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A framework for operationalizing risk: A practical approach to patient safety.

Simon C Mathews1,2, Kathleen M Sutcliffe3, Margaret R Garrett4

  • 1Johns Hopkins University School of Medicine, Baltimore, MD.

Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management
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Patient safety is crucial, but resources are limited. This framework addresses patient safety by examining risks at multiple levels within a health system, aiding the journey toward high reliability.

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Area of Science:

  • Healthcare Management
  • Patient Safety Research
  • Quality Improvement Science

Background:

  • Growing recognition of patient safety's importance.
  • Identified gap in practical application resources for patient safety.
  • Need for a structured approach to managing risks in healthcare.

Purpose of the Study:

  • To present a framework for addressing patient safety.
  • To illustrate practical applications of the patient safety framework.
  • To describe resource requirements and integration with quality management.

Main Methods:

  • Overview of the Johns Hopkins Health System's patient safety framework.
  • Analysis of patient safety risks at patient, provider, unit, and system levels.
  • Description of practical implementation examples and resource needs.

Main Results:

  • A multi-level risk-based framework for patient safety is detailed.
  • Practical examples demonstrate the framework's application.
  • The framework's integration into the broader quality management infrastructure is outlined.

Conclusions:

  • The presented framework offers a structured approach to enhancing patient safety.
  • Effective patient safety requires a multi-level risk assessment and resource allocation.
  • Integration within quality management supports the pursuit of high reliability in healthcare systems.