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医院管理和运营中的业务连续性计划:首次使用 PDTA 流程经验来认证符合 ISO 22301:2019 标准要求的紧急医疗服务。

Business continuity plan in the management and operations of hospitals: First experience to certify the PDTA processes with the requirements defined by ISO 22301:2019 in emergency medical services.

机构信息

Unit of Quality and Risk Management, University-Hospital of Marche, Ancona, Italy. ORCID: https://orcid.org/0000-0002-8471-9965.

Unit of Quality and Risk Management, University-Hospital of Marche, Ancona, Italy.

出版信息

J Emerg Manag. 2024 Jan-Feb;22(1):45-52. doi: 10.5055/jem.0791.

DOI:10.5055/jem.0791
PMID:38533699
Abstract

BACKGROUND

A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs). PDTA processes are all certified by the ISO 9001:2015 management system hospital. Our hospital is the first healthcare company to have obtained ISO 22301:2019 certification concerning PDTA processes, offering patients the highest standards of quality and safety of care in emergency medical services.

METHODS

The formal BCP process includes several steps prior to the creation of a BCP: create a BCP team, conduct a BIA, determine the continuity plan by using the results of the analyses, and conduct training and exercises to educate staff and improve the BCP.

RESULTS

From the BIA analysis, the team identified the time-employee PDTAs in company paths under emergency and urgency: acute ST-elevation myocardial infarction (STEMI), TRAUMA, and STROKE, providing for a planning path that took advantage of the duration of approximately 12 months. This path included the creation of structural procedures, the redefinition and updating of the PDTA in the light of the BCP, the preparation of exercises aimed at guaranteeing the business continuity objectives, and, finally, the awareness of our stakeholders regarding its correct application.

CONCLUSIONS

With a business continuity management (BCM) system, companies take preventative measures to ensure they can start operations again quickly in an emergency. An exhaustive BIA in a hospital company reveals the effects when processes fail, how critical each process is for the company, and the amount of time required to get up and running again, thus providing the organization with important information for risk management. The measures for handling risks derived from this analysis are incorporated into a BCM system where the emergency plans are defined, too, so that business operations continue even in the event of an emergency.

摘要

背景

业务连续性计划(BCP)有助于在紧急情况或其他可能扰乱正常运营的情况下执行主要功能。如果风险管理是通过分析来完成的,根据 ISO 22301 认证,业务影响分析(BIA)可以定义支持公司资产和形象的最佳策略,优化服务恢复的运营效率,并重新设计医疗保健空间。自 2015 年以来,我们的医疗保健公司已经开始通过实施和开发运营诊断-治疗-辅助途径(PDTA)的诊断和治疗路径,对所有部门和活动进行认证流程。PDTA 流程均通过 ISO 9001:2015 管理系统医院认证。我们医院是第一家获得 PDTA 流程 ISO 22301:2019 认证的医疗保健公司,为患者提供紧急医疗服务中最高标准的护理质量和安全性。

方法

正式的 BCP 流程包括在创建 BCP 之前的几个步骤:创建 BCP 团队、进行 BIA、使用分析结果确定连续性计划,并进行培训和演练,以教育员工并改进 BCP。

结果

从 BIA 分析中,团队确定了公司路径下的时间-员工 PDTA 在紧急和紧急情况下:急性 ST 段抬高型心肌梗死(STEMI)、TRAUMA 和 STROKE,为规划路径提供了大约 12 个月的时间。该路径包括创建结构程序、根据 BCP 重新定义和更新 PDTA、准备旨在保证业务连续性目标的演练,最后,让我们的利益相关者意识到其正确应用。

结论

通过业务连续性管理(BCM)系统,公司采取预防措施,以确保在紧急情况下能够快速重新开始运营。在医院公司进行详尽的 BIA 揭示了流程失败时的影响、每个流程对公司的重要性以及重新启动所需的时间,从而为组织提供了风险管理的重要信息。从这种分析中得出的风险处理措施被纳入 BCM 系统,其中还定义了应急计划,以便即使在紧急情况下,业务运营也能继续。

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