Abstract
Safety Walkrounds are a clinical risk management tool originally designed to help healthcare leaders learn “on the job” about safety issues and implement effective solutions. The authors present the results of a project carried out, during the years 2017–2021, in a Local Healthcare Trust to learn about the perception of operators with regard to safety, promote the adoption of patient safety practices (PSPs) and recommendations of the Italian Ministry of health (HMRs), share the results of self-assessments carried out by facilities and a plan for improvement/consolidation of PSPs/HMRs for which critical issues had emerged. Barriers to PSPs/HMRs implementation were then classified according to Vincent’s contributory factor categories, in order to identify priority areas for intervention using a systems approach, which is particularly useful for planning interventions at the strategic level.