医学风险管理:在医疗实践中识别、评估和控制风险的过程

Pub Date : 2023-11-01 DOI:10.7769/gesec.v14i10.3023
Liliya Tishko, Svitlana Dramaretska, Anton Kurbanov, Vitaliy Yunger
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引用次数: 0

摘要

风险伴随着个人、公司或国家一生的任何活动。医疗保健行业也不例外,因为患者、医务人员和医疗保健机构经常遇到困难。医疗实践中的所有风险可以根据风险区域中的对象分为不同的类别:一般风险(经济、金融、环境、军事等),针对患者的特定风险(诊断、治疗、药物治疗等),针对医护人员的特定风险(工作条件、接触危险感染等)。风险治理是医疗保健机构在实现其目标时的优先事项之一,因为总有可能出现与计划不同的情况。与其他行业一样,在医疗保健领域,可以使用风险矩阵来评估和分析风险。这些矩阵允许进行定量、半定量和定性的风险分析。后者使制定应对和减轻这些风险的正确战略成为可能。本研究旨在对医疗实践中的风险阶段进行全面研究,并为风险分析提供详细建议,强调企业风险治理在医疗活动中的重要性。作者分析了自2013年以来收集的数据。研究发现,对每个事件的总体风险水平进行研究有助于确定所需控制措施的紧迫性和程度。
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Risk management in medicine: the process of identification, assessment and control of risks in medical practice
Risks accompany any activity of a person, company, or country throughout life. The healthcare industry is no exception, given the constant difficult situations that occur with patients, medical personnel, and healthcare facilities in general. All risks in medical practice can be divided into different groups according to the object in the risk zone: general risks (economic, financial, environmental, military, etc.), specific risks aimed at the patient (diagnostic, therapeutic, pharmacotherapeutic, etc.), and specific risks aimed at the healthcare employee (working conditions, contact with hazardous infections, etc.). Risk governance is one of the prio rities of healthcare institutions in achieving their goals because there is always a chance that something will go wrong, not as it was planned. In the field of healthcare, as in other industries, to assess and analyze the risks one can use risk matrices. These matrices allow for quantitative, semi-quantitative, and qualitative risk analysis. The latter makes it possible to develop the right strategy for responding to and mitigating those risks. This study aims to conduct comprehensive research of the risk stages in medical practice, as well as to provide detailed recommendations for risk analysis and emphasize the importance of corporate risk governance in healthcare activities. The authors analyzed the data collected since 2013. It has been found that the study of the overall risk level assigned to each incident helps to determine the urgency and degree of control measures required.
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