Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献

Proactive risk assessment and nursing risk management in chemotherapy drugs: FMECA methodology results. 化疗药物的前瞻性风险评估与护理风险管理：FMECA方法学结果。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2026-04-01 Epub Date: 2026-02-25 DOI: 10.1002/jhrm.70021

Gennaro Laus, Giuseppe Bertozzi, Aldo Di Fazio, Federico Ruta, Tommaso Cassano, Sipontina Rita Zerulo

{"title":"Proactive risk assessment and nursing risk management in chemotherapy drugs: FMECA methodology results.","authors":"Gennaro Laus, Giuseppe Bertozzi, Aldo Di Fazio, Federico Ruta, Tommaso Cassano, Sipontina Rita Zerulo","doi":"10.1002/jhrm.70021","DOIUrl":"10.1002/jhrm.70021","url":null,"abstract":"The study aims to proactively analyze the chemotherapy drug management process, focusing on the nursing role: identifying error modes and proposing improvement interventions. A quality improvement project was conducted at an Onco-Hematological Department, applying a systematic and prospective approach to evaluate the critical phases of the chemotherapy drug process. A risk analysis was conducted using Failure Mode, Effects, and Criticality Analysis (FMECA). A multidisciplinary team of healthcare professionals with experience in the sector mapped the process, identified potential failure modes, calculated the Risk Priority Numbers (RPNs), and implemented corrective actions. The RPNs were re-evaluated after three months to measure intervention effectiveness. The analysis identified eight error modes, two of which were classified as high risk: contamination (initial RPN 27) and inaccurate dosing (initial RPN 24). After the implementation of improvement actions, such as specific training and formalized double checking, the RPNs were reduced to 4 and 3, respectively, with an improvement greater than 85%. The application of FMECA has allowed for effective identification and mitigation of the main risks associated with chemotherapeutic drug management, contributing to improve patient safety and nurse perceived quality of performance, through a model replicable in other healthcare settings.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":" ","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13103623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, attitudes, and practices of healthcare professionals toward near-miss reporting. 医疗保健专业人员对未遂报告的知识、态度和实践。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2026-04-01 DOI: 10.1002/jhrm.70024

Asma Alfayez, Arwa Althumairi, Turki Alanzi, Amjad Saadah, Duaa Aljabri

{"title":"Knowledge, attitudes, and practices of healthcare professionals toward near-miss reporting.","authors":"Asma Alfayez, Arwa Althumairi, Turki Alanzi, Amjad Saadah, Duaa Aljabri","doi":"10.1002/jhrm.70024","DOIUrl":"https://doi.org/10.1002/jhrm.70024","url":null,"abstract":"Background: Near miss is a key component of patient safety systems, enabling organizational learning without patient harm. This study assessed healthcare professionals' knowledge, attitudes, and practices (KAP) toward Near miss reporting.Methods: A cross-sectional study was conducted using a validated self-administered online questionnaire. Descriptive statistics summarized responses, while chi-square, Mann-Whitney U, Kruskal-Wallis, and multiple regression analyses examined associations and predictors of KAP.Results: A total of 500 healthcare professionals participated. Participants demonstrated moderate knowledge and positive attitudes; however, only 25% had ever reported a near miss. Higher knowledge and attitude scores were significantly associated with older age, postgraduate education, longer tenure, and leadership roles. Postgraduate education and leadership positions were significant predictors of higher knowledge and more positive attitudes.Conclusion: Despite favorable knowledge and attitudes, near miss underreporting persists. Targeted education, simplified reporting systems, and strengthened leadership engagement are essential to bridge the gap between awareness and practice and improve patient safety outcomes.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 4","pages":"14-25"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147784554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case law update. 判例法更新。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2026-04-01 Epub Date: 2026-03-24 DOI: 10.1002/jhrm.70023

Christopher J Allman, Maggie Neustadt

引用次数: 0

Editor's Letter: Leading risk management through disruption. 编者按：通过颠覆引领风险管理。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2026-04-01 Epub Date: 2026-03-23 DOI: 10.1002/jhrm.70022

Josh Hyatt

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Editor's Letter: The Next Frontier: The Global Risk Professional 编者按：下一个前沿：全球风险专家。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-12-21 DOI: 10.1002/jhrm.70020

By Josh Hyatt DHS, MBE, MHL

引用次数: 0

Case law update 判例法更新。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-12-21 DOI: 10.1002/jhrm.70019

Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM

引用次数: 0

Uncovering safety risks across multispecialty: A Human Factor Analysis and Classification System (HFACS) based observational study in cardiovascular, orthopedic, trauma care, and neurosurgical environments 揭示多专业的安全风险：一项基于人因分析和分类系统（HFACS）的心血管、骨科、创伤护理和神经外科环境的观察性研究。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-12-04 DOI: 10.1002/jhrm.70018

Asfand Khan Ph.D., Tara Cohen Ph D, Scott A. Shappell Ph D, Albert J. Boquet Ph D

{"title":"Uncovering safety risks across multispecialty: A Human Factor Analysis and Classification System (HFACS) based observational study in cardiovascular, orthopedic, trauma care, and neurosurgical environments","authors":"Asfand Khan Ph.D., Tara Cohen Ph D, Scott A. Shappell Ph D, Albert J. Boquet Ph D","doi":"10.1002/jhrm.70018","DOIUrl":"10.1002/jhrm.70018","url":null,"abstract":"Despite significant progress in patient safety, human error continues to occur at high rates in surgical settings. The Human Factors Analysis and Classification System (HFACS) offers a proactive lens to understand how and where errors emerge. This study examines HFACS's utility and reliability in categorizing and comparing human error in cardiovascular, orthopedic, trauma care, and neurosurgery. Observational data from cardiovascular, orthopedic, trauma, and neurosurgery cases were coded using HFACS by trained analysts applying unanimous, majority, and reconciled consensus strategies to assess interrater reliability. Across specialties, 98.25% of disruptions occurred at the “preconditions for unsafe acts,” indicating latent failures. In cardiovascular surgery, 49.20% were linked to adverse mental states (e.g., cognitive overload, stress), 26.95% to physical environment issues, and 12.69% to crew resource management. Orthopedic surgery showed 68.75% of crew resource management failures, 19.47% personal readiness issues, and 5.87% environment stressors. Trauma care involved 61.38% crew resource management, 26.71% adverse mental states, and 10.33% team availability. Neurosurgery disruptions stemmed 59.42% from technological environment/layout and 35.92% from communication, coordination, and planning. HFACS is a reliable tool for categorizing human factors in diverse surgical environments. Findings highlight distinct latent failure profiles across specialties and underscore the importance of data driven specialty-specific safety interventions.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 3","pages":"5-15"},"PeriodicalIF":0.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case law update 判例法更新。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-10-14 DOI: 10.1002/jhrm.70015

Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM

引用次数: 0

Editor's Letter: Navigating murky waters—Leading with vision in risk 编者按：在浑浊的水中航行——在风险中远见卓识。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-10-12 DOI: 10.1002/jhrm.70017

Josh Hyatt DHS, MHL, CPHRM, DFASHRM

引用次数: 0

Enhancing healthcare with patient personas: A systematic review 通过患者角色增强医疗保健：系统回顾。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-10-08 DOI: 10.1002/jhrm.70014

Jhanille Hurde BS, Amaya McCollough BS, Dr. Sreenath Chalil Madathil MS, Ph.D., Dr. Mohammad Khasawneh MS, Ph.D.

{"title":"Enhancing healthcare with patient personas: A systematic review","authors":"Jhanille Hurde BS, Amaya McCollough BS, Dr. Sreenath Chalil Madathil MS, Ph.D., Dr. Mohammad Khasawneh MS, Ph.D.","doi":"10.1002/jhrm.70014","DOIUrl":"10.1002/jhrm.70014","url":null,"abstract":"Personas have gained significant recognition in healthcare for their impact on improving patient needs and resources. Patient personas are detailed profiles of patients with similar common needs, preferences, goals, and behaviors. This review examined patient personas, explored current methodologies in persona creation, and identified gaps in existing methods. Then, we proposed future directions incorporating advanced techniques such as predictive analytics to enhance persona creation. We applied PRISMA guidelines, searched databases such as PubMed, Web of Science, and ScienceDirect for related articles, and found 1893 articles. After screening the articles using the inclusion and exclusion criteria, 24 articles published between 2013 onwards were selected for this review. Several studies have used either qualitative, quantitative, or mixed methods to create personas. Researchers have implied that the reliance on qualitative data can introduce bias that affects persona accuracy. This review highlights the crucial role of patient personas in improving healthcare delivery, and personas have been proven effective in reforming healthcare services to meet patient needs. Although patient personas have been utilized for over a decade, post-implementation evaluations are seldom addressed. Evidence suggests that there is a need for continuous improvement to improve patient outcomes and healthcare services.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"33-44"},"PeriodicalIF":0.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0