طب کار (May 2016)
Prioritization of Patient-Related Risks in Treatment Units Using Analytic Hierarchy Process(AHP); Case Study of Educational- Therapeutic Hospital
Abstract
Introduction: One of the most important challenges of health system in all countries is patient safety risks. That reduces ensures of patient safety. So, recognition of these incidents, categorize and prioritize them in order to formulate policy interventions should be considered. Methods: This cross-sectional study was carried out in clinical wards of an Educational- Therapeutic Hospital in 2015. The study population consisted of 25 clinical hospital administrators and patient Safety Liaison. Data collection was conducted in three methods (Interviews, Focus Group and Distributor Questionnaire). The collected data were analyzed using AHP Model and Expert Choice.11 software. Results: Among the incidents of internal ward, the highest priority related to needle stick (0.231) and the lowest related to wrong-patient Radiographs (0.028), respectively. Among the incidents of intensive care Unit, surgery and operating room, the highest priority related to failure in controlling the patients, level of consciousness (LOC) (0.316), lack of control of patients after surgery (0.199) and wrong type of blood transfusion (0.209), respectively. Conclusion: According to the role of staff in incidents reduction, theoretical and practical training of staff about risk assessment methods should be done. Checklist for safe injection and safe surgery are performed and they were monitored by patient safety liaison. Also, integrated system of registration to record and report the error to identify upcoming events.
