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A framework to support risk assessment in hospitals.

Gulsum Kubra Kaya1, James R Ward1, P John Clarkson1

  • 1Engineering Design Centre, Department of Engineering, University of Cambridge, Trumpington Street, Cambridge, UK.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|September 6, 2018
PubMed
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A new risk assessment framework was developed to address inconsistencies and lack of guidance in hospital safety practices. This framework aims to improve decision-making and patient care quality through better risk management.

Keywords:
design for safetyguidelinespatient safetyrisk assessmentrisk management

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Risk management in clinical settings

Background:

  • Current hospital risk assessment practices face challenges including limited stakeholder engagement, inconsistency, and inadequate guidance.
  • These limitations hinder the effectiveness of risk assessment in ensuring patient safety.

Purpose of the Study:

  • To develop and evaluate a novel risk assessment framework to enhance the effectiveness of safety practices in hospitals.
  • To address identified shortcomings in current risk assessment methodologies.

Main Methods:

  • A V-system developmental model was employed, integrating mixed methods such as interviews and document analysis.
  • A comprehensive risk assessment framework was designed, including a model, explanation cards, and a standardized form.
  • The framework was piloted and evaluated using group discussions and user interviews with 10 participants.

Main Results:

  • User evaluation yielded promising results, indicating the framework's potential utility.
  • The developed framework was recommended for practical implementation in healthcare settings.

Conclusions:

  • The risk assessment framework is proposed for both direct use and as a training tool.
  • Implementation is anticipated to lead to more informed decisions and effective risk mitigation strategies.
  • The ultimate goal is to enhance the overall quality and safety of delivered healthcare.