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Type: Artigo de evento
Title: Incident Investigation In The Healthcare System: A Comparative Analysis Derived From The Chemical Industries
Author: Morita P.P.
Calil S.J.
Abstract: Incidents and near misses are found in any kind of industry or service provider. Owing to the high impact of certain incidents, some industries like chemical, automotive and airline have developed methodologies to manage risks and avoid occurrences by studying previous incident. These methodologies have been widely developed and a complete incident investigation system has been built, suited for incidents occurring within each particular industry. In the healthcare system, only nowadays it is possible to see some action to reduce existing risks. Unfortunately, the safety programs found in healthcare facilities usually focus in biohazards reduction, leaving behind several safety issues that, if considered, could avoid the majority of occurrences. Considering the large amount of existing methodologies and the characteristics of the incidents, they can be specifically adapted according to the needs of incident investigation in the healthcare system. An analysis of reported incidents and characteristics of the chemical industries and the healthcare facilities is developed to consider the differences between each environment. Then a detailed assessment of existing methodologies and its characteristics is developed considering three categories: evidence gathering, witness interviews and equipment analysis. Analyzing the reported incidents, each of the categories above is adapted from an already available set of methodologies. In the first category, despite the different characteristics of the evidences, it is possible to adapt the procedures used for chemical industries, due to minor scope of evidence gathering in healthcare system's incidents. The interview process available for chemical industries is not adequate to use within the healthcare system's incidents, which imposed the use of a different methodology. The combination of methodologies from different sources is more adequate for the equipment analysis category, due to already developed methodologies specific for equipment incidents. Changes in the culture of the healthcare system and behavior after an incident are discussed in this study to achieve a better and safer system. Much has to be done to attain a complete guide for incident investigation within the healthcare system, but the existing groundwork from other industries allows the adaptation and merging of the existing data into one methodology appropriate to the healthcare system. © 2009 Springer Berlin Heidelberg.
Rights: fechado
Identifier DOI: 10.1007/978-3-540-89208-3_375
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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