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Evaluation of System Mapping Approaches in Identifying Patient Safety Risks

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Simsekler, Mehit Can Emre 
Ward, JR 
Clarkson, P John 


Objective: While many system mapping approaches (SMAs) have been broadly used in safety-critical industries, few have so far been employed in the healthcare field to assist in the identification of patient safety risks. In this study, we evaluated a set of system modelling approaches to assess their potential contribution to the identification of risks affecting patient safety. The aim was to gain a greater understanding of the practical application of system modelling approaches with the help of the risk categorisation framework developed in this study. Setting: We conducted this study in a newly established Adult Attention Deficit Hyperactivity Disorder (ADHD) service at Cambridge and Peterborough Foundation Trust. Study Participants: Eight key stakeholders of the chosen service, including clinicians, managers, and administrative staff, were individually asked to evaluate a set of pre-defined six SMAs according to their usefulness in identifying patient safety risks through interview-based questionnaires. Results: It was found that each SMA could be useful in the chosen healthcare service in different ways. Further, specific types of diagrams were selected by stakeholders as more useful than others in identifying different sources of risks within the given system. Conclusions: The results of the evaluation showed that the system diagram is the most useful SMA in risk identification within the given system, while limited time, resources, and experience of stakeholders with SMAs may present possible obstacles for their potential use in the healthcare field in future.



Adult, Ambulatory Care Facilities, Attention Deficit Disorder with Hyperactivity, Humans, Models, Organizational, Patient Safety, Quality Assurance, Health Care, Risk Assessment, Risk Factors, Safety Management, United Kingdom

Journal Title

International Journal for Quality in Health Care

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National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)
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