Tavirani Majid Rezaei, Beigvand Hazhir Heidari
Faculty of Medicine, Iran University of Medical Sciences, Firoozabadi Research Development Center, Tehran, Iran.
Open Access Maced J Med Sci. 2019 Dec 10;7(23):4179-4187. doi: 10.3889/oamjms.2019.616. eCollection 2019 Dec 15.
The main concept of risk management in the emergency department (ED) contains a broader meaning, so that; it's known as a sudden event or situation which would happen at an uncertain future that has some negative or positive impacts which could be called threat or opportunity respectively. However, the knowledge of risk management could cover the overall procedures involved with administering the planning of risk management, identification, investigation, monitoring and also step by step clinical examination. One of the main tools for preventing adversities is evaluating and management of possible risks.
One of the main objectives of the present study is recognising the most frequent types of the risk happening in the EDs. Moreover, the present study is trying to evaluate the possible risks which could happen among various ED sections.
Six databases of EMBASE, HubMed, Cochrane Library, MEDLINE, PubMed, CHBD and Goggle scholar were chosen for discovering much-related articles from the year 2005 to 2019. A total number of 68 were chosen finally to be reviewed more precisely based on the main objective of the present study.
Precise planning, preparing sufficiently and conducting the process of continuous monitoring are needed for ensuring the fact that any possible risks could be managed through these planned strategies. On the other hand, by modifying the patients' beliefs, anticipations and the available social culture about the importance of risk management issue, the overall objective of the present study could be achieved at higher rates.
Moreover, because the potential of occurrence of risk in EDs is high and approximately more than half of them are fatal, more precise adequate systematic plans for management of them should result.
急诊科风险管理的主要概念包含更广泛的含义，即它被视为在不确定的未来可能发生的突发事件或情况，会产生一些负面或正面影响，分别可称为威胁或机遇。然而，风险管理知识涵盖了风险管理规划、识别、调查、监测以及逐步临床检查所涉及的整体程序。预防不良事件的主要工具之一是评估和管理可能的风险。
本研究的主要目标之一是识别急诊科最常见的风险类型。此外，本研究试图评估急诊科各个科室可能发生的风险。
选择了EMBASE、HubMed、Cochrane图书馆、MEDLINE、PubMed、CHBD和谷歌学术六个数据库，以查找2005年至2019年的相关文章。最终根据本研究的主要目标，共选择了68篇进行更精确的综述。
需要进行精确规划、充分准备并开展持续监测过程，以确保任何可能的风险都能通过这些规划策略进行管理。另一方面，通过改变患者对风险管理问题重要性的信念、预期和现有的社会文化，本研究的总体目标能够以更高的比率实现。
此外，由于急诊科发生风险的可能性很高，且其中约一半以上是致命的，因此应该制定更精确、充分的系统管理计划。
