A human factors and reliability approach to clinical risk management: Evidence from Italian cases

Verbano, Chiara; Turra, Federica

doi:10.1016/j.ssci.2010.01.014

Cited by 50 publications

(40 citation statements)

References 68 publications

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“…Furthermore, Verbano et al, having assessed human errors and validity of risk management in health care provision institutes in Italy, concluded that attitudes and cultures towards risks and its management measures can differ vastly from one to another. Therefore, patient safety culture should be developed based on clinical governance policy and programs, comprehensive and short courses for risk management training, and implementation of clinical risk management [28]. Results of different research studies have demonstrated that educating staff regarding safety measures can lead to patient safety improvement [29].…”

Section: Discussionmentioning

confidence: 99%

Development of an effective risk management system in a teaching hospital

Adibi

Khalesi

Ravaghi

et al. 2012

J Diabetes Metab Disord

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BackgroundUnsafe health care provision is a main cause of increased mortality rate amongst hospitalized patients all over the world. A system approach to medical error and its reduction is crucial that is defined by clinical and administrative activities undertaken to identify, evaluate, and reduce the risk of injury. The aim of this study was to develop and implement a risk management system in a large teaching hospital in Iran, especially of the basis of WHO guidelines and patient safety context.MethodsWHO draft guideline and patient safety reports from different countries were reviewed for defining acceptable framework of risk management system. Also current situation of mentioned hospital in safety matter and dimensions of patient safety culture was evaluated using HSOPSC questionnaire of AHRQ. With adjustment of guidelines and hospital status, the conceptual framework was developed and next it was validated in expert panel. The members of expert panel were selected according to their role and functions and also their experiences in risk management and patient safety issues. The validated framework consisted of designating a leader and coordinator core, defining communications, and preparing the infrastructure for patient safety education and culture-building. That was developed on the basis of some values and commitments and included reactive and proactive approaches.ResultsThe findings of reporting activities demonstrated that at least 3.6 percent of hospitalized patients have experienced adverse events and 5.3 percent of all deaths in the hospital related with patient safety problems. Beside the average score of 12 dimensions of patient safety culture was 46.2 percent that was considerably low. The “non-punitive responses to error” had lowest positive score with 21.2 percent.ConclusionIt is of paramount importance for all health organizations to lay necessary foundations in order to identify safety risks and improve the quality of care. Inadequate participation of staff in education, reporting and analyzing, underreporting and uselessness of aggregated data, limitation of human and financial resources, punitive directions and management challenges for solutions were the main executive problems which could affect the effectiveness of system.

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Section: Discussionmentioning

confidence: 99%

Development of an effective risk management system in a teaching hospital

Adibi

Khalesi

Ravaghi

et al. 2012

J Diabetes Metab Disord

View full text Add to dashboard Cite

show abstract

“…The most used tools are (Verbano and Venturini, 2011;Verbano and Turra, 2010): incident reporting, analysis of clinical records and clinical documentation, analysis of administrative data, client reports, brainstorming, Root Cause Analysis, checklist, Failure Mode and Effects Analysis -Failure Mode, Effects, and Criticality Analysis (FMEA-FMECA), Hazard Risk Assessment (HRA), Hazard and Operability Analysis (HAZOP), decision-making trees.…”

Section: Clinical Risk Managementmentioning

confidence: 99%

How to combine lean and safety management in health care processes: A case from Spain

Crema

Verbano

2015

Safety Science

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“…CRM is a particular form of risk management that is focussed on clinical processes and that include all structures, processes, instruments and activities that enable hospital employees to identify, analyze, contain and manage risks, while providing clinical treatment and patient care (Walshe, 2001;Middendorf, 2005;Briner et al, 2010). Following ISO 31000, specific steps have to be followed and in each phase particular tools can be used (Verbano and Turra, 2010).…”

Section: Introductionmentioning

confidence: 99%

Mapping lean experiences and emerging connections with clinical risk management in Italian context

Crema

Verbano

2015

Business Process Management Journal

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Purpose -The purpose of this paper is to describe the Italian state of art of Health Lean Management (HLM) and to analyze the Italian projects that connect this approach with clinical risk management (CRM). Design/methodology/approach -After introducing Italian healthcare system and its main challenges, relevant Italian experiences have been searched investigating regional health plans (RHPs), managerial reports, books, workshops, conference proceedings and hospital web sites. The degree of experience of each Italian region has been first studied. Further, field of applicability, objectives, tools, practices and results of the projects with first signs of HLM and CRM integration have been analyzed. Findings -Although interest in new managerial approaches is spreading in almost all the territory and new managerial solutions are fostered in many RHPs, HLM projects are implemented patchy in Italy. For what regards HLM projects with CRM connections, the Italian context seems aligned with the international one, apart from few features. First indications for the implementation of HLM projects with CRM connections emerged. Originality/value -Healthcare systems are facing multiple challenges in a context where public funds decrease but quality of care must be guaranteed. Combining different managerial approaches could solve these issues. In this research, for the first time, a map about Italian HLM adoption has been drawn, and Italian HLM projects with CRM connections have been analyzed. The results constitute one of the first contributions useful to develop guidelines for the implementation of projects pursuing efficiency, quality and safety objectives.

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A human factors and reliability approach to clinical risk management: Evidence from Italian cases

Cited by 50 publications

References 68 publications

Development of an effective risk management system in a teaching hospital

Development of an effective risk management system in a teaching hospital

How to combine lean and safety management in health care processes: A case from Spain

Mapping lean experiences and emerging connections with clinical risk management in Italian context

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