A Review of Risk Matrices Used in Acute Hospitals in England.

cam.issuedOnline2018-11-05
cam.orpheus.successThu Jan 30 10:53:34 GMT 2020 - Embargo updated
dc.contributor.authorKaya, Gulsum Kubra
dc.contributor.authorWard, James
dc.contributor.authorClarkson, John
dc.contributor.orcidWard, James [0000-0002-0362-4711]
dc.contributor.orcidClarkson, John [0000-0001-8018-7706]
dc.date.accessioned2018-12-14T00:30:32Z
dc.date.available2018-12-14T00:30:32Z
dc.date.issued2019-05
dc.description.abstractIn healthcare, patient safety has received substantial attention and, in turn, a number of approaches to managing safety have been adopted from other high-risk industries. One of these has been risk assessment, predominantly through the use of risk matrices. However, while other industries have criticized the design and use of these risk matrices, the applicability of such criticism has not been investigated formally in healthcare. This study examines risk matrices as used in acute hospitals in England and the guidance provided for their use. It investigates the applicability of criticisms of risk matrices from outside healthcare through a document analysis of the risk assessment policies, procedures, and strategies used in English hospitals. The findings reveal that there is a large variety of risk matrices used, where the design of some might increase the chance of risk misprioritization. Additionally, findings show that hospitals may provide insufficient guidance on how to use risk matrices as well as what to do in response to the existing criticisms of risk matrices. Consequently, this is likely to lead to variation in the quality of risk assessment and in the subsequent deployment of resources to manage the assessed risk. Finally, the article outlines ways in which hospitals could use risk matrices more effectively.
dc.format.mediumPrint-Electronic
dc.identifier.doi10.17863/CAM.34194
dc.identifier.eissn1539-6924
dc.identifier.issn0272-4332
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/286885
dc.languageeng
dc.publisherWiley
dc.publisher.urlhttp://dx.doi.org/10.1111/risa.13221
dc.subjectPatient safety
dc.subjectrisk matrix
dc.subjectsafety risk assessment
dc.subjectEngland
dc.subjectHospitals
dc.subjectHumans
dc.subjectLikelihood Functions
dc.subjectModels, Organizational
dc.subjectPatient Safety
dc.subjectRisk Assessment
dc.subjectSafety Management
dc.subjectState Medicine
dc.subjectSurveys and Questionnaires
dc.titleA Review of Risk Matrices Used in Acute Hospitals in England.
dc.typeArticle
dcterms.dateAccepted2018-10-03
prism.endingPage1070
prism.issueIdentifier5
prism.publicationDate2019
prism.publicationNameRisk Anal
prism.startingPage1060
prism.volume39
pubs.funder-project-idNational Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)
rioxxterms.licenseref.startdate2019-05
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.1111/risa.13221
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