The Tao of Managing Recalls and Safety Alerts

2006 ◽  
Vol 40 (5) ◽  
pp. 393-398
Author(s):  
Tidimogo Gaamangwe
Keyword(s):  
Risk Assessment ◽  
Patient Safety ◽  
Disaster Preparedness ◽  
Daily Basis ◽  
Clinical Engineering ◽  
Standards Compliance ◽  
Effective System ◽  
Engineering Staff ◽  
Management Issues ◽  
The Way

Abstract Clinical engineering staff deal with a variety of risk management issues on a daily basis. These issues range from infection control, standards compliance, recalls and safety alerts, patient safety, and incident investigations all the way up to disaster preparedness. Managing device recalls and safety alerts entails several functions, such as processing, risk assessment, distribution, rectification, tracking, and monitoring. This paper discusses the basic elements of an effective recalls and safety alerts management system, thus offering the way to an effective system. The system enabling inputs, activities, and desired outcomes are discussed. The paper also presents our experience in implementing such a system and future possibilities.

scholarly journals Мінімізація кредитних ризиків у діяльності сільських кредитних спілок із використанням систем скорингу

2015 ◽  
pp. 99-102
Author(s):  
О. В. Орлов
Keyword(s):  
Risk Assessment ◽  
Credit Risk ◽  
Scoring System ◽  
Scientific Method ◽  
Credit Scoring ◽  
Credit Unions ◽  
Single Model ◽  
Rural Credit ◽  
Effective System

У статті розглянуто проблему кредитних ризиківу роботі сільських кредитних спілок та запропонова-но ефективну систему оцінки таких ризиків з викорис-танням системи скорингу. Наведені теоретичніджерела скорингу, як наукового методу. Надані кон-кретні пропозиції щодо розвитку та застосуванняскорингу в роботі сільських кредитних спілок. Акцен-товано увагу на важливості та необхідності засто-сування зазначеного методу в практичній діяльностіданих організацій, доцільності розробки єдиної моде-лі автоматизованої системи кредитного скорингудля мінімізації кредитних ризиків в роботі сільсько-господарських кредитних спілок. The article deals with the problem of credit risk in the rural credit unions and we offer an effective system of risk assessment using the scoring system. Theoretical sources of scoring as the scientific method are adduced. Specific offers for the development and application of scoring in the rural credit unions are given. We emphasize the importance and the need to use this method in practical activities of these organizations, the feasibility of developing of a single model of an automated credit scoring system in order to minimization of credit risk in the rural credit unions.

scholarly journals Heteronomy of architecture

2021 ◽  
pp. 337-359
Author(s):  
Maria Pilar Vettori
Keyword(s):  
Daily Basis ◽  
Great Pleasure ◽  
Knowing How ◽  
Know How ◽  
The People ◽  
Way Of Knowing ◽  
The Way

I’m not calling today about the competition we are holding for Reinventing Cities here in Lambrate - I am calling to ask you if you would like it if we had a dialogue together on the Heteronomy of Architecture. Benedetta Tagliabue: Hello Matteo! Don’t even talk about it, everything is so sad. You know just how important it is for me to travel and meet people all the time... in person. Dialogue? Absolutely! But... what is this “heteronomy”? You don’t mean it’s something that excludes someone? You know I don’t like it...   M.R. Come on, we’ve known each other for years! Look, it’s exactly the opposite. A very interesting concept which Giancarlo De Carlo summed up well in a sentence I am going to read to you. «As you can tell as you listen, one cannot help but think of your way of knowing, investigating and reading the places and cities in which you design. It is also impossible not to think of how you live together with others, and how this has always been the way you live architecture on a daily basis, and how you know how to transmit it and build it together with all the people you meet: collaborators, citizens, users, clients, politicians, artists, producers of materials, craftsmen, friends, etc. [...]». B.T. Oh well... I was actually joking a bit, you know it amuses me. I remembered this idea of Giancarlo’s from when I was studying at the Faculty of Architecture in Venice, and I was struck by his strength and energy in knowing how to interpret it at its best and translate it into splendid practice on many occasions. Thank you also for your kind words, it was so kind of you to have thought of me. It certainly is an interesting theme to delve into in a monographic issue of a magazine, and I would like to congratulate those who thought of it. So... Yes, I like it: let’s dialogue! You already know that we’ll have to talk again a few times. M.R. Of course I know... it’s always a great pleasure!

scholarly journals Are Regulations Safe? Reflections From Developing a Digital Cancer Decision-Support Tool

2021 ◽  
pp. 353-363
Author(s):  
Ciarán D. McInerney ◽  
Beverly C. Scott ◽  
Owen A. Johnson
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Patient Safety ◽  
Medical Device ◽  
Assessment Tool ◽  
Risk Assessment Tool ◽  
Cancer Risk Assessment ◽  
The European Union ◽  
Standards And Regulations ◽  
Fit For Purpose

PURPOSE Informatics solutions to early diagnosis of cancer in primary care are increasingly prevalent, but it is not clear whether existing and planned standards and regulations sufficiently address patients' safety nor whether these standards are fit for purpose. We use a patient safety perspective to reflect on the development of a computerized cancer risk assessment tool embedded within a UK primary care electronic health record system. METHODS We developed a computerized version of the CAncer Prevention in ExetER studies risk assessment tool, in compliance with the European Union's Medical Device Regulations. The process of building this tool afforded an opportunity to reflect on clinical concerns and whether current regulations for medical devices are fit for purpose. We identified concerns for patient safety and developed nine practical recommendations to mitigate these concerns. RESULTS We noted that medical device regulations (1) were initially created for hardware devices rather than software, (2) offer one-shot approval rather than supporting iterative innovation and learning, (3) are biased toward loss-transfer approaches that attempt to manage the fallout of harm instead of mitigating hazards becoming harmful, and (4) are biased toward known hazards, despite unknown hazards being an expected consequence of health care as a complex adaptive system. Our nine recommendations focus on embedding less-reductionist and stronger system perspectives into regulations and standards. CONCLUSION Our intention is to share our experience to support research-led collaborative development of health informatics solutions in cancer. We argue that regulations in the European Union do not sufficiently address the complexity of healthcare information systems with consequences for patient safety. Future standards and regulations should continue to follow a system-based approach to risk, safety, and accident avoidance.

Non-regional labour analgesia

2020 ◽  
pp. 161-180
Author(s):  
Matthew Turner ◽  
Graeme Lilley
Keyword(s):  
Risk Assessment ◽  
Complementary Therapies ◽  
Water Immersion ◽  
Evidence Base ◽  
Labour Analgesia ◽  
Maternal Satisfaction ◽  
Patient Controlled Analgesia ◽  
Short Acting ◽  
The Way ◽  
At Home

Women may choose to deliver their baby in different places, e.g. obstetric-led units, midwife-led units, or at home, depending on their risk assessment and the mother’s own wishes. The way they manage their pain during labour will depend on where they deliver; however, it is essential that they are fully informed about the available options. This chapter explores the evidence base for both non-pharmacological and pharmacological options, e.g. complementary therapies, water immersion, TENS, inhalational analgesia, and systemic opioids. The use of patient-controlled analgesia (PCA) with ultra-short acting opioids, e.g. remifentanil, has been shown to be safe when used in a monitored environment and has high maternal satisfaction scores. The typical regimens and safe monitoring conditions for PCA remifentanil use are described.

Enterprise risk management and bow ties: going beyond patient safety

2019 ◽  
Vol 26 (3) ◽  
pp. 770-785
Author(s):  
Hossam Elamir
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Patient Safety ◽  
Assessment Tool ◽  
Enterprise Risk Management ◽  
Risk Assessment Tool ◽  
Management Tool ◽  
Content Type ◽  
Enterprise Risk ◽  
Bow Tie

Purpose The growing importance of risk management programmes and practices in different industries has given rise to a new risk management approach, i.e. enterprise risk management. The purpose of this paper is to better understand the necessity, benefit, approaches and methodologies of managing risks in healthcare. It compares and contrasts between the traditional and enterprise risk management approaches within the healthcare context. In addition, it introduces bow tie methodology, a prospective risk assessment tool proposed by the American Society for Healthcare Risk Management as a visual risk management tool used in enterprise risk management. Design/methodology/approach This is a critical review of published literature on the topics of governance, patient safety, risk management, enterprise risk management and bow tie, which aims to draw a link between them and find the benefits behind their adoption. Findings Enterprise risk management is a generic holistic approach that extends the benefits of risk management programme beyond the traditional insurable hazards and/or losses. In addition, the bow tie methodology is a barrier-based risk analysis and management tool used in enterprise risk management for critical events related to the relevant day-to-day operations. It is a visual risk assessment tool which is used in many higher reliability industries. Nevertheless, enterprise risk management and bow ties are reported with limited use in healthcare. Originality/value The paper suggests the applicability and usefulness of enterprise risk management to healthcare, and proposes the bow tie methodology as a proactive barrier-based risk management tool valid for enterprise risk management implementation in healthcare.

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