Biparva Akbar Javan, Nikjoo Raana Gholamzadeh, Jannati Ali, Arab Mohammad, Ostadi Ali
Department of Health Policy and Health Services Management, School of Management and Medical Informatics, Iranian Center of Excellence in Health Management, Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Management and Health Economic, School of Public Health, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
J Educ Health Promot. 2023 Nov 27;12:407. doi: 10.4103/jehp.jehp_245_23. eCollection 2023.
The World Health Organization (WHO) considers a safe operating room as one of the necessities of hospitals that support patients. Achieving safety in surgical operations in all countries of the world is the basic goal of healthcare centers and organizations; hence, the present study investigated the challenges and prerequisites for the implementation of an active risk management program in the operating rooms of Iranian hospitals.
This qualitative-phenomenological study was conducted in 2022. Data were collected using semi-structured interviews, targeted sampling, and the participation of 20 experts (health policy and management experts and academic officials and faculty members of universities) and executive staff (nurses and operating room technicians, doctors and surgical specialists, and officials of surgical departments) and were analyzed using the framework analysis method.
In the resulting qualitative study, the challenges and prerequisites for active risk management in the operating room from the point of view of experts and executive staff were divided into three sub-themes. These three themes include managerial challenges and prerequisites, organizational resources (financial resources, human resources, equipment, and facilities), and cultural issues.
Considering managerial prerequisites, organizational resources (financial, human, equipment, and facilities), cultural issues, and removing challenges, an active risk management program in the operating room can be implemented correctly. With the correct implementation of this program, injuries in the operating room for personnel and patients will be greatly reduced, and the satisfaction of beneficiaries and the productivity of the hospital will be greatly increased.
世界卫生组织（WHO）将安全的手术室视为医院支持患者的必备条件之一。在世界各国实现手术操作安全是医疗保健中心和组织的基本目标；因此，本研究调查了伊朗医院手术室实施积极风险管理计划的挑战和先决条件。
这项定性现象学研究于2022年进行。通过半结构化访谈、目标抽样收集数据，20名专家（卫生政策与管理专家、大学学术官员和教职员工）以及行政人员（护士和手术室技术人员、医生和外科专家、外科部门官员）参与其中，并使用框架分析法进行分析。
在所得的定性研究中，从专家和行政人员的角度来看，手术室积极风险管理的挑战和先决条件分为三个子主题。这三个主题包括管理挑战和先决条件、组织资源（财务资源、人力资源、设备和设施）以及文化问题。
考虑到管理先决条件、组织资源（财务、人力、设备和设施）、文化问题以及消除挑战，可以正确实施手术室积极风险管理计划。通过正确实施该计划，手术室人员和患者的受伤情况将大大减少，受益人的满意度和医院的生产力将大大提高。
