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Understanding risk management in hospitals: Current practice and recommendations

Başlık çevirisi mevcut değil.

  1. Tez No: 403131
  2. Yazar: GÜLSÜM KÜBRA KAYA
  3. Danışmanlar: Dr. MICHAEL EMES
  4. Tez Türü: Yüksek Lisans
  5. Konular: Hastaneler, Hospitals
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2014
  8. Dil: İngilizce
  9. Üniversite: Unıversıty Of London - Unıversıty College London
  10. Enstitü: Yurtdışı Enstitü
  11. Ana Bilim Dalı: Belirtilmemiş.
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: Belirtilmemiş.

Özet

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Özet (Çeviri)

The complexity of the healthcare industry and the fact that 5% of adverse events are preventable has increased interest in hospital risk management applications. Hospital risk management has drawn on other industries' risk management processes. Yet even though the National Health Service (NHS) in the UK has established guides for risk management, there are still uncertainties in the guides' application. This research aims to understand the current practice of risk management within UK hospitals by explaining the process, procedures and weak points in the practice, and comparing in several aspects such as risk management applications in NASA and risk management in USA hospitals. To achieve this aim, published documents and 190 questionnaire responses, which was completed by managers and practitioners in hospitals, are used. Questionnaire results are divided according to different countries (UK, USA and others-32 countries) and roles in hospitals (managers and healthcare practitioners) to understand different interpretations in the hospital risk management processes. Furthermore, two other risk management sources (NASA and ISO 31000) are evaluated to see what more healthcare providers could learn. Finally, some suggestions are given to the current practice. The research finds that hospital risk management has not been adapted entirely successfully from other risk management practices. In a hospital environment, most of the risks are assessed by practitioners who are not always trained about risk management or patient safety, which results in the ineffective use of tools and interpretation errors. However, some practitioners have a mature understanding of risk management such as providing efficient hospital working. The questionnaire found that the majority of the practitioners' primary focus is 'the hospital as a whole' instead of focusing on 'the individual patient'. Additionally some differences are detected between the UK and USA due to differences in the healthcare systems. The research finds that most of the defined problems or weak points could be solved by developing systems thinking and integrating more engineering approaches, such as safety management and quality management into risk management processes.

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