Determinants of the implementation of hospital risk management: Case of the Provincial Hospital Center of El Jadida Morocco

Abstract

Introduction: Describe the determinants of the implementation of the Hospital Risk Management (HRM) approach at the Provincial Hospital Center (PHC) of El Jadida. Methods: The study was conducted from July 2018 to December 2019 at the Provincial Hospital Center of El Jadida. It is a descriptive study, aims to describe the determinants of the implementation of the risk management approach at the PHC El Jadida through an interview with the heads of the HRM unit, a questionnaire for hospital managers and a questionnaire for professionals of the said PHC. Results: Among the 338 participants in the study, more than half of them said that training and awareness are the main determinants for the implementation of the HRM approach in addition to the commitment of the administration. All of the managers interviewed agreed that the existence of the HRM unit is the starting point for any implementation of the HRM approach, while 87.1% stated that there was no HRM policy. 87.6% of the professionals have not had any HRM training, while 97.6% of them have expressed their needs in terms of HRM training. 85% of the professionals are unaware of the HRM procedure and the obligation to declare risks, which has impacted the implementation of this approach. Discussion: The confrontation of our results allowed us to determine the determinants of the implementation of HRM, namely: (a) establishment of the HRM unit, (b) commitment of the administration, (c) awareness raising, (d) training, (e) design of an HRM policy, (f) institutionalization and regulation of the approach, (g) design of the HRM process. Conclusion: Hospital risk management is essential for any hospital organization, enabling managers to make appropriate decisions.