ASSESMENT OF THE RISK ANALYSIS OF HOSPITAL FACILITY MANAGEMENT PROCESSES WITH THE FINE-KINNEY METHOD

Yasemin Aslan

Makale detayları

ASSESMENT OF THE RISK ANALYSIS OF HOSPITAL FACILITY MANAGEMENT PROCESSES WITH THE FINE-KINNEY METHOD

Yazarlar:

Yasemin Aslan

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 4, pp.935-958

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307350

pISSN:

2148-9041

Anahtar kelimeler:

Özet:

 Hospitals are high-risk institutions with a complex structure where patients in need of health services are treated. Hospitals, which are evaluated in the very dangerous category in the workplace hazard classes list, contain some hazards and risks for patients, relatives, and employees. Identifying and prioritizing these hazards and risks with evidence-based methodologies is important for planning the improvement actions needed for patient and employee safety. The aim of this study is to assess the risk analysis of a university hospital facility management processes with the Fine-Kinney method. The Fine-Kinney method is one of the risk assessment methodologies with limited use in the health sector that aims to eliminate hazards and risks from their source or reduce damage. The universe of this descriptive cross-sectional study consists of the hazards and risks identified within the scope of facility safety risk assessment processes between February 1, 2023, and February 28, 2023, in a university hospital in Istanbul. Sample selection was not made in the study, and the entire population was taken into consideration. The Fine-Kinney method was used for risk assessment. Expert opinions, previous event records of the hospital, and document reviews were used to identify risks and hazards. In this study, it was determined that 58.4 of the risks were in the possible risk category, 22.2 were in the low risk category, and 18.9 were in the important risk category. It was found that 21 of the risks are related to hazardous materials and wastes, 19.8 to safety, 17.7 to medical devices, 14.4 to emergency and disaster management, and 12.8 to fire safety. It has been found that 42.9 of the risks within the scope of infrastructure systems and 38.7 of the risks within the scope of fire safety are at significant risk levels, and corrective and preventive actions are needed regarding these risks. It is important to make the electrical installation of the hospital safer, to take precautions for fire safety, to improve infrastructure-related problems, and to make periodic inspections and controls of elevators in order to reduce the risks to an acceptable level.

 Hospitals are high-risk institutions with a complex structure where patients in need of health services are treated. Hospitals, which are evaluated in the very dangerous category in the workplace hazard classes list, contain some hazards and risks for patients, relatives, and employees. Identifying and prioritizing these hazards and risks with evidence-based methodologies is important for planning the improvement actions needed for patient and employee safety. The aim of this study is to assess the risk analysis of a university hospital facility management processes with the Fine-Kinney method. The Fine-Kinney method is one of the risk assessment methodologies with limited use in the health sector that aims to eliminate hazards and risks from their source or reduce damage. The universe of this descriptive cross-sectional study consists of the hazards and risks identified within the scope of facility safety risk assessment processes between February 1, 2023, and February 28, 2023, in a university hospital in Istanbul. Sample selection was not made in the study, and the entire population was taken into consideration. The Fine-Kinney method was used for risk assessment. Expert opinions, previous event records of the hospital, and document reviews were used to identify risks and hazards. In this study, it was determined that 58.4 of the risks were in the possible risk category, 22.2 were in the low risk category, and 18.9 were in the important risk category. It was found that 21 of the risks are related to hazardous materials and wastes, 19.8 to safety, 17.7 to medical devices, 14.4 to emergency and disaster management, and 12.8 to fire safety. It has been found that 42.9 of the risks within the scope of infrastructure systems and 38.7 of the risks within the scope of fire safety are at significant risk levels, and corrective and preventive actions are needed regarding these risks. It is important to make the electrical installation of the hospital safer, to take precautions for fire safety, to improve infrastructure-related problems, and to make periodic inspections and controls of elevators in order to reduce the risks to an acceptable level.

 Hospitals are high-risk institutions with a complex structure where patients in need of health services are treated. Hospitals, which are evaluated in the very dangerous category in the workplace hazard classes list, contain some hazards and risks for patients, relatives, and employees. Identifying and prioritizing these hazards and risks with evidence-based methodologies is important for planning the improvement actions needed for patient and employee safety. The aim of this study is to assess the risk analysis of a university hospital facility management processes with the Fine-Kinney method. The Fine-Kinney method is one of the risk assessment methodologies with limited use in the health sector that aims to eliminate hazards and risks from their source or reduce damage. The universe of this descriptive cross-sectional study consists of the hazards and risks identified within the scope of facility safety risk assessment processes between February 1, 2023, and February 28, 2023, in a university hospital in Istanbul. Sample selection was not made in the study, and the entire population was taken into consideration. The Fine-Kinney method was used for risk assessment. Expert opinions, previous event records of the hospital, and document reviews were used to identify risks and hazards. In this study, it was determined that 58.4 of the risks were in the possible risk category, 22.2 were in the low risk category, and 18.9 were in the important risk category. It was found that 21 of the risks are related to hazardous materials and wastes, 19.8 to safety, 17.7 to medical devices, 14.4 to emergency and disaster management, and 12.8 to fire safety. It has been found that 42.9 of the risks within the scope of infrastructure systems and 38.7 of the risks within the scope of fire safety are at significant risk levels, and corrective and preventive actions are needed regarding these risks. It is important to make the electrical installation of the hospital safer, to take precautions for fire safety, to improve infrastructure-related problems, and to make periodic inspections and controls of elevators in order to reduce the risks to an acceptable level.

 Hastaneler sağlık hizmetlerine ihtiyaç duyan hastaların tedavi edildiği, karmaşık yapıya sahip yüksek riskli kurumlardır. İşyeri tehlike sınıfları listesinde çok tehlikeli kategoride değerlendirilen hastaneler hastalar, hasta yakınları ve çalışanlar açısından bazı tehlike ve riskler barındırmaktadır. Bu tehlike ve risklerin kanıt temelli metodolojilerle tespit edilmesi ve önceliklendirilmesi, hasta ve çalışan güvenliği açısından ihtiyaç duyulan iyileştirme aksiyonlarının planlanması açısından önemlidir. Bu araştırmanın amacı, bir üniversite hastanesi tesis yönetimi süreçleri risk analizinin Fine-Kinney metodu ile değerlendirilmesidir. Fine-Kinney metodu tehlike ve risklerin kaynağından yok edilmesi ya da zararlarının azaltılmasını hedef alan, sağlık sektöründe sınırlı kullanım alanına sahip risk değerlendirme metodolojilerinden biridir. Tanımlayıcı nitelikte, kesitsel tipte tasarlanan çalışmanın evrenini İstanbulda yer alan bir üniversite hastanesinde 01.02.2023-28.02.2023 tarihleri arasında tesis güvenliği risk değerlendirme süreçleri kapsamında tespit edilen tehlike ve riskler oluşturmaktadır. Araştırmada örneklem seçimine gidilmemiş ve evrenin tamamı değerlendirmeye alınmıştır. Risk değerlendirme yöntemi olarak Fine-Kinney metodu kullanılmıştır. Risk ve tehlikelerin belirlenmesinde uzman görüşlerinden, hastanenin geçmiş dönem olay kayıtlarından ve doküman incelemesinden faydalanılmıştır. Çalışmada risklerin 58,4ünün olası risk, 22,2sinin düşük risk ve 18,9unun önemli risk kategorisinde yer aldığı tespit edilmiştir. Risklerin 21inin tehlikeli madde ve atıklar, 19,8inin güvenlik, 17,7sinin tıbbi cihazlar, 14,4ünün acil durum ve afet yönetimi ve 12,8inin yangın güvenliği ile ilişkili olduğu tespit edilmiştir. Altyapı sistemleri kapsamındaki risklerin 42,9u ile yangın güvenliği kapsamındaki risklerin 38,7sinin önemli risk seviyesinde olduğu ve bu risklerle ilgili düzeltici-önleyici faaliyetlere ihtiyaç olduğu bulunmuştur. Hastanenin elektrik tesisatının daha güvenli hale getirilmesi, yangın güvenliğine yönelik önlemlerin alınması, altyapı kaynaklı uygunsuzlukların iyileştirilmesi, asansörlerin periyodik muayene ve kontrollerinin yapılması risklerin kabul edilebilir seviyeye düşürülmesi açısından önemlidir.

Makale detayları

ASSESMENT OF THE RISK ANALYSIS OF HOSPITAL FACILITY MANAGEMENT PROCESSES WITH THE FINE-KINNEY METHOD

Yazarlar:

Yasemin Aslan

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 4, pp.935-958

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307350

pISSN:

2148-9041

Facility safety

Risk management

Fine-Kinney Method

HospitalTesis güvenliği

Risk yönetimi

Fine Kinney Metodu

Hastane

Sayı

Makale detayları

Yazarlar: Yasemin Aslan

Yayıncı: Hacettepe University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 4, pp.935-958

Belge Tipi: Makale

Yayın Tarihi: 12/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001307350

pISSN: 2148-9041

Sayı

Yazarlar:

Yasemin Aslan

Yayıncı:

Hacettepe University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Hacettepe Sağlık İdaresi Dergisi Vol.26 Issue 4, pp.935-958

Belge Tipi:

Makale

Yayın Tarihi:

12/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001307350

pISSN:

2148-9041