The Library
How can health care organisations make and justify decisions about risk reduction? Lessons from a cross-industry review and a health care stakeholder consensus development process
Tools
Sujan, Mark-Alexander, Habli, Ibrahim, Kelly, Tim P., Gühnemann, Astrid, Pozzi, Simone and Johnson, Christopher W. (2017) How can health care organisations make and justify decisions about risk reduction? Lessons from a cross-industry review and a health care stakeholder consensus development process. Reliability Engineering & System Safety, 161 . ISSN 0951-8320.
|
PDF
WRAP_1-s2.0-S0951832017300017-main.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (563Kb) | Preview |
|
PDF
WRAP_1-s2.0-S0951832017300017-main.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (1562Kb) |
Official URL: http://dx.doi.org/10.1016/j.ress.2017.01.001
Abstract
Interventions to reduce risk often have an associated cost. In UK industries decisions about risk reduction are made and justified within a shared regulatory framework that requires that risk be reduced as low as reasonably practicable. In health care no such regulatory framework exists, and the practice of making decisions about risk reduction is varied and lacks transparency. Can health care organisations learn from relevant industry experiences about making and justifying risk reduction decisions? This paper presents lessons from a qualitative study undertaken with 21 participants from five industries about how such decisions are made and justified in UK industry. Recommendations were developed based on a consensus development exercise undertaken with 20 health care stakeholders. The paper argues that there is a need in health care to develop a regulatory framework and an agreed process for managing explicitly the trade-off between risk reduction and cost. The framework should include guidance about a health care specific notion of acceptable levels of risk, guidance about standardised risk reduction interventions, it should include regulatory incentives for health care organisations to reduce risk, and it should encourage the adoption of an approach for documenting explicitly an organisation's risk position.
Item Type: | Journal Article | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Subjects: | R Medicine > RA Public aspects of medicine | ||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||||||
Library of Congress Subject Headings (LCSH): | Medical care -- Safety measures -- Great Britain, Medical care -- Cost effectiveness -- Great Britain, Industrial safety -- Law and legislation -- Great Britain | ||||||||||
Journal or Publication Title: | Reliability Engineering & System Safety | ||||||||||
Publisher: | Elsevier Ltd. | ||||||||||
ISSN: | 0951-8320 | ||||||||||
Official Date: | May 2017 | ||||||||||
Dates: |
|
||||||||||
Volume: | 161 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||
Date of first compliant deposit: | 6 January 2017 | ||||||||||
Date of first compliant Open Access: | 9 January 2017 | ||||||||||
Funder: | Health Foundation (Great Britain) (HF) |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year