Ferdosi Masoud, Rezayatmand Reza, Molavi Taleghani Yasamin
Health Management and Economics Research Center, Department of Health Services Management, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Risk Manag Healthc Policy. 2020 Mar 19;13:215-243. doi: 10.2147/RMHP.S231712. eCollection 2020.
This study attempted to present a framework and appropriate techniques for implementing risk management (RM) in executive levels of healthcare organizations (HCOs) and grasping new future research opportunities in this field.
A scoping review was conducted of all English language studies, from January 2000 to October 2018 in the main bibliographic databases. Review selection and characterization were performed by two independent reviewers using pretested forms.
Following a keyword search and an assessment of fit for this review, 37 studies were analyzed. Based on the findings and considering the ISO31000 model, a comprehensive yet simple framework of risk management is developed for the executive levels of HCOs. It includes five main phases: establishing the context, risk assessment, risk treatment, monitoring and review, and communication and consultation. A set of tools and techniques were also suggested for use at each phase. Also, the status of risk management in the executive levels of HCOs was determined based on the proposed framework.
The framework can be used as a training tool to guide in effective risk assessment as well as a tool to assess non-clinical risks of healthcare organizations. Managers of healthcare organizations who seek to ensure high quality should use a range of risk management methods and tools in their organizations, based on their need, and not assume that each tool is comprehensive.
本研究试图提出一个框架和适当的技术，用于在医疗保健组织（HCOs）的行政层面实施风险管理（RM），并把握该领域未来新的研究机会。
对2000年1月至2018年10月主要文献数据库中所有英文研究进行了范围综述。由两名独立评审员使用预先测试的表格进行综述选择和特征描述。
经过关键词搜索和对本综述适用性的评估，分析了37项研究。基于研究结果并考虑ISO31000模型，为HCOs的行政层面开发了一个全面而简单的风险管理框架。它包括五个主要阶段：确定背景、风险评估、风险处理、监测与评审以及沟通与协商。还针对每个阶段建议了一套工具和技术。此外，根据所提出的框架确定了HCOs行政层面的风险管理状况。
该框架可作为一种培训工具，用于指导有效的风险评估，也可作为一种评估医疗保健组织非临床风险的工具。寻求确保高质量的医疗保健组织管理者应根据其需求在组织中使用一系列风险管理方法和工具，而不应假定每种工具都是全面的。
