Patient safety management: Available models and systems

Luigi Macchi, Elina Pietikäinen, Teemu Reiman, Jouko Heikkilä, Kaarin Ruuhilehto

    Research output: Book/ReportReport

    Abstract

    This report is a part of a Finnish research and development project in which a model for patient safety management and related innovative services are developed. The report aims to clarify basic concepts related to patient safety management and to describe available safety management approaches from health care and other safety critical industries. Management and improvement of safety in health care, as in any other safety critical organisation, are strongly determined by certain concepts and how they are understood in the organisation. These concepts are patient safety, safety model, safety management model and safety management system. On the basis of the review, the following conclusions and recommendations were drawn: Patient safety should be seen as an organisation's ability that emerges from the social and technological factors interacting in an organisation. Safety is improved by creating good pre-requisites for work, not only by constraining performance. Some degree of flexibility is required. Safety model should describe the emerging safety as a systemic phenomenon meaning that both successes and failures are inevitable events in organisational behaviour. Systemic approach emphasises non-linear interactions. Safety management model should be in line with both the definition of patient safety and the safety model. It identifies the elements necessary for the management and improvement of patient safety. Safety should be considered together with the overall management of the organisation. Safety management system has to be integrated in the management system of the organisation. It aims at both assessing and eliminating risks and ensuring appropriate prerequisites for safety throughout the lifetime of the organisation. It takes into account the specific characteristics of the organisation and it is documented.
    Original languageEnglish
    Place of PublicationEspoo
    PublisherVTT Technical Research Centre of Finland
    Number of pages53
    ISBN (Electronic)978-951-38-7510-7
    Publication statusPublished - 2011
    MoE publication typeNot Eligible

    Publication series

    SeriesVTT Working Papers
    Number169

    Fingerprint

    Safety Management
    Patient Safety
    Safety
    Organizations
    Delivery of Health Care
    Industry

    Keywords

    • patient safety
    • management
    • safety model
    • accident model

    Cite this

    Macchi, L., Pietikäinen, E., Reiman, T., Heikkilä, J., & Ruuhilehto, K. (2011). Patient safety management: Available models and systems. Espoo: VTT Technical Research Centre of Finland. VTT Working Papers, No. 169
    Macchi, Luigi ; Pietikäinen, Elina ; Reiman, Teemu ; Heikkilä, Jouko ; Ruuhilehto, Kaarin. / Patient safety management : Available models and systems. Espoo : VTT Technical Research Centre of Finland, 2011. 53 p. (VTT Working Papers; No. 169).
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    Macchi, L, Pietikäinen, E, Reiman, T, Heikkilä, J & Ruuhilehto, K 2011, Patient safety management: Available models and systems. VTT Working Papers, no. 169, VTT Technical Research Centre of Finland, Espoo.

    Patient safety management : Available models and systems. / Macchi, Luigi; Pietikäinen, Elina; Reiman, Teemu; Heikkilä, Jouko; Ruuhilehto, Kaarin.

    Espoo : VTT Technical Research Centre of Finland, 2011. 53 p. (VTT Working Papers; No. 169).

    Research output: Book/ReportReport

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    AU - Pietikäinen, Elina

    AU - Reiman, Teemu

    AU - Heikkilä, Jouko

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    AB - This report is a part of a Finnish research and development project in which a model for patient safety management and related innovative services are developed. The report aims to clarify basic concepts related to patient safety management and to describe available safety management approaches from health care and other safety critical industries. Management and improvement of safety in health care, as in any other safety critical organisation, are strongly determined by certain concepts and how they are understood in the organisation. These concepts are patient safety, safety model, safety management model and safety management system. On the basis of the review, the following conclusions and recommendations were drawn: Patient safety should be seen as an organisation's ability that emerges from the social and technological factors interacting in an organisation. Safety is improved by creating good pre-requisites for work, not only by constraining performance. Some degree of flexibility is required. Safety model should describe the emerging safety as a systemic phenomenon meaning that both successes and failures are inevitable events in organisational behaviour. Systemic approach emphasises non-linear interactions. Safety management model should be in line with both the definition of patient safety and the safety model. It identifies the elements necessary for the management and improvement of patient safety. Safety should be considered together with the overall management of the organisation. Safety management system has to be integrated in the management system of the organisation. It aims at both assessing and eliminating risks and ensuring appropriate prerequisites for safety throughout the lifetime of the organisation. It takes into account the specific characteristics of the organisation and it is documented.

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    Macchi L, Pietikäinen E, Reiman T, Heikkilä J, Ruuhilehto K. Patient safety management: Available models and systems. Espoo: VTT Technical Research Centre of Finland, 2011. 53 p. (VTT Working Papers; No. 169).