Systemic approach to the clinical risks management in a healthcare organization

The paper describes an intellectual model of clinical risk management (CRM) for a general hospital based on Failure Mode and Effects Analysis (FMEA), Route Cause Analysis (RCA) and Systems Engineering Initiative in Patient Safety (SEIPS) model. Input and output parameters of the CRM model, managemen...

Full description

Saved in:
Bibliographic Details
Published in:Procedia computer science 2022, Vol.213, p.385-390
Main Authors: Kleymenova, Elena, Matrosova, Elena, Yashina, Liubov, Nazarenko, Gerasim, Gerasimova, Natalya
Format: Article
Language:English
Subjects:
clinical risk management
decision support
hospital-acquired adverse events
patient safety
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The paper describes an intellectual model of clinical risk management (CRM) for a general hospital based on Failure Mode and Effects Analysis (FMEA), Route Cause Analysis (RCA) and Systems Engineering Initiative in Patient Safety (SEIPS) model. Input and output parameters of the CRM model, management resources and corrective interventions were determined. The main output parameter was a cumulative burden of healthcare-related adverse events (HAEs) that reflects both the severity and the rate of each HAE. The model was tested in a 300-bed urban hospital. It was shown that effectiveness of interventions used to prevent HAE may vary depending on the HAE type. In resource-constrained environment, implementation of the CRM model in routine practice allows for the selection of interventions aimed at preventing healthcare safety failures that will provide the greatest benefit both for patients and for the hospital. It opens up prospects for cognitive support of patient safety improvements and for the healthcare costs reduction.
ISSN:1877-0509
1877-0509
DOI:10.1016/j.procs.2022.11.082