Risk management of smart healthcare systems: Delimitation, state-of-arts, process, and perspectives

IF 0.6 Q4 HEALTH CARE SCIENCES & SERVICES Journal of patient safety and risk management Pub Date : 2022-05-17 DOI:10.1177/25160435221102242
Yiliu Liu
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引用次数: 3

Abstract

Sensing, communication, computation, and control technologies are facilitating smart healthcare to improve efficiency and effectiveness of medical treatment and care. This study focuses on the risk issues relevant with the adverse events where novel technical systems do not serve as expected. We discuss the unique challenges, define the scope of risk management in healthcare and review the state-of-art research on diverse topics under the framework widely used in risk management. Then, we present a systematic approach to identify the hazards to patients and other asset of interest in the perception, cyber communication, and execution of smart technologies and their operational contexts. We also investigate different methods for scenario, likelihood, and consequence analyses for specifying the risks of adverse events, and categorize the approaches of risk reduction, as the main strategy of treating risks of smart healthcare systems, into four groups of design, operation, organization, and legislation. At the last, the article proposes some research perspectives responding to the developing trend of smart healthcare.
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智能医疗保健系统的风险管理:界定、现状、流程和观点
传感、通信、计算和控制技术正在推动智能医疗,以提高医疗和护理的效率和效果。本研究的重点是与不良事件相关的风险问题,其中新技术系统不能如预期的那样服务。我们讨论了独特的挑战,定义了医疗保健风险管理的范围,并在风险管理广泛使用的框架下回顾了不同主题的最新研究。然后,我们提出了一种系统的方法来识别在智能技术及其操作环境的感知、网络通信和执行中对患者和其他感兴趣的资产的危害。我们还研究了用于指定不良事件风险的情景、可能性和后果分析的不同方法,并将降低风险的方法(作为处理智能医疗系统风险的主要策略)分为设计、操作、组织和立法四组。最后,针对智慧医疗的发展趋势,提出了一些研究展望。
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