Professional paper
RISK MANAGEMENT IN THE CLINICAL HEALTH CARE PROCESS
AMER OVČINA
; Sarajevo University Clinical Centre, Sarajevo, Bosnia and Herzegovina
ERNELA EMINOVIĆ
; Sarajevo University Clinical Centre, Sarajevo, Bosnia and Herzegovin
SEBIJA IZETBEGOVIĆ
; Sarajevo University Clinical Centre, Sarajevo, Bosnia and Herzegovin
JASMINA MARUŠIĆ
; University of Vitez, Faculty of Health Studies, Vitez, Bosnia and Herzegovina
DŽELILA DEDOVIĆ
; Sarajevo University Clinical Centre, Sarajevo, Bosnia and Herzegovin
NADA SPASOJEVIĆ
; University of Mostar, Faculty of Health Studies, Mostar, Bosnia and Herzegovina
Abstract
Risk management in the process of nursing clinical practice is a systematic process that requires expertise and skills in risk prevention. Patient safety at the hospital is the primary goal of every individual providing health care service, and at the same time of the organizations. Accordingly, it is necessary to develop strategies that minimize the risks in the hospital and successfully address adverse events in practice. The main hypothesis was that risk management in the healthcare process has a positive impact on the quality and safety of healthcare service. The following goals were set: 1) to identify the most common risks reported in the healthcare process; 2) to examine the ways and models of risk prevention in the healthcare process in hospitals; and 3) to examine the practice and attitude of nurses in the process of managing risks and adverse events. The survey was conducted among 115 nurses/medical technicians employed at the public health institutions-hospitals in the Federation of Bosnia and Herzegovina. The survey used the original questionnaire prepared
by the authors in the electronic Google forms, which was available to the respondents via personal e-mail address, and they responded completely independently without the infl uence of another person. Comparison of risk events in practice showed a statistically signifi cant decrease with advancing age of the respondents (rho=-0.274; p=0.003), longer work experience of the respondents (rho=-0.334; p=0.0001), higher education of the respondents (rho=-0.198; p=0.034), conducting patient categorization (rho=-0.289; p=0.002), and policies and procedures adopted (rho=-0.408; p=0.0001). A statistically signifi cant effect on reducing the number of adverse events per patient was shown for the frequency of examination of patient skin and mucous membranes during hospital stay (rho=-0.200; p=0.032), use of scales to assess the risk of falls (rho=-0.422; p=0.0001), use of risk assessment scales for pressure ulcers (rho=-0.375; p=0.0001), frequency of intravenous cannula replacement (rho=-0.204; p=0.029), frequency of patient bathing (rho=-0.355; p= 0. 0001) and the method of performing nutritional evaluation of artifi cially fed patients (rho=-0.327; p=0.0001). In conclusion, patient safety in the hospital should be considered a paramount issue, and nurses who spend most time with patients are expected to provide conditions for secure hospital stay, conditions for safe and quality service in the health care process, and implementation of standardized procedures based on scientifi c and practical evidence. Continuous reporting of quality indicators in the health care process contributes to strengthening of the organizational culture, prevention of risks and adverse events, and planning of personnel and equipment necessary for the quality of the health care process.
Keywords
risks; management; nursing practice; nursing care; hospitals; adverse event
Hrčak ID:
245745
URI
Publication date:
6.11.2020.
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