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医疗机构职业健康风险评估:开发一种半定量风险方法。

Occupational health risk assessment at healthcare institutions: Developing a semi-quantitative risk method.

机构信息

Student Research Committee, Faculty of Public Health Branch, Iran University of Medical Sciences, Tehran, Iran.

Social Determinants in Health Promotion Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

Int J Risk Saf Med. 2021;32(4):265-278. doi: 10.3233/JRS-200048.

Abstract

BACKGROUND

Environmental hazards in healthcare institutions affect the quality of patient care as well as personnel and patient safety.

OBJECTIVE

The aim of this study was to develop and apply a semi-quantitative risk assessment method to calculate occupational health risk levels with regard to the sensitivities of healthcare institutions.

METHODS

The present research was conducted in three phases. In phases 1 and 2, the model was developed using a review of different risk assessment methods, extracting expert opinions (N = 10) through semi-structured interviews, and using the fuzzy analytical hierarchy process (FAHP). In phase 3, in order to validate the proposed method, one of the five public hospitals was randomly selected and a case study comprising 6 sections was performed.

RESULTS

A total of 43 health risks were identified and evaluated using the present method, 41.86% of which were at very high levels, 16.27% at high levels, 30.23% at substantial ones, 9.3% at medium and 2.32% at low levels. The highest health risks were found in paraclinical and operating room wards.

CONCLUSION

To overcome the shortcomings of the proposed health risk assessment methods, a semi-quantitative method was used in the present study to more accurately calculate the risk levels in the healthcare institutions and also calculate the risk level of each hospital unit. The proposed semi-quantitative method can be used as a tool for assessing occupational health risks as a key element of risk management. In addition, by focusing on an appropriate framework for occupational health risk assessment, specialists in the organization will be able to take significant and effective steps to implement an efficient risk management system.

摘要

背景

医疗机构中的环境危害会影响患者护理质量以及人员和患者安全。

目的

本研究旨在开发和应用一种半定量风险评估方法,以计算医疗机构敏感性相关的职业健康风险水平。

方法

本研究分三个阶段进行。在第 1 阶段和第 2 阶段,通过审查不同的风险评估方法、通过半结构化访谈提取专家意见(N=10)以及使用模糊层次分析法(FAHP)来开发模型。在第 3 阶段,为了验证所提出的方法,随机选择了其中一家公立医院,并进行了包括 6 个部分的案例研究。

结果

使用本方法共识别和评估了 43 种健康风险,其中 41.86%为极高风险,16.27%为高风险,30.23%为较大风险,9.3%为中等风险,2.32%为低风险。最高的健康风险出现在医技科室和手术室。

结论

为了克服所提出的健康风险评估方法的缺点,本研究采用了一种半定量方法,以更准确地计算医疗机构的风险水平,并计算每个医院单位的风险水平。所提出的半定量方法可以用作评估职业健康风险的工具,作为风险管理的关键要素。此外,通过关注职业健康风险评估的适当框架,组织中的专家将能够采取重大而有效的措施来实施有效的风险管理系统。

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