The implementation framework of active risk management in the operating rooms of hospitals in the country: A qualitative study in Iran

Abstract

Introduction : Risk management is a frequent and step-by-step process that helps system managers improve decision-making in times of risk. During this process, the risk of errors is reduced, and Opportunities for improvement are increased. Given the increasing importance of patient safety and the role of risk management in reducing medical errors and treatment costs, this study was conducted to identify the executive framework of active risk management in the operating room of hospitals from the perspective of experts and administrative staff. Method This qualitative phenomenological study was conducted with a targeted sampling method and included 20 experts and executive staff as the study sample. Data were collected using a researcher-developed semi-structured interview and were analyzed using the framework analysis method. Results The results showed that active risk management consists of four components, including types of risks, principles, processes, and risk management framework in the operating room with 27 main themes based on the standard classification for types of risks (the Eight Risk Domains of Enterprise), principles, processes, and framework) principles, framework, and risk management process from ISO 3100( and 115 sub-themes. Conclusion By identifying different types of risks, analyzing and reporting them continuously, implementing the principles and framework of clinical risk management, creating an open and fair safety culture to achieve patient safety, creating programs and policies for error reporting, continuous training, skill development, institutionalizing methods to prevent errors, and requiring employees to implement the risk management process fully, a suitable model of clinical risk management can be implemented in hospitals’ operating rooms.

Active Risk Management Program in Operating Rooms of Hospitals in Different Countries: A Scoping Review Study

“…The existence of an incident registration system is an active approach to risk management, which is opposed to a passive approach. In the proactive approach, their repetition can be prevented by recording incidents and learning from mistakes (38,39). The next main goal is to improve safety in the operating room.…”