Situational Analysis of Clinical Risk Management in Patient Units at a Private Hospital

Abstract

Risk management enables an organization to have a quality risk management system. This descriptive qualitative aimed to the situational analysis of clinical risk management in  patient units in a private hospital and suggest solutions. Donabedian's systems framework was used for the structure, process, and outcome of the risk management process concept of the Healthcare Accreditation Institute (Public Organization). The study’s data was collected using semi-structured interviews with 18 nurses from the patient unit who were the key informants. Content analysis was used to analyze the data gathered and personal data analysis used for the descriptive statistics.

Result: Structure: A Private hospital announced a comprehensive risk management policy. The communication of the policy to practitioners was insufficiently effective and practitioners had insufficient knowledge of risk management. Process: the study found that risk identification occurred most frequently during operations, followed by complaints from service recipients. Risk analysis and risk treatment lacked systematic solutions and the participation of the implementation team. Risk monitoring and review were not continuous. Therefore, risk management should be designed as a dynamic risk management process and continuously practiced to increase risk management efficiency. Outcome: the important clinical risk management results were that the goal was not been achieved because the guidelines were not followed at every step due to increased workload, lack of awareness, and insufficient knowledge. Therefore, the organization must develop personnel competency to achieve the goal. The findings of the study suggest that hospital administrators and nursing administrators need to design effective risk management guidelines in terms of risk management structure, process, and results.