The main objective of the AREYOUFINE? project is to offer innovative e-learning courses focused on biomechanical analysis to improve personal injury assessment taking into account the different laws and boundary conditions in Europe. Therefore, taking into account professional’s requirements, we will propose new harmonization contents and validate them to EU countrie’s realities. All the main results obtained will be offered with none restriction.
Bodily harm is defined as the result of an aggression, exogenous or endogenous, in any body area and its origin can be due to a violent or natural event. The former group corresponds with accidents, and the latter refers to pathological processes that can lead to multiple diseases.
The manifestations of bodily harm are different but one of the most important is the musculoskeletal disorders, which are the most frequent complaints reported in health surveys in Europe. These disorders present a huge variety of names, reflecting the diversity of opinions and lack of consensus regarding their origin and treatments. Musculoskeletal injuries are very common in industrialized countries and have very important consequences for the individual and society. In fact, 50% of the European population reports musculoskeletal pain in one or more body points throughout the past year.
Work conditions contribute in a negative way in the intensity and evolution of these disorders. In some EU countries, more than 40% of social and sanitary awards for lost working days are due to these injuries. Another external agent that has a relevant role in the prevalence of musculoskeletal disorders is the traffic accidents. The whiplash is the most common injury in collisions. According to some Spanish statistics, the whiplash is present in over 80% of traffic accidents.
Many of these injuries present an unspecific origin or it is not possible to find an organic alteration that justifies them. Very often conventional diagnostic techniques do not show apparent injuries at organic level. This situation forces clinicians to work in uncertain situations. The absence of objective tools to assist clinicians in the determination of the real bodily harm of patients, produces, in some cases, incorrect evaluations and inappropriate treatments, with a negative impact on the public health systems and patients.
Currently, biomechanics is growing because offers a new approach to obtain quantitative, objective and homogeneous data to improve personal injury assessment procedures. It is based on knowledge of mechanics, engineering, anatomy and physiology to study the behaviour of human body, analysing body segments movements, joints restrictions and muscular strength. These methodologies allow professionals to understand the relationship between clinical outputs and physics so they can corroborate their clinical hypothesis.
There are many evidences in scientific literature about the applicability of biomechanics in the assessment of musculoskeletal injuries. In Google Scholar there are more than 29.000 entries when the search criteria is biomechanical assessment of pathological gait and more than 56.000 if they are biomechanics and low back pain. In fact, there are European countries, as Spain, which normally uses biomechanics in personal injury assessment. In fact, medical reports include biomechanical data, being recognized by regulatory institutions as a complementary medical test.
Nevertheless, despite the fact that biomechanics proved its utility, it is not growing at the same velocity in every Europe countries.
This fact happens because biomechanics must be applied taking into account legal framework and regulatory system because it has legal consequences.
Hence, the main objective of the AREYOUFINE? project is to offer innovative e-learning courses focused on biomechanical analysis to improve personal injury assessment taking into account the different laws and boundary conditions in Europe. Therefore, taking into account professionals requirements, we will propose new harmonization contents and validate them to EU countries’ realities. All the main results obtained will be offered with none restriction. There will be a project website available (at least three years after the project ends) to disseminate them.
At the end of the project we will develop online courses in English, Spanish, Italian and Polish that will be oriented to medical doctors working in insurance companies, hospitals, regulatory entities and legal experts focused on personal injury.
AREYOUFINE? project consortium ensures the achievement of the objectives thanks to their complementary skills: On one hand, IBV will offer its expertise in biomechanics, USC in legal medicine and pedagogical methodologies, CIOP in occupational health and SSSUP in laws at European level applied to this field. On the other hand, CEREDOC will put the consortium in contact with European professionals of personal injury assessment, and IALM with international legal medicine experts. Finally, IBV will be in charge of the definition and hosting of the e-learning platform.
Il progetto, nel più ampio quadro di una analisi estesa ad una pluralità di organizzazioni complesse, si propone di analizzare e migliorare i processi di erogazione delle prestazioni sanitarie, definendo e sperimentando un modello quali/quantitativo di rilevazione, diagnosi e gestione del rischio in ambito sanitario perfettamente in linea con gli obiettivi del PSR Regione Sardegna di “individuare soluzioni adeguate, a livello regionale e a livello aziendale, eventualmente differenziate in base alla dimensione ed alla frequenza dei rischi” .
Il fenomeno degli incidenti che accadono nelle strutture sanitarie presenta dimensioni drammatiche.
Studi internazionali di popolazione hanno indicato come la maggioranza di questi eventi avversi siano in realtà prevedibili ed evitabili.
Ai suddetti dati di morbosità/mortalità si collegano preoccupanti incrementi dei costi sociali e sanitari collegati al verificarsi di eventi avversi
Costi latenti (legati alla cattiva organizzazione)
L’obiettivo del presente progetto, pertanto, è quello di contribuire a proporre correttivi al sistema di organizzazione e di erogazione dei servizi ospedalieri definendo e introducendo in ambito sanitario metodologie innovative e strumenti di risk management (“dedicati” e “specifici” al contesto sanitario) che consentano la rilevazione, la valutazione e il controllo del rischio in ambito ospedaliero. Inoltre, la peculiare modalità impiegata ambisce alla possibilità di individuare e costruire indicatori di rischiosità ad hoc per le strutture e aziende coinvolte, sulla base dei quali delineare un percorso di formazione specifica degli operatori, con l’ausilio di pratiche di simulazione, a valle del quale ripetere la valutazione della struttura. Ciò consentirebbe non solo di individuare criteri di riduzione dei rischi, ma anche di testarne in concreto l’idoneità ad incidere sui piani di riduzione dei rischi. Il che avrebbe enormi potenziali ricadute anche sull’accesso all’assicurazione e sulle condizioni di valutazione dei rischi che gli assicuratori applicano normalmente.
Introduzione ad una ricerca sistematica sui rapporti tra Diritto e Arte