The focus of this PhD thesis is on using industrial risk management and human factors engineering theories, in order to understand the specific characteristics of healthcare organisations and to design principles and methodologies for the improvement of patient and health care employee safety. The present research aims to: Explore the Italian state of art in Clinical Risk Management. Which is the Clinical Risk Management organisational configuration in Italian healthcare context? Which specific techniques and methodologies have used in Italian health care systems? Individuate and verify the factors influencing the growing and sharing of the safety culture. This investigation begins with the consideration that a fundamental part of risk management is about changing behaviour towards safer care. This change comes about through learning, which takes place at the level of individual health professional, at the organizational systems levels, and at point in between. How much and in which way cultural aspects influence the success of Risk management processes? Understand and describe the possibility to transfer human reliability methodologies and theories to healthcare domain. How to develop useful and applicable clinical risk management tools and solutions, basing on Human Factors discipline? To attain the established goals, I will, below, in introductory Chapter 1 and in Chapter 3, take a closer look respectively at Industrial Risk Management and Clinical Risk Management. In Chapter 2 I'll investigate the main characteristics of healthcare organisations. In Chapter 4 I'll present the thesis research project, which cover the research process step by step, and in particular introduce the empirical and theoretical gaps, the general objects, the research questions and the research methodology. In Chapter 5 I will introduce the phenomenon of human error. Starting with an overview, we will present models from cognitive psychology and from work sciences. The considerations presented in this chapter are to be used as foundations for the development of a methodology to acquire and judge human errors on the basis of practical operational experience in the healthcare context. In the chapter 5 I will also describe the construct of quality. The four constructs, presented inside the several chapters (Clinical Risk Management, Patient Safety Culture, Quality aspect and Human Factors), will be the theoretical framework that I have investigated. Building on the literature review and data collection with a sample of 6 organisations, I'll develop the within case analysis and cross case search for patterns (Chapter 6 and Chapter 7). In conclusion, I'll discuss the significance of the results. Chapter 9 summarizes the essential results of the entire endeavour in terms of methodological developments and the analysis of cases studies.
La gestione del rischio nelle organizzazioni sanitarie italiane:analisi di aspetti culturali e metodologici secondo un approccio "human centred" / Turra, Federica. - (2008).
La gestione del rischio nelle organizzazioni sanitarie italiane:analisi di aspetti culturali e metodologici secondo un approccio "human centred"
Turra, Federica
2008
Abstract
The focus of this PhD thesis is on using industrial risk management and human factors engineering theories, in order to understand the specific characteristics of healthcare organisations and to design principles and methodologies for the improvement of patient and health care employee safety. The present research aims to: Explore the Italian state of art in Clinical Risk Management. Which is the Clinical Risk Management organisational configuration in Italian healthcare context? Which specific techniques and methodologies have used in Italian health care systems? Individuate and verify the factors influencing the growing and sharing of the safety culture. This investigation begins with the consideration that a fundamental part of risk management is about changing behaviour towards safer care. This change comes about through learning, which takes place at the level of individual health professional, at the organizational systems levels, and at point in between. How much and in which way cultural aspects influence the success of Risk management processes? Understand and describe the possibility to transfer human reliability methodologies and theories to healthcare domain. How to develop useful and applicable clinical risk management tools and solutions, basing on Human Factors discipline? To attain the established goals, I will, below, in introductory Chapter 1 and in Chapter 3, take a closer look respectively at Industrial Risk Management and Clinical Risk Management. In Chapter 2 I'll investigate the main characteristics of healthcare organisations. In Chapter 4 I'll present the thesis research project, which cover the research process step by step, and in particular introduce the empirical and theoretical gaps, the general objects, the research questions and the research methodology. In Chapter 5 I will introduce the phenomenon of human error. Starting with an overview, we will present models from cognitive psychology and from work sciences. The considerations presented in this chapter are to be used as foundations for the development of a methodology to acquire and judge human errors on the basis of practical operational experience in the healthcare context. In the chapter 5 I will also describe the construct of quality. The four constructs, presented inside the several chapters (Clinical Risk Management, Patient Safety Culture, Quality aspect and Human Factors), will be the theoretical framework that I have investigated. Building on the literature review and data collection with a sample of 6 organisations, I'll develop the within case analysis and cross case search for patterns (Chapter 6 and Chapter 7). In conclusion, I'll discuss the significance of the results. Chapter 9 summarizes the essential results of the entire endeavour in terms of methodological developments and the analysis of cases studies.File | Dimensione | Formato | |
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