Pascarella Giacomo, Rossi Matteo, Montella Emma, Capasso Arturo, De Feo Gianfranco, Botti Gerardo, Nardone Antonio, Montuori Paolo, Triassi Maria, D'Auria Stefania, Morabito Alessandro
Scientific Directorate, Istituto Nazionale Tumori "Fondazione G. Pascale", IRCCS, Napoli, Italy.
Wroclaw School of Banking Wyższa Szkoła Bankowa, Wrocalw, Poland.
Risk Manag Healthc Policy. 2021 Jul 8;14:2897-2911. doi: 10.2147/RMHP.S309098. eCollection 2021.
A risk assessment matrix is a widely used tool for analyzing, assessing and setting priorities in risk management in many fields. This paper overviews critical variables, advantages, disadvantages, strengths and weaknesses of this tool, according to the ISO 31000 risk management framework.
Risk assessment is one of the key stages in the Risk Management Process and involves specific steps: identifying hazards, analyzing and evaluating all possible risks. Several methods are developed to assess risks in the literature. A risk matrix method, also called "decision matrix risk assessment (DMRA) technique", is a systematic approach used to determine the risk level and to compare different risks and define which threats need to be controlled first. The actors involved in risk assessment are called on to manage different issues related to the choice of the most appropriate methodological approach, the assessment of the adequacy of the existing control measures, the articulation of risk consequence domains, the definition of the impact-consequences, the explanation of risk likelihood scales and the development of a risk matrix.
We highlighted a number of recommendations in order to address these issues, especially useful when healthcare organizations provide insufficient guidance on how to use risk matrices as well as what to do in response to the existing criticisms on their use.
风险评估矩阵是许多领域中广泛用于分析、评估风险管理优先级的工具。本文根据ISO 31000风险管理框架概述了该工具的关键变量、优点、缺点、长处和短处。
风险评估是风险管理过程中的关键阶段之一,涉及特定步骤:识别危害、分析和评估所有可能的风险。文献中开发了几种评估风险的方法。风险矩阵方法,也称为“决策矩阵风险评估(DMRA)技术”,是一种用于确定风险水平、比较不同风险并确定哪些威胁需要首先控制的系统方法。参与风险评估的人员需要处理与选择最合适的方法、评估现有控制措施的充分性、阐明风险后果领域、定义影响后果、解释风险可能性量表以及开发风险矩阵等相关的不同问题。
我们强调了一些建议以解决这些问题,特别是当医疗保健组织在如何使用风险矩阵以及如何应对现有对其使用的批评方面提供的指导不足时,这些建议尤为有用。