A Proactive Risk Assessment Framework to Enhance Patient Safety in Operating Rooms

Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 590)

Abstract

Patient safety, as a main aspect of quality of care, has been a major issue over the last decades in the healthcare industry. The number of preventable medical errors in hospitals has been noticeably high. These errors are more likely to occur in intensive care units including Operating Rooms (ORs). Moreover, preventable errors such as operating on a wrong body part have serious consequences. This paper fills an important gap by proposing a framework for proactive risk assessment of operations in ORs through the identification and monitoring of appropriate Leading Safety Indicators (LSIs) to evaluate the safety of operations and generate warning/predicting signals for potential failures. These LSIs are identified across the six layers of the Rasmussen’s Risk Management Framework, which each represents a main group of involved decision-makers. These layers in our context, from top to bottom, are: government; regulators; hospital; surgery division management; surgery personnel; and work processes.

Keywords

Proactive risk assessment Patient safety Operating Rooms (ORs) Healthcare industry Leading Safety Indicators (LSIs) Wrong Site Surgery (WSS) Jens Rasmussen 

Notes

Acknowledgments

We would like to convey our extensive gratitude to Mr. Felipe Osorno, the Executive Administrator of the Value Improvement Office at the Keck Medicine of USC (University of Southern California), and Dr. Josh Hyatt, the Executive Director of the Office of Integrated Risk Management at the Keck Medicine of USC, for their advice and guidance. This work however, should not necessarily be construed as their representative positions or be endorsed by them.

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Manufacturing Systems Engineering and ManagementCalifornia State University, NorthridgeNorthridgeUSA

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