Healthcare Risk Management and Monitoring of patient falls in Italian National Service. The experience of a Local Health Authority.

Falls are a widespread concern in hospitals settings. In Italy, falls are the fourth frequent damage claim type after surgical, diagnostic and therapeutic error and 90% of falls are avoidable. The first necessary action for the prevention of falls consists in identifying the possible risk factors, in relation to the characteristics of the patient and those of the environment and the structure that hosts him, in terms of safety, organization and adequacy of the process welfare. In this work we wanted to evaluate the extent, frequency and characteristics of the phenomenon of falls in the population hospitalized at the Local Health Authority called "Roma 2", with the aim of analyzing the critical issues to allow the identification of possible preventive and improvement interventions as well as reducing the risk of falls.

[Contraindications to vaccinations: no news is good news]. / Controindicazioni alle vaccinazioni: nessuna nuova, buona nuova.

Contraindications to vaccinations represent an extremely debated topic. In this paper the literature revision is presented, taking into account different vaccines and aspects related to allergies. There were no significant differences compared to the Guide to contraindications to vaccinations, edited in 2009. Therefore, only a revision including new available vaccines and an updating of the citations would be necessary. This revision should be intended as an opportunity to renovate the Guide, transferring it on an informatics platform. This should enhance the usability and facilitate a constant update of the Guide.

[Acceptability of vaccinations in adults]. / L'accettabilità delle vaccinazioni negli adulti.

Vaccines represent the most effective and economical tools available in the field of Public Health. The use of vaccines led to profound changes in the epidemiology of many infectious diseases, reducing their morbidity and mortality. Adults became specific target of immunization strategies in the last decades. In this paper, the factors affecting their acceptance of vaccinations were analyzed, using the examples of the widely discussed vaccinations against HPV and flu.