training or resources.

2025-01-01T00:00:00Z Valiotis, George Buttigieg, Sandra C. Cicchetti, Americo Dang, Rui Jamshed, Nabil Jevtic, Marija Magalhães, Teresa Nies, Henk Pferzinger, Mangfred Santana, Rui Correia, Tiago Weller, Emmi Cande, Laura Desson, Zachary Margheri, Federica /library/oar/handle/123456789/138861 2025-09-10T07:57:50Z 2025-01-01T00:00:00Z

Title: Defining health management : a conceptual foundation for excellence through efficiency, sustainability and equity Authors: Valiotis, George; Buttigieg, Sandra C.; Cicchetti, Americo; Dang, Rui; Jamshed, Nabil; Jevtic, Marija; Magalhães, Teresa; Nies, Henk; Pferzinger, Mangfred; Santana, Rui; Correia, Tiago; Weller, Emmi; Cande, Laura; Desson, Zachary; Margheri, Federica Abstract: The practice of healthcare management is essential for the efficient operation of health services, encompassing leadership, management, and direction within healthcare organisations. ‘Health management’ extends beyond healthcare management by integrating principles of public health and health policy. As health management is commonly practised but not cohesively recognised, the European Health Management Association (EHMA) conducted this study to develop a cohesive definition of health management. Developed through a qualitative methodology comprising focus group discussions and validation through quantitative expert interviews, this study proposed a holistic definition of health management, incorporating social, environmental and economic determinants of health, cross‐sector collaboration, and the ‘One Health’ approach. The publication of this unified definition has important implications for professional training, policy development, and health outcomes. It provides a foundational framework for curricula, informs precise policy formulation, and promotes excellence through health service delivery that reflects efficiency, sustainability, and equity.

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