Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare.

ABSTRACT:

Objective

Though healthcare is often exhorted to learn from 'high-reliability' industries, adopting tools and techniques from those sectors may not be straightforward. We sought to examine the hierarchies of risk controls approach, used in high-risk industries to rank interventions according to supposed effectiveness in reducing risk, and widely advocated as appropriate for healthcare.

Design

Classification of risk controls proposed by clinical teams following proactive detection of hazards in their clinical systems. Classification was based on a widely used hierarchy of controls developed by the US National Institute for Occupational Safety and Health (NIOSH).

Setting and participants

A range of clinical settings in four English NHS hospitals.

Results

The four

SUBMITTER: Liberati EG 

PROVIDER: S-EPMC5890869 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature