Health management risks in developing countries: Case of a sterilization unit in a Moroccan public hospital

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2024-03-11 DOI:10.1016/j.pcorm.2024.100382

Amine En-Naaoui , Mohammed Kaicer , Wahid Chaouki , Mohsine Mimouni , Aicha Aguezzoul

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Abstract

Background

The sterilization of instruments is a critical process to perform the activity in the operating rooms and ensure the safety of patients. The best approach to improve the performance of the sterilization is the risk management. Nevertheless, improving the performance in sterilization units in developing countries presents a real challenge.

Purpose

Designing an effective risk management project in health sector, specifically in sterilization units, adaptable to the context of developing countries (DC).

Methods

This study uses Failure Modes and Effects Analysis (FMEA) to manage risks in healthcare in DC. Modifications to the implementation of the recommended tool mode. A case study of the sterilization unit of a tertiary Moroccan national reference university hospital was conducted to verify the effectiveness of the model.

Findings

The present study demonstrated that the proposed model is adaptable to the DC context. This model was implemented with minimal resources and was highly efficient.

Conclusions

The increase of risks in healthcare is a challenge for managers in DC. This study highlights the first successful experience of risk management in Moroccan healthcare sector.

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发展中国家的卫生管理风险：摩洛哥一家公立医院消毒室的案例

背景器械的消毒灭菌是在手术室开展活动和确保病人安全的关键过程。风险管理是提高灭菌性能的最佳方法。然而，在发展中国家提高消毒单位的绩效确实是一项挑战。目的在卫生部门，特别是在消毒单位设计一个有效的风险管理项目，以适应发展中国家（DC）的情况。对建议工具模式的实施进行修改。对摩洛哥一家国家参考大学三级医院的消毒部门进行了案例研究，以验证该模式的有效性。结论医疗风险的增加是发展中国家管理者面临的挑战。本研究强调了摩洛哥医疗保健部门风险管理的首次成功经验。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.