Abstract
In general, most European countries have quality and safety provisions for health services addressed within their own national legislation. However, how are patients and professionals informed to, i.e. ensure them that the care in their hospital is of high quality? The number of reported incidents is at most a global indicator for ‘how safe the hospital is for the patient’. Only a fully implemented reliable system for quality and safety management will ensure that goals set are achieved. Risk assessment can be an effective approach to encourage awareness and cultural change.
This chapter deals with methods for systematic estimation and reduction of risks. Within the context of this book, the focus will be on processes and patient safety. After an introduction on the systematic approach of risk management, in general, two complementary models for risk assessment applicable in health-care organisations will be explained.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Annett J, Duncan KD. Task analysis and training design occup. Psychol. 1967;41:211–21.
Bird Jr F, et al. Loss control management. Loganville: Institute Press; 1976. p. 33–5.
BTS guidelines for the insertion of a chest drain. Laws D, Neville E, Duffy J, on behalf of the British Thoracic Society Pleural Disease Group, a subgroup of the British Thoracic Society Standards of Care Committee Thorax. 2003;58(Suppl II):ii53–ii59
Cooper Michol A, et al. Underreporting of Robotic Surgery Complications. Journal for Healthcare Quality. 2013. Article first published online. http://qap2.onlinelibrary.wiley.com/doi/10.1111/jhq.12036/references.
Greenwood M, Woods HM. The incidence of industrial accidents upon individuals with special reference to multiple accidents. Industrial Fatigue Research Board, Medical Research Committee. 1919. Report No. 4. Her Majesty’s Stationery Office, London.
Heinrich HW. Industrial accident prevention: a scientific approach. New York: McGraw-Hill; 1931. In: Hollnagel E. Safer complex industrial environments: a human factors approach. CRC Press. 2009.
Henriksen K, et al. Editors understanding adverse events: a human factors framework. In: Patient safety and quality: an evidence-based handbook for nurses. Rockville: Agency for Healthcare Research and Quality (US); 2008. Chapter 5. Advances in Patient Safety.
Hollnagel E, Rigaud E. Proceedings of the second Resilience engineering symposium. 2006. Antibes-Juan-les-Pins, Mines Paris, les presses. 8–10 Nov 2006.
Josefson D. Haemophilia patients launch action against Bayer over contaminated blood products. Br Med J. 2003;14:326.
Kohn LT, et al. To err is human: building a safer health system. Washington DC: National Academy Press Institute of Medicine; 1999.
Meers PD, et al. Intravenous infusion of contaminated dextrose solution: the devonport incident. Lancet. 1973;2:1189–92.
Mintzberg Henry. Structure in fives: designing effective organizations. Englewood Cliffs: Prentice-Hall, Inc. vii 312. p. 1993.
Patient VC. Safety. New York: Wiley; 2011.
Potts Henry WW, et al. Assessing the validity of prospective hazard analysis methods: a comparison of two techniques. BMC Health Serv Res. 2014;14:41.
Reason, J. Managing the Risks of Organizational Accidents, Aldershot: Ashgate; 1997. ISBN 1840141042.
Reason J. Human error: models and management. Br Med J. 2000;320:768–70.
Stanton Neville A. Hierarchical task analysis: developments, applications, and extensions. Appl Ergon. 2006;37(1):55–79.
Tamuz MI, Harrison MI. Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654–76.
The original source for the Swiss Cheese illustration is: “Swiss Cheese” Model – James Reason, 1991. The book reference is: Reason J. Human Error. New York: Cambridge University Press; 1990.
Vincent C. Patient safety. New York: John Wiley & Sons; 2011.
Yue Ying Kwan. A healthcare failure mode and effect analysis on the safety of secondary infusions. Institute of biomaterials and biomedical engineering, University of Toronto. 2012.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
van der Star, A. (2017). Risk Management Systems. In: Glaudemans, A., Medema, J., van Zanten, A., Dierckx, R., Ahaus, C. (eds) Quality in Nuclear Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-33531-5_21
Download citation
DOI: https://doi.org/10.1007/978-3-319-33531-5_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-33529-2
Online ISBN: 978-3-319-33531-5
eBook Packages: MedicineMedicine (R0)