The communication breakdown in the generation of the adverse event in an obstetrics and gynecology ward: a System Dynamics perspective.

During the last two decades, the issue of clinical risk management became one of the key topics in the Health care sector due to the increasing attention to the patient safety and the increase in monetary and non monetary costs (insurance fees, image etc.). For this reason, in the healthcare sector have been imported risk management methods that have been successfully applied in other sector. However they are too static and linear to study such a complex and dynamic issue as the risk management. The objective of the research is to investigate, with a system dynamics perspective, the relationship between the communication and the adverse event in the Health Care, referring to the studies of Vincent et al. (1998) which identified seven major framework as the basis of the factors potentially triggering an incident. The research is carried out in a public hospital in Sicily. In order to make a preliminary analysis a semi-structured interviews will be administered with the main organizational actors of risk management. The collected data are used to design the causal loop diagram (CLD) through group model building (GMB) sessions.