scholarly journals How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties in Norway

2020 ◽  
Author(s):  
Hilde Valen Wæhle ◽  
Arvid Steinar Haugen ◽  
Siri Wiig ◽  
Eirik Søfteland ◽  
Nick Sevdalis ◽  
...  
Keyword(s):  
Risk Management ◽  
Performance Indicator ◽  
Management Strategies ◽  
Ethnographic Study ◽  
World Health ◽  
Management Tool ◽  
Team Members ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Risk Management Strategies

Abstract Background The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staffʼs perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perioperative clinical risk management remains underexplored – yet likely an impactful factor on how SSC is being used and its potential to improve clinical safety. This study aimed to explore how members of the multidisiplinary perioperative team integrate the SSC within their risk management strategies. Methods An ethnographic case study including observations (40h) in operating theatres and in-depth interviews of 17 perioperative team members was carried out at two hospitals in 2016. Data were analysed using content analysis. Results We identified three themes reflecting the integration of the SSC in daily surgical practice: 1) Perceived usefullness; implying an intuitive advantage assessment of the SSCʼs practical utility in relation to relevant work; 2) Modification of implementation; reflecting performance variability of SSC on confirmation of items due to precence of team members; barriers of performance; and definition of SSC as performance indicator, and 3) Communication outside of the checklist; including formal- and informal micro-team formations where detailed, specific risk communication unfolded. Conclusion When the SSC is not integrated within existing risk management strategies, but perceived as an “add on”, its fidelity is compromised, hence limiting its potential clinical effectiveness. Implementation strategies for the SSC should thus integrate it as a risk-management tool and include it as part of risk-management education and training. This can improve team learning around risk comunication, foster mutual understanding of safety perspectives and enhance SSC implementation.

scholarly journals How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialities in Norway

2019 ◽  
Author(s):  
Hilde Valen Wæhle ◽  
Arvid Steinar Haugen ◽  
Siri Wiig ◽  
Eirik Søfteland ◽  
Nick Sevdalis ◽  
...  
Keyword(s):  
Risk Management ◽  
Performance Indicator ◽  
Management Strategies ◽  
Ethnographic Study ◽  
World Health ◽  
Management Tool ◽  
Team Members ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Risk Management Strategies

Abstract Background The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff`s perception of it remain challenging. Precisely how frontline personell integrate the SSC with pre-existing perioperative clinical risk management remains underexplored – yet likely an impactful factor on how SSC is being used and its potential to improve clinical safety. This study aimed to explore how members of the multidisiplinary perioperative team integrate the SSC within their risk management strategies. Methods An ethnographic case study including observations (40h) in operating theatres and in-depth interviews of 17 perioperative team members was carried out at two hospitals in 2016. Data were analysed using content analysis. Results We identified three themes reflecting the integration of the SSC in daily surgical practice: 1) Assessing utility; implying an intuitive advantage assessment of the SSC`s practical utility in relation to relevant work; 2) Customising implementation; reflecting performance variability of SSC on confirmation of items due to precence of team members; barriers of performance; and definition of SSC as performance indicator, and 3) Interactive micro-team communication; including formal- and informal micro-team formations where detailed, specific risk communication unfolded. Conclusion When the SSC is not integrated within existing risk management strategies, but perceived as an “add on”, its fidelity is compromised, hence limiting its potential clinical effectiveness. Implementation strategies for the SSC should thus integrate it as a risk-management tool and include it as part of risk-management education and training. This can improve team learning around risk comunication, foster mutual understanding of safety perspectives and enhance SSC implementation.

Risk Analysis and Risk Management for Offshore Platforms: Lessons From the Piper Alpha Accident

1993 ◽  
Vol 115 (3) ◽  
pp. 179-190 ◽  
Author(s):  
M. E. Pate´-Cornell
Keyword(s):  
Risk Management ◽  
Risk Analysis ◽  
Failure Modes ◽  
Wide Spectrum ◽  
Management Strategies ◽  
Quantitative Information ◽  
Management Tool ◽  
Offshore Platforms ◽  
Safety Measures ◽  
Risk Management Strategies

A probabilistic risk analysis (PRA) framework is used to identify the accident sequence of the 1988 Piper Alpha accident. This framework is extended to include the human decisions and actions that have influenced the occurrences of these basic events, and their organizational roots. The results of this preliminary analysis allow identification of a wide spectrum of possible risk reduction measures, ranging from classical technical solutions such as addition of redundancies, to organizational improvements such as a change in the maintenance procedures. An explicit PRA model is then developed to assess the benefits of some of these safety measures based, first, on the original contribution to the overall risk of the failure modes that these measures are designed to avert, and second, on the degree to which they can reduce the probabilities of these failure modes. PRA can then be used as a management tool, allowing optimization of risk management strategies based both on the qualitative information about causalities provided by the accident, and on the quantitative information about failure probabilities updated in the light of new events. It is shown how PRA can be used to assess, for example, the cost-effectiveness of safety measures designed to decrease the probability of severe fire damage onboard platforms similar to Piper Alpha.

scholarly journals Risk Management Strategies to Cope Catastrophic Risks in Agriculture: The Case of Contract Farming, Diversification and Precautionary Savings

Agriculture ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 351
Author(s):  
K M Mehedi Adnan ◽  
Liu Ying ◽  
Zeraibi Ayoub ◽  
Swati Anindita Sarker ◽  
Rashid Menhas ◽  
...  
Keyword(s):  
Risk Management ◽  
Management Strategies ◽  
Probit Model ◽  
Management Tool ◽  
Precautionary Savings ◽  
Contract Farming ◽  
Research Results ◽  
Risk Management Strategies ◽  
Risk Sources ◽  
Catastrophic Risks

Risk management is an essential way for farmers to reduce uncertainty. In this research, a stratified random sampling method was used to survey 350 maize farmers in four different agro-ecological regions in Bangladesh. Using the multivariate probit model, this study explored the possible correlation between farmers’ perceptions of catastrophic risks and their attitudes towards risk sources—as well as the possible correlation between contract farming, diversification and precautionary savings as risk management strategies. The results confirm the relevance of risk management adoption decisions and reveal that the use of one risk management tool may simultaneously influence the use of another risk management tool. In addition, the research results also show that age, education level, extension experience, monthly household income, farming areas, land ownership and risk aversion nature are the most important factors that affect the adoption of risk management strategies. The research results provide further explanation and information and provide a platform for decision-makers to predict appropriate risk management strategies.

scholarly journals Implementation process of the Surgical Safety Checklist: integrative review

2019 ◽  
Vol 27 ◽  
Author(s):  
Maria Fernanda do Prado Tostes ◽  
Cristina Maria Galvão
Keyword(s):  
Health Services ◽  
Implementation Process ◽  
Integrative Review ◽  
World Health ◽  
Professional Collaboration ◽  
Team Members ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Facilitators And Barriers ◽  
Health Organization

ABSTRACT Objective: to analyze the evidence available in the literature on the process of implementing the Surgical Safety Checklist, proposed by the World Health Organization, in the practice of health services. Method: integrative review, the search for primary studies was performed in three relevant databases in the health area, and the sample consisted of 27 studies, which were grouped into three categories. Results: the synthesis of the evidence indicated the different strategies that can be adopted in the implementation process (introduction and optimization) of the Surgical Safety Checklist, and the facilitators and barriers that determine the success in using this tool. Conclusion: in health services, implementing the checklist is a complex and challenging process that requires effective leadership, clear delegation of responsibilities from each professional, collaboration between team members, and institutional support. The synthesis of the generated knowledge can assist nurses in decision making, especially in identifying strategies for the effective implementation of the Surgical Safety Checklist, since nursing has the potential to be a protagonist in the planning and implementation of best practices for patient safety.

scholarly journals What Determines the Uptake of Multiple Tools to Mitigate Agricultural Risks among Hybrid Maize Growers in Pakistan? Findings from Field-Level Data

Agriculture ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 578
Author(s):  
Shoaib Akhtar ◽  
Azhar Abbas ◽  
Muhammad Amjed Iqbal ◽  
Muhammad Rizwan ◽  
Abdus Samie ◽  
...  
Keyword(s):  
Risk Management ◽  
Management Strategies ◽  
Management Tool ◽  
Easy Access ◽  
Farm Income ◽  
Contract Farming ◽  
Income Diversification ◽  
Risk Management Strategies ◽  
Farm Credit ◽  
Hybrid Maize

Arable farming is an intrinsically risky enterprise. Therefore, managing risks and uncertainties in agriculture is very important as it affects all sectors of the economy of a developing country like Pakistan. To do so, a whole suite of options is available to the farming community to safeguard against any type of risk. However, farmers’ behavior of the concurrent adoption of multiple risk management tools is largely ignored in previous studies and has formed the rationale for this research. Thus, the current study is intended to investigate farmers’ decisions of adopting risk management strategies (contract farming, off-farm income diversification, and farm credit use) and to examine the impacts of a variety of factors on farmers’ risk management decisions. The present study is carried out in four districts of Punjab province, Pakistan with a focus on hybrid maize growers. A multivariate probit model is used to evaluate the impacts of independent variables on growers’ choices of adopting contract farming, off-farm income diversification, and farm credit use to manage farm risks keeping in view the potential for the concurrent adoption of these risk management strategies. Results show that 78% of farmers are risk-averse and hence ready to manage risks. The top risk faced by farmers is price risk followed by biological, climatic, and financial risks. Contract farming is the most popular strategy (61% farmers) followed by off-farm income diversification (49% farmers), and the use of farm credit (42% farmers). The findings also reveal that the decisions of adopting risk management strategies are interlinked while the adoption of one risk management tool complements farmers’ decision to adopt other risk management strategies. In addition, the risk management strategies’ adoption choices are affected by the number of factors including socioeconomic characteristics, farmers’ risk perceptions about risk sources, and their attitude towards risk. The study recommends the provision of timely information (climatic, extension) along with easy access to farm credit and the streamlining of contractual arrangements.

The management of risk in a dryland environment

2011 ◽  
pp. 13-21
Author(s):  
D.I. Gray ◽  
J.I. Reid ◽  
D.J. Horne
Keyword(s):  
Risk Management ◽  
Service Providers ◽  
Management Strategies ◽  
Subterranean Clover ◽  
Farming Systems ◽  
Market Risk ◽  
Farm Size ◽  
Forage Crops ◽  
Risk Management Strategies ◽  
Upside Risk

A group of 24 Hawke's Bay hill country farmers are working with service providers to improve the resilience of their farming systems. An important step in the process was to undertake an inventory of their risk management strategies. Farmers were interviewed about their farming systems and risk management strategies and the data was analysed using descriptive statistics. There was considerable variation in the strategies adopted by the farmers to cope with a dryland environment. Importantly, these strategies had to cope with three types of drought and also upside risk (better than expected conditions), and so flexibility was critical. Infra-structure was important in managing a dryland environment. Farmers chose between increased scale (increasing farm size) and geographic dispersion (owning a second property in another location) through to intensification (investing in subdivision, drainage, capital fertiliser, new pasture species). The study identified that there may be scope for further investment in infra-structural elements such as drainage, deeper rooting alternative pasture species and water harvesting, along with improved management of subterranean clover to improve flexibility. Many of the farmers used forage crops and idling capacity (reduced stocking rate) to improve flexibility; others argued that maintaining pasture quality and managing upside risk was a better strategy in a dryland environment. Supplementary feed was an important strategy for some farmers, but its use was limited by contour and machinery constraints. A surprisingly large proportion of farmers run breeding cows, a policy that is much less flexible than trading stock. However, several farmers had improved their flexibility by running a high proportion of trading cattle and buffer mobs of ewe hoggets and trade lambs. To manage market risk, the majority of farmers are selling a large proportion of their lambs prime. Similarly, cattle are either sold prime or store onto the grass market when prices are at a premium. However, market risk associated with the purchase of supplements and grazing was poorly managed.

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