scholarly journals Strengths and Weaknesses in the Risk Management of Blood-Borne Infections: Qualitative Research in Public Health

Author(s):  
Anita Gębska Kuczerowska ◽  
Artur Błoński ◽  
Joanna Kuczerowska ◽  
Robert Gajda

This article presents the research from the first phase of our study on blood-borne risk management, wherein we solicited epidemiologists’ and healthcare practitioners’ expert opinions on a blood-borne infection risk assessment in Poland. Forty-two experts were recommended by epidemiology consultants and recruited from all districts in Poland. We used the SWOT (Strengths, Weaknesses, Opportunities, Threats) method in the evaluation. Experts’ opinions showed that there is room for improvement in the prevention of blood-borne infections. Commonly reported weaknesses in the risk assessment included gaps in knowledge and inappropriate procedures, which are largely caused by financial constraints and practitioners’ lack of awareness of developments in their trade. Strengths included legal regulations for medical services and procedures, surveillance, and increasing awareness on the part of medical staff. When paired with the existing statistical data, these results provide a comprehensive view of the problem of blood-borne infections in Poland. The analysis supported the development of a strategy proposal to prevent blood-borne infections and enhance existing risk assessment procedures.

2021 ◽  
Vol 13 (12) ◽  
pp. 6538
Author(s):  
Fco. Javier García-Gómez ◽  
Víctor Fco. Rosales-Prieto ◽  
Alberto Sánchez-Lite ◽  
José Luis Fuentes-Bargues ◽  
Cristina González-Gaya

Asset management, as a global process through which value is added to a company, is a managerial model that involves major changes in strategies, technologies, and resources; risk management; and a change in the attitude of the people involved. The growing commitment of companies to sustainability results in them applying this approach to all their activities. For this reason, it is relevant to develop sustainability risk assessment procedures in industrial assets. This paper presents a methodological framework for the inclusion of sustainability aspects in the risk management of industrial assets. This approach presents a procedure to provide general criteria, methodology, and essential mandatory requirements to be adopted for the identification, analysis, and evaluation of sustainability aspects, impacts, and risks related to assets owned and managed by an industrial company. The proposed procedure is based on ISO 55,000 and ISO 31,000 standards and was developed following three steps: a preliminary study, identification of sustainability aspects and sustainability risks/opportunities, and impact assessment and residual risks management. Our results could serve as a model that facilitates the improvement of sustainability analysis risks in industrial assets and could be used as a basis for future developments in the application of the standards to optimize management of these assets.


Author(s):  
Tamas Toth ◽  
Zoltan Sebestyen

This chapter will provide an instantly applicable integrated project risk analysis method, which tracks the probabilities of the occurrences of harmful events perceived by the owners from the conceptual phase to the end of the project. The chapter follows a threefold structure. First, the paper provides a revised integrated project risk assessment framework that enhances conventional risk category-based methods. Second, the minimum requirements of the owners are clarified to attain the main goal of project risk assessment and to identify the harmful events jeopardizing this goal. Third, the widely known risk assessment procedures are revised, and a methodology for taking and selecting proper risks is provided. Finally, a new valuation approach to the monitoring phase is introduced, which is able to capture the current market value of the project based on the risk management and controlling system's data.


2018 ◽  
pp. 725-747
Author(s):  
Tamas Toth ◽  
Zoltan Sebestyen

This chapter will provide an instantly applicable integrated project risk analysis method, which tracks the probabilities of the occurrences of harmful events perceived by the owners from the conceptual phase to the end of the project. The chapter follows a threefold structure. First, the paper provides a revised integrated project risk assessment framework that enhances conventional risk category-based methods. Second, the minimum requirements of the owners are clarified to attain the main goal of project risk assessment and to identify the harmful events jeopardizing this goal. Third, the widely known risk assessment procedures are revised, and a methodology for taking and selecting proper risks is provided. Finally, a new valuation approach to the monitoring phase is introduced, which is able to capture the current market value of the project based on the risk management and controlling system's data.


Author(s):  
Tamas Toth ◽  
Zoltan Sebestyen

This chapter will provide an instantly applicable integrated project risk analysis method, which tracks the probabilities of the occurrences of harmful events perceived by the owners from the conceptual phase to the end of the project. The chapter follows a threefold structure. First, the paper provides a revised integrated project risk assessment framework that enhances conventional risk category-based methods. Second, the minimum requirements of the owners are clarified to attain the main goal of project risk assessment and to identify the harmful events jeopardizing this goal. Third, the widely known risk assessment procedures are revised, and a methodology for taking and selecting proper risks is provided. Finally, a new valuation approach to the monitoring phase is introduced, which is able to capture the current market value of the project based on the risk management and controlling system's data.


Dependability ◽  
2018 ◽  
Vol 18 (4) ◽  
pp. 28-35 ◽  
Author(s):  
Yu. P. Pokhabov

Aim. Calculations are an integral part of the development of any complex technical object. Normally, they are subdivided into the calculations to confirm product operability (kinematic, electrical, thermal, strength, hydraulic and pneumatic systems analysis, etc.) and calculations to confirm its dependability (calculation of reliability, longevity, maintainability, storability and other indicators). As it is understood and provided in statutory documents, dependability calculation involves procedures of identification of an object’s dependability indicators using methods based on their calculation using reference information on the object’s components dependability, on the dependability of analog objects, on the properties of the materials and other information available at the time of calculation. However, in the case of development of unique highly vital systems, obtaining statistical data for dependability calculation is impossible due to two conflicting conditions, i.e. the limited number of produced objects and the requirement of high accuracy of the input information. Nevertheless, in the author’s opinion dependability calculations must be performed. The only question is how to calculate the dependability and what such calculation should mean.Methods. In the classic dependability theory, the conventional understanding of probability of no-failure is the frequency of failures in time, yet for unique highly vital systems the failure rate must tend to zero over the entire period of operation (preferably, there should be no failures at all). For this reason the concept of “failure” in the context of unique highly vital systems should probably be interpreted not as an event, i.e. any fact, which as a result of experience can occur or not occur, but as possible risk, i.e. an undesirable situation or circumstance that is characterized by the probability of occurrence and potentially negative consequences. Then, an event in the form of a real or potential failure in operation can be associated with a risk in the form of probability of failure with negative consequences, which in terms of the consequences is equally unacceptable with regard to unique highly vital systems. In this case dependability calculation can be reasonably substituted with risk assessment, a process that encompasses risk identification, risk analysis and comparative risk assessment. Thus, risk assessment enables the achievement of the target dependability directly by substantiating the stability of manifestation of a specific product’s properties and not indirectly through undependability caused by failures of analog products.Results. The paper shows the procedure of risk assessment for unique highly vital systems. Using the example of a mechanical system with actuated parts represented by a spacecraft single-section pivoted rod the risk assessment procedures are shown. The feasibility of risk assessment with the use of design engineering analysis of dependability is demonstrated.Conclusions. It is shown that the absence of statistical data on the dependability of analogs of unique highly vital systems does not prevent dependability calculation in the form of risk assessment. Moreover, the results of such calculations can be a source and guidelines for adopting design and process engineering solutions in the development of products with target dependability indicators. However, legalizing the method of such calculations requires the modifications of the technical rules and regulations to allow for dependability calculation by other means than with the use of statistical data on the failures of analogs.


2014 ◽  
Vol 77 (8) ◽  
pp. 1428-1440 ◽  
Author(s):  
KERRY L. DEARFIELD ◽  
KARIN HOELZER ◽  
JANELL R. KAUSE

Stakeholders in the public health risk analysis community can possess differing opinions about what is meant by “conduct a risk assessment.” In reality, there is no one-size-fits-all risk assessment that can address all public health issues, problems, and regulatory needs. Although several international and national organizations (e.g., Codex Alimentarius Commission, Office International des Epizooties, Food and Agricultural Organization, World Health Organization, National Research Council, and European Food Safety Authority) have addressed this issue, confusion remains. The type and complexity of a risk assessment must reflect the risk management needs to appropriately inform a regulatory or nonregulatory decision, i.e., a risk assessment is ideally “fit for purpose” and directly applicable to risk management issues of concern. Frequently however, there is a lack of understanding by those not completely familiar with risk assessment regarding the specific utility of different approaches for assessing public health risks. This unfamiliarity can unduly hamper the acceptance of risk assessment results by risk managers and may reduce the usefulness of such results for guiding public health policies, practices, and operations. Differences in interpretation of risk assessment terminology further complicate effective communication among risk assessors, risk managers, and stakeholders. This article provides an overview of the types of risk assessments commonly conducted, with examples primarily from the food and agricultural sectors, and a discussion of the utility and limitations of these specific approaches for assessing public health risks. Clarification of the risk management issues and corresponding risk assessment design needs during the formative stages of the risk analysis process is a key step for ensuring that the most appropriate assessment of risk is developed and used to guide risk management decisions.


2015 ◽  
Vol 73 (3) ◽  
pp. 133-141 ◽  
Author(s):  
Jakob F. Schwensen ◽  
Ian R. White ◽  
Jacob P. Thyssen ◽  
Torkil Menné ◽  
Jeanne D. Johansen

2012 ◽  
Vol 10 (4) ◽  
pp. 265 ◽  
Author(s):  
Robert O. Schneider, PhD

This analysis examines the perceived lag in the policy process with respect to risk assessment and risk management in relationship to the development of new technologies that have the potential to create new threats to public health and safety. Hydraulic fracturing and the ongoing revolution in natural gas exploration make an excellent case study of the difficulties that inevitably arise, are difficult to resolve, and that expand threats to public health and safety when policy makers do not prioritize risk assessment and risk management until the negative impacts or potential harms of previous decisions are felt. The analysis begins with a description of the hydraulic fracturing revolution and a discussion of the potential risks associated with it. This will include some of the preliminary scientific work on the subject. The analysis will highlight concerns that timely assessment and management of these risks is often frustrated by the policy process itself. In essence, the conclusion reached is that significant improvements in the timely assessing and managing the risks associated with technological advances require policy makers to emulate the emergency management profession in elevating risk assessment and risk management to the level of a first priority in the policy process.


Author(s):  
Anita Gębska Kuczerowska ◽  
Sudakshina Lahiri ◽  
Robert Gajda

Stakeholder input into the decision-making process when developing public health programs and policies is crucial. This article presents an innovative approach, involving online participation with a wide group of stakeholders located in different geographic locations, for policy consensus by research methodology. The results of the project have been used to propose assumptions regarding a strategy for preventing blood-borne diseases in Poland. The research was conducted iteratively using a multi-stage qualitative methodology to explore risk assessment involving blood-borne infections. The final output of the entire project is a list of key problems/challenges and solutions associated with medical and nonmedical services that are connected to the breakage of tissue continuity. Qualitative research is rare in risk assessment as priority is usually given to statistical data and end-points (quantitative studies ). Statistical data on health risk allows to assess the health implications, while the methodology applied also allowed diagnosis of the processes leading to these effects. In addition to policy preparation for blood-borne illnesses, the methodology employed in the study can also be used to successfully explore other areas of public health policy decisions.


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