Human-Factor-Based Risk Management in the Healthcare to Improve Patient Safety

Abstract

‘Patient Safety' tries to increase safety and transparency within healthcare systems for both patients and professionals. Within the healthcare sector, workflows become more and more complex, while time and money become scarce. As a consequence, the risk awareness, fault management and quality aspects become more important. One of the most well established risk assessment method is Failure Mode and Effect Analysis (FMEA) – a reliability analysis and risk assessment tool widely used in various industries. The traditional FMEA is using a Risk Priority Number (RPN) ranking system to evaluate and identify the risk level of failures, and to prioritize actions. However, there are several shortcomings in obtaining a quality estimate of the failure ratings with FMEA, especially when human factors play an important role. Thus, a new risk assessment method called HFdFMEA (Human Factor dependent FMEA) based on the dependency of used parameters and the observation of human factors, is proposed to address the drawbacks. The opportunity to improve patient safety is discussed as result of HFdFMEA.

Sigurnost bolesnika u zdravstvenim ustanovama iz perspektive medicinskih sestara

“…Sustavi upravljanja kvalitetom neposredno mogu doprinijeti i povećanju sigurnosti bolesnika, primjerice, korištenje norme ISO EN 15224:2017 koja definira potrebu usvajanja pristupa utemeljenog na evaluaciji rizika. Rizici koje organizacija mora evaluirati također mogu utjecati na sigurnost bolesnika [10].…”

Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff

“…30 In practice, a strong risk management system does not guarantee total absence of failures, but it ensures accuracy, dependability, and prompt handling of failures to reduce risks and damages. 30 Consequently, risk managers can improve safety within the organization. 30 Quality management often serves as a methodical platform for risk management.…”

“…30 Consequently, risk managers can improve safety within the organization. 30 Quality management often serves as a methodical platform for risk management. 31 To truly thrive in an environment of continuing changes and an era of increased data transparency and media scrutiny, health care organizations require taking a sustainable risk management approach to avoid repercussions, fines for noncompliance, or damaged reputation.…”

“…Risk managers are involved in identification and avoidance of risks in a systematic way . In practice, a strong risk management system does not guarantee total absence of failures, but it ensures accuracy, dependability, and prompt handling of failures to reduce risks and damages . Consequently, risk managers can improve safety within the organization .…”