Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities

One of the important issues in health care systems that affect safety-related behaviors and reduce medical errors is to improve the safety level of the hospitalized patients. The aim of this study was to evaluate the level of safety of the hospitalized patients by analyzing the patient's activ...

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Main Authors: Sayedeh Somayyeh Mousavipour, Mousa Jabbari, Mahnaz Saremi, Abbas Ebadi, Ehsan Shariat Bahadori, Davoud Khorasani Zavareh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-01-01
Series:Acta Medica Iranica
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Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/10959
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author Sayedeh Somayyeh Mousavipour
Mousa Jabbari
Mahnaz Saremi
Abbas Ebadi
Ehsan Shariat Bahadori
Davoud Khorasani Zavareh
author_facet Sayedeh Somayyeh Mousavipour
Mousa Jabbari
Mahnaz Saremi
Abbas Ebadi
Ehsan Shariat Bahadori
Davoud Khorasani Zavareh
author_sort Sayedeh Somayyeh Mousavipour
collection DOAJ
description One of the important issues in health care systems that affect safety-related behaviors and reduce medical errors is to improve the safety level of the hospitalized patients. The aim of this study was to evaluate the level of safety of the hospitalized patients by analyzing the patient's activities. In the present study, all activities of the hospitalized patients were considered as one job, and the occupational safety analysis technique was used. For this purpose, all the activities of hospitalized patients from the time of entering the hospital to the time of leaving the hospital were identified and by forming a team of specialists in the field of patient care, a list of all possible risks in different stages of patient activities was determined. To assess the risk, the risk matrix model, which is one of the risk assessment models, was used. Experts' opinions were used to rank the risk, and finally the risk level of the identified hazards was determined before and after the control measures. The results showed that the risks in 6 stages for the patient include the patient entering the hospital, patient admission in the ward, patient entry into the room, hospitalization in the room, patient transfer for medical and diagnostic purposes and patient discharge from the hospital. There are a total of 79 potential hazards. The results showed that by managing the four types of risks "Struck against", "Fall to below", "Fall same level", "Struck by", which are among the most important risks that threaten the hospitalized patients, more than 50% of potential risks is reduced. The findings showed that the recurrence and severity of risk and, consequently, the level of risk identified in different stages of hospitalization are different. Therefore, improving the level of management and prioritization and providing the controlling and the suggested solutions, which are the main management tasks in a hospital, can improve the safety of the hospitalized patients.
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spelling doaj-art-4e657148bb4148e8927c067d1e51624c2025-02-09T08:50:54ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942025-01-0162510.18502/acta.v62i5.17771Assessing the Safety Level of Hospitalized Patients: Analyzing Patient ActivitiesSayedeh Somayyeh Mousavipour0Mousa Jabbari1Mahnaz Saremi2Abbas Ebadi3Ehsan Shariat Bahadori4Davoud Khorasani Zavareh5Department of Health in Emergencies and Disasters, School of Nursing, Aja University of Medical Sciences, Tehran, Iran. AND Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Occupational Health and Safety, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Department of Occupational Health and Safety, Workplace Health Promotion of Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Ergonomics, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Department of Nursing Management, Behavioral Sciences of Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. AND Department of Nursing Management, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.Department of Parasitology, Shahid Rajai of Research Center, Iran University of Medical Sciences, Tehran, IranDepartment of Health in Emergencies and Disasters, Safety Promotion and Injury Prevention of Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AND Department of Neurobiology, Care Sciences and Society (NVS), H1, Division of Family Medicine and Primary Care, Huddinge, Sweden One of the important issues in health care systems that affect safety-related behaviors and reduce medical errors is to improve the safety level of the hospitalized patients. The aim of this study was to evaluate the level of safety of the hospitalized patients by analyzing the patient's activities. In the present study, all activities of the hospitalized patients were considered as one job, and the occupational safety analysis technique was used. For this purpose, all the activities of hospitalized patients from the time of entering the hospital to the time of leaving the hospital were identified and by forming a team of specialists in the field of patient care, a list of all possible risks in different stages of patient activities was determined. To assess the risk, the risk matrix model, which is one of the risk assessment models, was used. Experts' opinions were used to rank the risk, and finally the risk level of the identified hazards was determined before and after the control measures. The results showed that the risks in 6 stages for the patient include the patient entering the hospital, patient admission in the ward, patient entry into the room, hospitalization in the room, patient transfer for medical and diagnostic purposes and patient discharge from the hospital. There are a total of 79 potential hazards. The results showed that by managing the four types of risks "Struck against", "Fall to below", "Fall same level", "Struck by", which are among the most important risks that threaten the hospitalized patients, more than 50% of potential risks is reduced. The findings showed that the recurrence and severity of risk and, consequently, the level of risk identified in different stages of hospitalization are different. Therefore, improving the level of management and prioritization and providing the controlling and the suggested solutions, which are the main management tasks in a hospital, can improve the safety of the hospitalized patients. https://acta.tums.ac.ir/index.php/acta/article/view/10959SafetyPatientRiskFalling
spellingShingle Sayedeh Somayyeh Mousavipour
Mousa Jabbari
Mahnaz Saremi
Abbas Ebadi
Ehsan Shariat Bahadori
Davoud Khorasani Zavareh
Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
Acta Medica Iranica
Safety
Patient
Risk
Falling
title Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
title_full Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
title_fullStr Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
title_full_unstemmed Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
title_short Assessing the Safety Level of Hospitalized Patients: Analyzing Patient Activities
title_sort assessing the safety level of hospitalized patients analyzing patient activities
topic Safety
Patient
Risk
Falling
url https://acta.tums.ac.ir/index.php/acta/article/view/10959
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