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Evaluation of system mapping approaches in identifying patient safety risks

Simsekler, MCE; Ward, JR; Clarkson, PJ; (2018) Evaluation of system mapping approaches in identifying patient safety risks. International Journal for Quality in Health Care , 30 (3) pp. 227-233. 10.1093/intqhc/mzx176. Green open access

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Abstract

Objective While many system mapping approaches (SMAs) have been broadly used in safety-critical industries, few have so far been employed in the healthcare field to assist in the identification of patient safety risks. In this study, we evaluated a set of system modelling approaches to assess their potential contribution to the identification of risks affecting patient safety. The aim was to gain a greater understanding of the practical application of system modelling approaches with the help of the risk categorization framework developed in this study. Setting We conducted this study in a newly established Adult Attention Deficit Hyperactivity Disorder (ADHD) service at Cambridge and Peterborough Foundation Trust. Study participants Eight key stakeholders of the chosen service, including clinicians, managers and administrative staff, were individually asked to evaluate a set of pre-defined six SMAs according to their usefulness in identifying patient safety risks through interview-based questionnaires. Results It was found that each SMA could be useful in the chosen healthcare service in different ways. Further, specific types of diagrams were selected by stakeholders as more useful than others in identifying different sources of risks within the given system. Conclusions The results of the evaluation showed that the system diagram is the most useful SMA in risk identification within the given system, while limited time, resources and experience of stakeholders with SMAs may present possible obstacles for their potential use in the healthcare field in future.

Type: Article
Title: Evaluation of system mapping approaches in identifying patient safety risks
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/intqhc/mzx176
Publisher version: https://doi.org/10.1093/intqhc/mzx176
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Health Policy & Services, system mapping approaches, patient safety, risk identification, process maps, GLOBAL TRIGGER TOOL, HEALTH-CARE, INFORMATION, FRAMEWORK, MEDICINE, DESIGN
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > UCL School of Management
URI: https://discovery.ucl.ac.uk/id/eprint/10054897
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