Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Article



Principles of risk management in surgery departments

Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas.

Abstract
Objectives: Surgical procedures aim at preserving human life and improving life quality. However, there are many poten- tial risk sources that can cause serious harm to patients. For centuries, managers believed that the technical competence of the surgeon is the only key to a successful surgery. But over the past decade, risks have been considered in terms of process-based safety procedures, teamwork and inter departmental communication. This study aims to determine how the process-biased surgical risk management should be done in terms of project management tool named activity breakdown structure (ABC).
Methods: This study was conducted in two stages. First, literature review and meeting with professors was done to de- termine principles and framework of surgical risk management. Responsible teams for surgical patient journey were then involved in subsequent meetings to develop the process-biased surgical risk management. This study is a qualitative research in which the inductive approach is used on focus groups. Sampling was performed to achieve representative- ness through intensity sampling biased on experience and seniority. Context analysis of interviews and consensus themes extracted from focus discussion group meetings discussion was the analysis tool.
Results: We structured the patient journey process in five main phases, 24 activities and 108 tasks. Then, the responsible teams were involved, and the transposition and allocated places for performing were chosen. Because of their importance, some activities and task themes such as patient identification and records review were repeated in each phase.
Conclusions: Risk management of surgical departments is significant as this is typically the hospital facility with the both the highest cost and revenue. Communication between the surgical team and other clinical teams outside the surgery department through process-biased perspective could improve the safety of patients.

Key words: Activity breakdown structure, risk management, surgical department



Share this Article


Advertisement
Journal of Environmental and Occupational Science

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.