CUED Publications database

Generating Options for Active Risk Control (GO-ARC): introducing a novel technique.

Card, AJ and Ward, JR and Clarkson, PJ (2014) Generating Options for Active Risk Control (GO-ARC): introducing a novel technique. J Healthc Qual, 36. pp. 32-41.

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Abstract

BACKGROUND: After investing significant amounts of time and money in conducting formal risk assessments, such as root cause analysis (RCA) or failure mode and effects analysis (FMEA), healthcare workers are left to their own devices in generating high-quality risk control options. They often experience difficulty in doing so, and tend toward an overreliance on administrative controls (the weakest category in the hierarchy of risk controls). This has important implications for patient safety and the cost effectiveness of risk management operations. This paper describes a before and after pilot study of the Generating Options for Active Risk Control (GO-ARC) technique, a novel tool to improve the quality of the risk control options generation process. OUTCOME MEASURES: The quantity, quality (using the three-tiered hierarchy of risk controls), variety, and novelty of risk controls generated. RESULTS: Use of the GO-ARC technique was associated with improvement on all measures. CONCLUSIONS: While this pilot study has some notable limitations, it appears that the GO-ARC technique improved the risk control options generation process. Further research is needed to confirm this finding. It is also important to note that improved risk control options are a necessary, but not sufficient, step toward the implementation of more robust risk controls.

Item Type: Article
Uncontrolled Keywords: organizational decision making patient safety quality improvement risk management safety management Decision Making, Organizational Humans Inpatients Outcome Assessment (Health Care) Patient Safety Pilot Projects Psychiatric Department, Hospital Risk Assessment Risk Management Root Cause Analysis Suicide
Subjects: UNSPECIFIED
Divisions: Div C > Engineering Design
Depositing User: Cron Job
Date Deposited: 17 Jul 2017 19:41
Last Modified: 16 Nov 2017 02:11
DOI: