What the management of industrial risk has to say about health care risk management

摘要

Health care delivery today entails complicated technology and numerous interactions among health care practitioners. Adverse events can occur anywhere in the health care system. Although some accidents are caused by technical and mechanical problems, most of the accidents are attributable to human error and health care system's failure. In most of industrial accidents, these errors are rooted in organisational factors. It seems to be the same in the health industry. We are going to show in this paper that health care systems could learn much more about safety and risk-management from other industries and more particularly from nuclear industry. We present a model used in the French Institute for Nuclear Safety and Protection we adapted to the health care system.