Palm Marianne, Moen Leif, Braut Geir Sverre
Oslo University Hospital, Oslo, Norway.
Stavanger University Hospital, Stavanger, Norway.
SAGE Open Med. 2020 Nov 27;8:2050312120977136. doi: 10.1177/2050312120977136. eCollection 2020.
The aim is to investigate the appropriateness of hazid for performing risk analyses in supporting systems in hospitals.
We used a case study approach for evaluating introduction of hazid for the first time in two different university hospital settings. The hazid was performed in a customized way according to the specific needs at the two sites.
In both settings studied, the hazid approach revealed several phenomena that were followed up in the ordinary quality improvement work. The results were widely acknowledged as valid as seen from the managerial level. The participants reported that they felt comfortable in the hazid process and were able to freely present their current concerns and perspectives on risks related to their daily work.
Hazid is basically a meeting between competent workers who elaborate on their own risk picture. It is giving other types of information not gained through other often-used approaches. Specific risk factors can be described in real time as seen by people directly involved, thus circumventing the hierarchy in the organization. The process in itself can trigger improvement actions.
Hazid can be used for presenting a valid risk picture as seen from below in the organization.
目的是调查危险与可操作性分析（HAZID）在医院支持系统中进行风险分析的适用性。
我们采用案例研究方法，首次在两家不同的大学医院环境中评估危险与可操作性分析的引入情况。危险与可操作性分析是根据两个地点的具体需求以定制方式进行的。
在所研究的两种环境中，危险与可操作性分析方法都揭示了一些现象，这些现象在日常质量改进工作中得到了跟进。从管理层来看，这些结果被广泛认为是有效的。参与者报告说，他们在危险与可操作性分析过程中感到自在，并且能够自由地表达他们目前对与日常工作相关风险的担忧和看法。
危险与可操作性分析本质上是有能力的工作人员之间就各自的风险情况进行阐述的会议。它能提供通过其他常用方法无法获得的其他类型信息。直接相关人员所看到的具体风险因素能够实时得到描述，从而绕过组织中的层级结构。该过程本身就能引发改进行动。
危险与可操作性分析可用于从组织底层呈现有效的风险情况。
