Study of Risks in emergency department at Tabriz Imam Reza hospital
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Abstract:
Introduction
Risk management is to prevent the risk and also manage it after occurrence and includes diagnosis، evaluation، analysis، control، reduction and prevention of the risk. The aim of risk management is to reduce the risks concerning patients and increase work safety for staffs. In this study risk management was evaluated in different steps in Imam Reza emergency department (ED).
Methods
In this action research study، first we performed three focus group discussions (FGD) sessions including FGD session with ED nurses، a session with emergency medicine residents and a session with the laboratory، drug store and radiology staffs. Using these sessions، a questionnaire was design to clarify risks and to priority processing. To evaluate and define risk level in ED we used experts’ panel. For each risk، risk severity، its incidence and risk level was calculated. According to the risk level، their priority was processed and intolerable risks were defined for planning an intervention.
Results
Based on expert panel، 11 subgroups with 415 risks were gathered. Among these، 3 risks including high volume of attendants، staff shortage and high patients load were recorded as intolerable risks in risk level 1، 2 and 3. The intervention was designed to reduce the attendants by giving 2 attendant cards for each patient.
Conclusion
In this study we observed that intolerable risks are high volume of attendants، staff shortage and high patients load and the intervention program was designed to reduce the risks.
Language:
Persian
Published:
Medical Journal of Mashhad University of Medical Sciences, Volume:58 Issue: 6, 2015
Pages:
302 to 309
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