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PLANNING AND MANAGEMENT OF LEARNING PROCESSES

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
MARIO BRAGA
Credits
10
Didactic period
Secondo Semestre

Training objectives

This course follows a training program that has a general aim of promoting knowledge to the student on the methodological basis of the planning and management of the educational process of the human resources in the hospital-territory.
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Modulo: 53730 - LA GESTIONE DEL RISCHIO CLINICO (mutua dall'attività formativa LA GESTIONE DEL RISCHIO CLINICO - 53730 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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CLINICAL RISK MANAGEMENT
To provide basic theoretical knowledge required to fully cooperate with other health care professionals in processes, instruments and activities that enable hospital employees to identify, analyze, contain and manage clinical risks, while providing clinical treatment and patient care in different clinical settings.
To facilitate the implementation of a multidimensional approach to clinical risk issues taking in to account the different determinants involved: technological, human, professional economical, logistic and legal.

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Modulo: 56543 - METODOLOGIA DELLA RICERCA IN AMBITO SANITARIO
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METHODOLOGY OF RESEARCH IN HEALTHCARE
- Identify the priorities of clinical research (assistance, rehabilitation and technical) and suitable research methods (quantitative, qualitative, mixed research methods).
- Know the EPICOT + model and be able to formulate a research question.
- Know the dimensions of the critical appraisal process and the key elements to consider.
- Know the main critical appraisal tools.
- Know EQUATOR Network and the main reporting guidelines.
- Understand and interpret study results and their potential impact in the clinic: - outcomes and end-point measures of clinical trials; - diagnostic accuracy measures
and ROC curves for diagnostic studies; - univariate and multivariate regression models; - qualitative synthesis and meta-analysis for systematic reviews.
- Know the main steps of conducting a systematic review.
- Know the SNLG and evidence-based guidelines.
- Know the GRADE method, interpret the Summary of Findings of systematic reviews and the recommendations of the guidelines.
- Know how to apply the evidence to the individual patient through 'shared decision making' and 'patient decision aids'.
- Know the obstacles to the 'from evidence to action' process.

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Modulo: 56553 - BASI METODOLOGICHE DI EDUCAZIONE ALLA SALUTE (mutua dall'attività formativa BASI METODOLOGICHE DELL'EDUCAZIONE ALLA SALUTE - 56630 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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METHODOLOGICAL BASES OF HEALTH EDUCATION
The course is aimed at promoting basic social-health integrated knowledge to acquire prevention methods based on health education interventions aimed at individual and collective empowerment.

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Modulo: 56555 - INTEGRAZIONE ORGANIZZATIVA OSPEDALE E TERRITORIO
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ORGANIZATIONAL INTEGRATION HOSPITAL AND TERRITORY
The course aims to provide knowledge about the organizational integration of hospital and community to enable the future professional to be able to cooperate within the framework of integration processes in the different contexts of complex health systems (companies, departments, networks). Increase the development of a multidimensional point of view.

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Modulo: 56557 - PROGRAMMAZIONE E GESTIONE DELLE RISORSE UMANE
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PLANNING AND MANAGEMENT OF HUMAN RESOURCES
Acquire skills for planning, programming and management of staffing.
Acquire the skills to build a staffing plan.

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Modulo: 56558 - PIANIFICAZIONE DELLE RISORSE E NEGOZIAZIONE DEL BUDGET IN AMBITO OSPEDALIERO
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RESOURCES PLANNING AND TRADING OF THE BUDGET IN HOSPITAL
Providing methodological and scientific tools needed for the interpretation of the operation of the company, in its various types and aspects.
After completing the course the student will reach knowledge support tools, guidance and management analysis.

Prerequisites

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Modulo: 53730 - LA GESTIONE DEL RISCHIO CLINICO (mutua dall'attività formativa LA GESTIONE DEL RISCHIO CLINICO - 53730 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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Knowledge of Professional profiles and code of Ethics for rehabilitation professions. Basic knowledge of planning of social-health education programmes.

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Modulo: 56543 - METODOLOGIA DELLA RICERCA IN AMBITO SANITARIO
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METHODOLOGY OF RESEARCH IN HEALTHCARE
- Knowledge of the main experimental and observational study designs, their biases, and the methodological strategies necessary to prevent them.
- Knowledge of the 5 steps of evidence-based-practice.
- Knowledge of the PICO model and ability to formulate clinical-assistance questions.
- Knowledge and interpretation of the basic elements of medical statistics (point estimates, dispersion indices, confidence intervals, the concept of statistical significance and the process of statistical inference).
- Knowledge of the main biomedical databases: Medline, EMBASE, CINAHL, Cochrane Library.

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Modulo: 56553 - BASI METODOLOGICHE DI EDUCAZIONE ALLA SALUTE (mutua dall'attività formativa BASI METODOLOGICHE DELL'EDUCAZIONE ALLA SALUTE - 56630 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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Knowledge of Professional profiles and code of Ethics for rehabilitation professions. Basic knowledge of planning of social-health education programmes.

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Modulo: 56555 - INTEGRAZIONE ORGANIZZATIVA OSPEDALE E TERRITORIO
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Knowledge of Professional profiles and code of Ethics for nurses and midwives. Basic knowledge of planning of social-health education programmes.
Knowledge of business management and corporate organization in health, statistical methods for the study of social and health phenomena.

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Modulo: 56557 - PROGRAMMAZIONE E GESTIONE DELLE RISORSE UMANE
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Knowledge of Professional profiles and code of Ethics for nurses and midwives. Basic knowledge of planning of social-health education programmes.
Knowledge of business management and corporate organization in health, statistical methods for the study of social and health phenomena.

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Modulo: 56558 - PIANIFICAZIONE DELLE RISORSE E NEGOZIAZIONE DEL BUDGET IN AMBITO OSPEDALIERO
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Knowledge of Professional profiles and code of Ethics for nurses and midwives. Basic knowledge of planning of social-health education programmes.
Knowledge of business management and corporate organization in health, statistical methods for the study of social and health phenomena.

Course programme

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Modulo: 53730 - LA GESTIONE DEL RISCHIO CLINICO (mutua dall'attività formativa LA GESTIONE DEL RISCHIO CLINICO - 53730 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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CLINICAL RISK MANAGEMENT
Quality of care and clinical risk
The concept of clinical risk. The concept of clinical event
The concept of medical error: types of medical errors in clinical medicine
Clinical risk management: risk analysis, error detection, error prevention
Clinical documentation and communication as tools for risk management

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Modulo: 56543 - METODOLOGIA DELLA RICERCA IN AMBITO SANITARIO
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METHODOLOGY OF RESEARCH IN HEALTHCARE
- Sources of biomedical information: quantitative research (primary and secondary studies and opinion-based sources), qualitative and mixed methods.
- EPICOT+ model and structuring of the research question.
- Dimensions of the critical appraisal: internal validity, clinical relevance, applicability, consistency and integrity.
- Critical appraisal tools: ROB 2.0, QUADAS-2, QUIPS, ROBINS, AMSTAR-2, AGREE 2.
- EQUATOR Network and reporting guidelines: CONSORT Statement, STARD checklist, PRISMA Statement, AGREE reporting checklist.
- Classification of outcomes and interpretation of end-point measures in clinical trials.
- Measures of diagnostic accuracy and ROC curves: meaning and interpretation.
- Simple and multiple regression models: meaning and interpretation.
- Systematic reviews: main design and conduction phases.
- The meta-analysis: meaning and interpretation.
- SNLG and evidence-based guidelines.
- GRADE method: interpretation of the Summary of Findings of systematic reviews and guideline recommendations.
- Apply evidence to the individual patient (shared decision making and patient decision aids) and obstacles to the 'from evidence to action' process.

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Modulo: 56553 - BASI METODOLOGICHE DI EDUCAZIONE ALLA SALUTE (mutua dall'attività formativa BASI METODOLOGICHE DELL'EDUCAZIONE ALLA SALUTE - 56630 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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METHODOLOGY FOR HEALTH EDUCATION
Evolution of the concept of health. Epidemiological indicators of health needs.
The Bio-Psycho-Social model in public health.
Operational tools for health promotion. The health education methodologies.
Education for health worker health in the approach to prevention interventions.

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Modulo: 56555 - INTEGRAZIONE ORGANIZZATIVA OSPEDALE E TERRITORIO
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ORGANIZATIONAL INTEGRATION HOSPITAL AND TERRITORY
Planning and management of organizational and care processes of integration at the regional and hospital level, complexity factors and fundamental business: the Primary Care Department; the Department of Mental Health; the Department of Public Health.
The multidisciplinary approach. The continuity of care as an innovative model of integration. Integrated welfare paths. Normative requirements. The existing realities: light and shadow. Continuity hospital-territory. The health district and territorial medicine. The disease management model. "Think network": the care and computer network. Some experiences of paths business health.

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Modulo: 56557 - PROGRAMMAZIONE E GESTIONE DELLE RISORSE UMANE
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PLANNING AND MANAGEMENT OF HUMAN RESOURCES
- staffing plan and staffing? Evolution historical legal and contractual regulations
- determination of the professional resource requirements to ensure in services and hospital stays
- main indicators in the planning and management of personnel: determining the intensity of how to care and subsequent commitment of the definition of personal work
- allocation of professional resources in accordance with the profiles of the non-medical health professionals
- from the professional profile to the profile placed.
- how to articulate the shift workers in operational unit with different professional backgrounds. Example: midwives / nurses / OSS in a operational unit of obstetrics and gynecology, or physical therapists / nurses / OSS in a rehabilitation operational unit
- changes in staffing as a result of the latest regulations: Spending Rewiew and Decree Balduzzi

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Modulo: 56558 - PIANIFICAZIONE DELLE RISORSE E NEGOZIAZIONE DEL BUDGET IN AMBITO OSPEDALIERO
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RESOURCES PLANNING AND TRADING OF THE BUDGET IN HOSPITAL
The individual's needs: the need to satisfy the needs and the scarcity of resources; the needs and the demand function, the budget line; the production function; costs. The financing system in health; the DRG system. Efficiency, effectiveness, cost efficiency; break-even point, contribution margin. The controls of health activity
The budget process. Enterprise reporting in health care setting and monitoring of activities.

Didactic methods

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Modulo: 53730 - LA GESTIONE DEL RISCHIO CLINICO (mutua dall'attività formativa LA GESTIONE DEL RISCHIO CLINICO - 53730 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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Lectures, interactive discussions, group work, Individual project work in the classroom

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Modulo: 56543 - METODOLOGIA DELLA RICERCA IN AMBITO SANITARIO
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Frontal lessons

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Modulo: 56553 - BASI METODOLOGICHE DI EDUCAZIONE ALLA SALUTE (mutua dall'attività formativa BASI METODOLOGICHE DELL'EDUCAZIONE ALLA SALUTE - 56630 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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Lectures, interactive discussions, group work, Individual project work in the classroom

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Modulo: 56555 - INTEGRAZIONE ORGANIZZATIVA OSPEDALE E TERRITORIO
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Frontal lessons.

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Modulo: 56557 - PROGRAMMAZIONE E GESTIONE DELLE RISORSE UMANE
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Frontal lessons.

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Modulo: 56558 - PIANIFICAZIONE DELLE RISORSE E NEGOZIAZIONE DEL BUDGET IN AMBITO OSPEDALIERO
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Frontal lessons.

Learning assessment procedures

METHODOLOGY FOR HEALTH EDUCATION
Written test based on a questionnaire of thirty multiple choice questions with five answer choices each. Each question is worth 1 point if correct; wrong answer or no answer 0 points. Test duration: 1 hour.
METHODOLOGY OF RESEARCH IN HEALTHCARE
Written exam with 31 multiple choice questions. For each question 4 answers will be possible, of which 1, 2, 3 or all of them can be correct. For each question with correct answer (all correct answers selected and no wrong answers selected) 1 point will be assigned. For incomplete, incorrect or not indicated answers 0 points will be assigned. The exam will last 30 minutes.
ORGANIZATIONAL INTEGRATION HOSPITAL AND TERRITORY
Written exam: project work on pre-formed sheet. The test evaluation criteria are based on the following approaches:
- Clarity of expression and synthesis capabilities:
a) know how to speak with propriety of language and lexical periods easy to understand,
b) be able to describe situations, contexts, concepts in a concise but complete.
- Argumentative Relevance:
a) exhibit their appropriately justifying considerations with assumptions concerning the context of the subject of the dissertation.
- Relevance to the track and completeness of the discussion:
a) develop the themes indicated in the track respecting delivery.
- Critical Originality:
a) address the issues proposed by the track by inserting the result of a personal reflection considerations.
- Proper use of normative and informative references:
a) quote the legislation and documentary references appropriately
- Negotiating and relational competence:
a) demonstrate their ability to find a meeting point between the need for an efficient public service and the users' needs through targeted actions
b) effective communication.
When evaluating each criterion will receive a distributed score on a scale of values based on the level that must be reached by the absence of the minimum (zero points) to the total satisfaction of the parameters (maximum score).
PLANNING AND MANAGEMENT OF HUMAN RESOURCES
Written test: Analysis of the calculation of the personnel needs to be assigned to a given U.O. which will be inaugurated, using formulas to define: basic organic, integrative organic, total workforce. Time available one hour.
RESOURCES PLANNING AND TRADING OF THE BUDGET IN HOSPITAL
Written exam: 30 multiple choice questions (each with 5 answers. Sufficiency (18/30) is reached with 15 correct answers; each correct answer more than 15° increments the evaluation by 1 point; 0 points for each wrong answer or no date. Time available to carry out the test: 90 minutes. In case of insufficient exam, a recovery test will be done in agreement with the teacher.
CLINICAL RISK MANAGEMENT
Multiple choice written test. 30 questions with 4 or five possible answers. Correct answer 1 point, wrong answer -0.2 point; missing answer 0 point.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TEST.

Reference texts

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Modulo: 53730 - LA GESTIONE DEL RISCHIO CLINICO (mutua dall'attività formativa LA GESTIONE DEL RISCHIO CLINICO - 53730 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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CLINICAL RISK MANAGEMENT
Guglielmo Forgeschi, Matteo Fiorani, La gestione del rischio clinico. Dalla consapevolezza alla sicurezza, Il Pensiero Scientifico Ed.

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Modulo: 56543 - METODOLOGIA DELLA RICERCA IN AMBITO SANITARIO
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METHODOLOGY OF RESEARCH IN HEALTHCARE
Barbari V., Ramponi N., Innocenti T., Salvioli S., Bozzolan M., Turolla A., Ristori D., Zanoli G., Giannotti J., Cavicchi T., Pozzi A., Storari L., Lanfranco D., Bottaro N., Risso B., Da Roit M., Diprè S., Torneri P., Campardo G. Evidence Based Practice: una guida per il professionista della salute. FisioScience, 2021.

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Modulo: 56553 - BASI METODOLOGICHE DI EDUCAZIONE ALLA SALUTE (mutua dall'attività formativa BASI METODOLOGICHE DELL'EDUCAZIONE ALLA SALUTE - 56630 del CdS SCIENZE RIABILITATIVE DELLE PROFESSIONI SANITARIE - 1071)
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METHODOLOGY FOR HEALTH EDUCATION
Auxilia F., Pontello M. ,Igiene e Sanità Pubblica. Educazione sanitaria. Strategie educative e preventive per il paziente e la comunità, Piccin Nuova Libraria S.p.A, Padova, 2012.
Faggiano F., Donato F., Barbone F., Manuale di epidemiologia per la sanità pubblica. Centro Scientifico Editore, Torino 2005.
Guest C., Ricciardi W., Kawachi I., Lang I., Manuale Oxford di Sanità Pubblica, 3° Ed. Piccin Nuova Libraria S.p.A, Padova, 2015.

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Modulo: 56555 - INTEGRAZIONE ORGANIZZATIVA OSPEDALE E TERRITORIO
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ORGANIZATIONAL INTEGRATION HOSPITAL AND TERRITORY:
Teaching materials and texts for further study will be provided by the teacher during the lessons.

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Modulo: 56557 - PROGRAMMAZIONE E GESTIONE DELLE RISORSE UMANE
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Teaching materials and texts for further study will be provided by the teacher during the lessons.

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Modulo: 56558 - PIANIFICAZIONE DELLE RISORSE E NEGOZIAZIONE DEL BUDGET IN AMBITO OSPEDALIERO
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RESOURCES PLANNING AND TRADING OF THE BUDGET IN HOSPITAL
Teaching materials and texts for further study will be provided by the teacher during the lessons.