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Evaluation of system mapping approaches in identifying patient safety risks
Mecit Can Emre Simsekler1,2, James R Ward3, P John Clarkson3
1Department of Industrial and Systems Engineering, Khalifa University of Science and Technology, Abu Dhabi Campus, Abu Dhabi 127788, United Arab Emirates.
System mapping approaches (SMAs) can identify patient safety risks in healthcare. System diagrams proved most useful, though resource limitations may hinder adoption.
Area of Science:
- Healthcare Management
- Patient Safety
- Risk Assessment
Background:
- System mapping approaches (SMAs) are widely used in safety-critical industries but underutilized in healthcare for patient safety risk identification.
- A novel risk categorization framework was developed to aid in evaluating SMAs within a healthcare context.
Purpose of the Study:
- To evaluate the potential of various system modelling approaches (SMAs) in identifying patient safety risks within a healthcare setting.
- To understand the practical application of SMAs in healthcare through a risk categorization framework.
Main Methods:
- The study was conducted in a new Adult Attention Deficit Hyperactivity Disorder (ADHD) service.
- Eight key stakeholders (clinicians, managers, administrative staff) participated in interview-based questionnaires.
- Stakeholders evaluated six pre-defined SMAs based on their utility for identifying patient safety risks.
Main Results:
- All evaluated SMAs demonstrated potential usefulness in the healthcare service, albeit in different capacities.
- Specific diagram types within SMAs were identified by stakeholders as more effective for pinpointing particular system risks.
Conclusions:
- System diagrams emerged as the most valuable SMA for risk identification within the studied healthcare system.
- Potential barriers to SMA implementation in healthcare include limited time, resources, and stakeholder experience with these methods.
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