[Experimental project for the accreditation of Hospital Directions in the Lazio hospitals]. / Progetto sperimentale di accreditamento delle Direzioni Ospedaliere del Lazio. Autovalutazione e Benchmarking dei Presidi Ospedalieri della Asl Roma H. L'esperienza del Presidio di Anzio.

A system of quality management of one organization can differ from that of another organization, for many aspects: activity, function, complexity of procedures and ability of the employees. Based on the above is the experimental project of ANMDO, in collaboration with Laziosanità-ASP whose goal was to accredit Hospital Directions towards a continuous quality improvement. To assist in the process of adaptation to the standards and to get certification, ANMDO proposes the method of benchmarking. In total, 30 structures of the Lazio Region took part in this project. The ASL Roma H included all her 8 hospitals. From February 2009 Laziosanità-ASP's representatives have begun to make checks on the place. The first evaluations took place at the Frascati Hospital.

[Risk management in a regional screening program for breast cancer in the region of Lazio, Italy]. / Garantire la sicurezza dei pazienti in un intero profilo assistenziale: il programma di gestione del rischio clinico nello screening mammografico della Regione Lazio.

In the Lazio Region, it has been put into effect a plan of clinical Risk Management for the Breast Cancer Screening Regional Program (BCSP), involving all of the 12 Local Health Units and the Public Health Agency of Lazio (ASP). Being the BCSP a health care service, it consists of a perfect integration of health care structures, professionals and skills working for the citizens. This program originates from an unexpressed health need and leads to a evidence-based health benefit. The BCSP provides free breast screening for 700,000 women aged between 50 and 69 in the Lazio region; the Public Health Agency carries out the clinical governance of the BCSP The prevention of errors and incidents represents a fundamental basis of governance: it is a contribution to the achievement of efficacy in breast cancer screening. The BCSP deals with screening incidents from a systemic point of view and actively involves several Local Health Units staff going through each step of the whole patient's clinical path, from the identification of the target population, to the oncological treatment of positive cases. The programme is an integration of different tools: literature research, process analysis using the HFMEA methodology and reporting system. The results reached so far are the following: the regional severity rating scale, the regional Master-List of possible adverse events, occurrence and detection rating scale.