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|Ph D thesis Theory and practice of in-hospital patient risk management|
ContentsTable of contents Ph D thesis - pdf (46.01 kB).
All kinds of factors can lead to undesirable consequences for patients, or to incidents and complications. For effective quality management in hospitals, the registration and analysis of incidents and complications are necessary. In order to gain an insight into the origin and registration of incidents and complications, two models have been developed.
This research focuses on the development and testing of several risk management tools and methods with the aim of pursuing effective risk management. For this purpose, a framework for these tools and methods was designed, using retrospective, real-time and prospective methods. The tools and methods were used in the function group Operating Room (OR) and in the Haemodialysis department of the Catharina Hospital in Eindhoven, the Netherlands, and included:
The results of this research are not only the found causes of incidents and the opportunities for reducing patient risks, but also the performance of the tools and methods used. The research shows that, after patient risks had been identified, it proved difficult to implement improvements, mainly because the management was not ready for it. All the tools and methods used in this thesis can be applied in other hospitals.