Interview to Gabriele Chiarini of Studio Legale Chiarini

Interview to Gabriele Chiarini of Studio Legale Chiarini


In Italy there are no up-to-date and credible data on errors in health care, not even reliable estimates. The statistics showing a decrease in claims do not include the increasing practice of self-recovery of health risk, i.e. the fund to compensate patients, which facilities set aside so as not to have to have recourse to insurance companies.

Gabriele Chiarini, of Studio Legale Chiarini, is an expert in the field of health liability and compensation for personal injury caused by medical error. Chiarini and his staff have created a report – in italian language - on medical errors, which can be read for free at this link:

https://www.chiarini.com/fenomenologia-errore-in-sanita/

We met him to ask some questions

The "medical errors" are a growing phenomenon in the U.S., but in Italy you can not have really reliable data, why?

Currently, available estimates of health errors only include cases where there has been a complaint or claim by the patient or his relatives. All other events remain in the background, as health workers tend not to report adverse events spontaneously, very often for fear of repercussions. The main reason why it is very difficult to have exact data on medical errors, therefore, is that the errors reported in the statistics are significantly lower than those that actually occurred. Even in the U.S. the numbers of medical errors are rather controversial.

For example, some studies speak of 100,000 deaths per year caused by errors in the United States (*), while others say that it is 251,000 deaths per year, so that medical errors would be the third leading cause of death in the country (*).

These are hypothetical estimates and not actual data, also because the studies themselves show that less than 10% of medical errors are reported voluntarily (**).

However, it would seem that error rates are significantly higher in the US than in other developed countries (such as Canada, Australia, Germany and the UK) (**).

The latter figure could mean, in practice, only that in the U.S.A. there is a growing awareness of the extent of the phenomenon, and not that US doctors are worse than their Canadian, Australian, German or English colleagues.

In your experience, can medical errors occur more frequently in public or private facilities?

Insolvability is a cross-cutting phenomenon, so mistakes occur in both public and private structures. It is true, however, that some surgical procedures, especially on fragile patients or patients with important diseases, can lead to complications that are difficult to manage in a private facility. This means, from our professional experience, that private facilities may be more exposed to adverse health events.

The report states that the responsibility for medical error, more than the individual, is often the responsibility of structure and organizational problems. So it's about lack of management in health care facilities? How can the problem be addressed?

When we say that medical error is (almost) always due to an organizational failure, we want to emphasize that - except in exceptional cases of macroscopic individual responsibilities - even the errors of the individual have their roots in so-called "latent" systemic causes. The latter include, for example, outdated structural environments or machinery, lack of adequate clinical standards, low staff density, and poor organisation of workspaces or shifts.

These are causes that arise very far from the patient (mostly from management decisions), and may remain unknown for a long time. Nevertheless, they provide fertile ground for individual error, which can have an immediate impact, even a very serious one, on the patients' health.

Awareness of the possible causes of errors is a fundamental prerequisite for establishing appropriate countermeasures. Therefore, policies must be adopted to encourage the spontaneous reporting of adverse events, overcoming the traditional reluctance of health workers, often resistant to reporting mistakes for fear of punishment, disciplinary action, or even just damage to their reputation.

In addition, the prevention strategy should include actions that directly affect the causes of the error, such as the spread of checklists and standard operating procedures, the creation of critical event reporting systems, the use of advanced computer systems for prescribing and managing the drug, trying to involve in this direction not only the management but all operational staff.

Whenever a citizen feels that he or she has been the victim of medical error, what should he or she do to protect himself or herself as well as possible?

The first thing to do is to try to understand whether what actually happened to the patient is a medical error. Then it is necessary to verify if this error is relevant for the law, that is if a damage has occurred for the patient and if this damage is causally connected to the error.

When such preliminary investigations are successful, then we are dealing with a hypothesis of "medical malpractice", which can be managed from a legal point of view, favouring the path of claiming damages in civil proceedings, rather than the - much more difficult - one of complaint or complaint in criminal proceedings.

It is therefore necessary to quantify the exact damage, identify the legal entity that is required to compensate it, open the accident with the responsible Structure and with the Insurance Company, if any, and then manage it out of court and - if necessary - before the competent judicial authority.

For all these activities, you should seek advice from a health liability attorney, who should be supported by a legal practitioner and a specialist in the discipline involved.

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(*) Rodziewicz TL, Hipskind JE, Medical Error Prevention, StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018-2018 Mar 30.

(**) Anderson JG, Abrahamson K, Your Health Care May Kill You: Medical Errors, Stud Health Technol Inform. 2017;234:13-17.
Confassociazioni's president Angelo Deiana describes in a new book simple, pragmatic and managerial solutions to solve the problems of Italy

Confassociazioni's president Angelo Deiana describes in a new book simple, pragmatic and managerial solutions to solve the problems of Italy


From today in italian bookstores is available “Rilanciare l’Italia facendo cose semplici” (Reviving Italy by doing simple things) published by Giacovelli Editore, my new book of simple, pragmatic and managerial solutions to the problems of the Country, written with the contribution of our entire CONFASSOCIAZIONI Organization. This was stated in a note by Angelo DEIANA, President of Confassociazioni.

"A book on the future of our Country, a concrete and pragmatic book indeed - continued President Deiana - whose strategic theme is simple: Italy is a very strong country, but also a "Peter Pan" country, a narcissus country that flies, but would never want to grow in order not to lose that creative unconsciousness that is both its strength and its weakness. A country that has suffered a psychological trauma: the almost 10 years of crisis have vanished his "happy thought", whatever happened, allowed Italy to "fly just like Peter Pan".

Among the topics covered in his work: the Euro, the real estate system, the Flat Tax, the APR of taxes, the illegal building, local taxation, the jungle of deductions, the Exit Agency, the era of replacing people with cars, the new global power of women, smart working, free wi-fi, the 'Mezzogiorno', the excessive cost of energy, smoking and gaming, the efficiency of civil justice, the National Public Prosecutor's Office for banking and financial crimes, the displacement of investee companies, the pension reform, tax and social security evasion.
Geeks Academy, the Italian network of digital training in the fields of Cybersecurity, Big Data, Coding and Gaming

Geeks Academy, the Italian network of digital training in the fields of Cybersecurity, Big Data, Coding and Gaming


In a world where academic titles are losing their synonym for skills, Geeks Academy offers an alternative to increasingly outdated university education thanks to its practical approach and focus on transversal skills that, in addition to area-specific skills, help create professionals who not only master the necessary technologies, but also manage stress, solve problems creatively and expose ideas effectively.

The idea for the Geeks Academy comes after a trip to the United States and years of labour market analysis. If once the Geek was the phenomenon that in the freakshow staged the most wacky number, in the current century his figure is increasingly positive. Digital Geeks, in fact, thanks to their computer skills are sought after and respected professionals, to the point that their being different has now stripped themselves of the scent of isolation that had in the past and has become synonymous with success and exclusivity.

This is well known by Antonio Venece, founder of the school of geeks, the Italian network of digital training Geeks Academy, who chose to use this term as a flag for his dream to introduce young and old workers to the professions of the new millennium and, at the same time, insert computer sleeveless, until now confined to the four walls of home or without academic qualifications, in pathways to work.

Geeks Academy has four specialization areas (Cybersecurity, Big Data, Coding and Gaming) with courses accessible to beginners. The student pool is incredibly varied in terms of age and background: there are new graduates, but also middle-aged system engineers who have decided to reinvent themselves, as well as philosophy graduates and professionals in the field of medicine.

Open lessons are scheduled for next October in Sicily where the Geeks Academy will position itself for specialist training on cybernetic security and resilience.
Domenico Colotta is the new President of Assocomunicatori, the Italian National Association of Corporate Communicators

Domenico Colotta is the new President of Assocomunicatori, the Italian National Association of Corporate Communicators


Domenico Colotta, a professional expert in the field of institutional relations, follows Carmelo Cutuli at the head of Assocomunicatori, the Italian National Association of Corporate Communicators.

"First of all I would like to thank former President and founder of 'Assocommunicatori' Carmelo Cutuli and the board of directors. My commitment, with the contribution of all members, will be to strengthen relations with representatives of institutions and companies in the sector, with ideas and projects that can be a reference point for the world of communication. So declared the Association's new president Domenico Colotta.

The former President Carmelo Cutuli, currently at the head of the confederal sector of Communication of Confassociazioni, wished Colotta and the new executive "to honor the ambitious objectives that Assocomunicatori has proposed, while ensuring, at the same time, its renewed commitment as a senior member of the board of the Association".
Sergio Marchionne, the Italian-Canadian manager who has transformed FIAT into the international FCA giant

Sergio Marchionne, the Italian-Canadian manager who has transformed FIAT into the international FCA giant

ItalyUSA Magazine Editor in Chief Carmelo Cutuli with FCA's CEO Sergio Marchionne, the photo was shot in October 2008 in Chicago
The informal manager who used to wear the dark sweater, became the symbol of an era as it was the clock above the wristband of Gianni Agnelli.

Global manager and "enlightened leader", said Fca president John Elkann, Sergio Marchionne is the man who changed Fiat bringing it into the future. A decisional manager, with a passion for Ferrari machines, purchased from his own pocket, and lyrical music, Marchionne in the 14 years in which he led the group tripled its revenues.

Despite the spotlight on his public life, the Italian-Canadian manager has managed to keep his private life strictly confidential, also thanks to the choice to keep his residence in Switzerland, where his family also lives.

Born in Chieti, Marchionne is the son of a Carabinieri marshal and a young Istrian girl. After his adolescence in Abruzzo, he followed his family to Ontario, where a maternal aunt had already settled. In Canada Marchionne earned a Bachelor of Philosophy degree from the University of Toronto, followed by a Bachelor of Law degree from Osgoode Hall Law School of York University and then a Master of Business Administration from the University of Windsor. After working as a legal attorney, Marchionne joined Deloitte Touche in 1983 as a chartered accountant and tax expert, the first step in a career that in 2000 led him to Switzerland as CEO of the Lonza Group, active in the field of products for the pharmaceutical and healthcare industries. After entering the Lingotto board of directors in 2003 by designation of Umberto Agnelli, after the latter's death, Marchionne was appointed CEO of the group on 1 June 2004. At his side the president Luca Cordero di Montezemolo and the vice-president John Elkann, at the time just twenty-eight years old.

In 2009 Marchionne performed his managerial miracle: in an America bent by the financial crisis, Fiat obtained from the Obama Administration 20% of Chrysler, one of the 'Big Three' of US motoring, which, after the failure of its alliance with Daimler, had practically failed. To convince Washington, in addition to the personality of Marchionne, the experience and guarantees offered by Fiat on new formulas of 'green' mobility. This was the first step in a process that will lead the people of Turin to 100% control of Chrysler in 2014.

It was the birth of Fiat Chrysler Automobiles and some major operations such as the relaunch of Jeep, which has become the jewel in the crown of Fca, passing through the rebirth of Maserati and the bet on a 'premium' Alfa Romeo.
SKING, the Italian championship for permanent make-up specialists

SKING, the Italian championship for permanent make-up specialists


In the last five years tens of thousands of new businesses have been created that operate in dermopigmentation: "Our sector does not have a specific recognition at the Italian Chambers of Commerce and therefore all those who were not satisfied with the only category of " aesthetician " have had to register their business as " tattooists ". By examining the data, in 2013 in Italy there were about 1,500 tattoo companies operating in the tattoo sector, while in 2017 these became as many as 600,000. And a significant part of this " explosion " is to be attributed to the dermopigmentists”.

But it is precisely from this extraordinary success that a necessity has arisen that should not be underestimated, and that is the fundamental growth of specialization in a sector that, being halfway between the aesthetic and medical spheres, can in no way be entrusted to impromptu operators.

SKING (www.sking.events) , the Italian championship for specialists in permanent makeup, last year gathered and promoted the best Italian dermopigmentists: "Women who turn to the dermopigmentist," confirm the organizers, "especially ask for eyebrows with regard to permanent makeup, while men require us especially the "shaved" effect, which is a surprising solution to the aesthetic problem of baldness. But there are also cases in which we are approached for a "paramedical" intervention, for example for the reconstruction of the mammary halo in cases of mastectomy, an intervention particularly important for the psychological aspects it involves”.

On October 13 in Rome will take place the National Championship of permanent makeup promoted by A.I.DER. (Italian Association of Dermopigmentists) during which the most daring Italian operators will compete in the realization of a realistic eyebrow treatment and will compete for the title of national champion.

At the same time, in a 'dedicated area, all operators waiting to play the race and dermopigmentists who want to devote themselves to their training and learn new techniques, will attend live shows, live demonstrations of innovative treatments presented by international guests that will bring prestige to the event.

In the evening, then, all those who want to celebrate the world of Italian dermopigmentation, will celebrate during the PMU dinner party, the most exclusive party ever! Between toasts, dances and live performances will arrive at the time of the award ceremony that will decide the winners of the national championship.