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Risk approaches and standards used in hospitals: A survey of industry views

机译：医院使用的风险评估方法和标准：行业观点调查

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摘要

Risk management is an important tool to decrease medical errors and to improve overall quality of care in US hospitals. To gain insight into current practices in US hospitals, survey methods were used to explore the extent to which risk management systems in hospitals have the tools, resources and staffing appropriate to handle and improve risk management. A survey instrument was developed by reference to a research framework based on the "conceptual" model of Sullivan and Beach as modified by Chan that emphasizes the importance of a triad of elements, including resources, competence and memory. The purpose of the survey was to determine current approaches and hiring practices in risk management within the hospital industry. It further probed the focus of risk management activities performed by risk managers, their views of risk management standards and approaches being used in hospitals and the use of methodologies. It was clear from both a voluminous literature on this topic and the survey that hospitals still have many challenges with regard to implementing risk management systems and processes. Most hospitals had only one or a few risk management personnel who had little ongoing training and background preparation in risk management methodology. They performed a large variety of tasks and were faced with a large range of risks. Nevertheless, they typically expressed satisfaction with their work, with mixed views on the level of support that they received from senior management. Typically missing from the system was a systematic set of standards for identifying, prioritizing and controlling areas of greatest risk based on their performance metrics. Although the framework used for this study was primarily oriented to assessing performance, results suggested that hospital culture and behaviors often seemed to contribute to key concerns, such as the willingness to hire individuals with little background in formal risk management and to accept as standard practice the use of only very risk management tools.
机译：风险管理是减少医疗错误并提高美国医院整体护理质量的重要工具。为了深入了解美国医院的当前做法，使用了调查方法来探讨医院的风险管理系统在何种程度上拥有适当的工具，资源和人员来处理和改善风险管理。通过参照由Chan修改的Sullivan和Beach的“概念”模型的研究框架，开发了一种调查工具，该模型强调了包括资源，能力和记忆力在内的三要素的重要性。该调查的目的是确定医院行业内风险管理的当前方法和雇用实践。它进一步探讨了风险管理者开展的风险管理活动的重点，他们对医院所采用的风险管理标准和方法以及方法论的看法。从有关该主题的大量文献和调查中可以清楚地看出，医院在实施风险管理系统和流程方面仍然面临许多挑战。大多数医院只有一个或几个风险管理人员，他们几乎没有进行持续的风险管理方法培训和背景准备工作。他们执行了各种各样的任务，并面临着各种各样的风险。然而，他们通常对自己的工作表示满意，对他们从高级管理层获得的支持水平持不同意见。系统中通常缺少一套系统的标准，用于根据绩效指标来确定，确定优先级和控制最大风险区域。尽管本研究使用的框架主要是针对绩效评估，但结果表明，医院的文化和行为似乎往往是造成关键问题的原因，例如愿意聘用在正式风险管理方面没有什么背景的个人并愿意接受标准的实践。仅使用非常风险管理工具。

著录项

  • 作者

    McCall, Haven.;

  • 作者单位

    University of Southern California.;

  • 授予单位 University of Southern California.;
  • 学科 Health care management.;Health education.
  • 学位 D.R.Sc.
  • 年度 2013
  • 页码 159 p.
  • 总页数 159
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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