Situational Analysis of Risk Management for Postpartum Hemorrhage, Chiangrai Prachanukroh Hospital

Abstract

Risk management in the health service system aims to identify, evaluate, and take corrective
action against potential risks that could lead to patient injury. The objectives of this study were to
describe the risk management situation, explore the problems and barriers to risk management,
and explore ways to solve problems related to risk management for postpartum hemorrhage at
Chiangrai Prachanukroh Hospital. The participants included 8 risk management committee team
members of the obstetric department, including the nursing director, 17 professional nurses, and
9 nurse aides from the labour room. Data were collected through questionnaire, interview, and
brainstorming. Data were analyzed using descriptive statistics and content analysis.
1. Risk management for postpartum hemorrhage at Chiangrai Prachanukroh Hospital is
presented using domains in Supachutikul’s risk management process (2000):
1.1 Risk identification: Perception of risk management with regards to risk identification was
at a high level.
1.2 Risk assessment or risk analysis: Perception of risk management with regards to risk
assessment/analysis was at a high level.
1.3 Action to manage risk: Perception of risk management with regards to actions to manage
risk was at a high level.
1.4 Evaluation: Overall, participants perceptions of risk management at their institutions
were at a high level.
2. The problems and barriers related to risk management included incomplete incident
records, delayed incident reviews, lack of experience in conducting assessments and following the
guidelines, delayed incident reporting in the intranet system, a complex and unstable reporting
system via intranet, insufficient training, fear from staff in reporting incidents.
3. The participants’ made the following suggestions for solving problems: the timeline for
reviewing incidents should be clear and consistent, a confidential incident reporting system
should be developed and risk management staff trainings should be promoted., Participants also
suggested improving the incident reporting system, developing an incident reporting channel, and
promoting positive attitudes towards incident reporting.