Adoption of a Data‐Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety

Medical errors pose high risks to patients. Several organizational factors may impact the high rate of medical errors in complex and dynamic healthcare systems. However, limited research is available regarding probabilistic interdependencies between the organizational factors and patient safety erro...

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Vydáno v:Risk analysis Ročník 42; číslo 6; s. 1277 - 1293
Hlavní autoři: Simsekler, Mecit Can Emre, Qazi, Abroon
Médium: Journal Article
Jazyk:angličtina
Vydáno: Oxford Blackwell Publishing Ltd 01.06.2022
John Wiley and Sons Inc
Témata:
Aggregate data
Bayesian analysis
Bayesian Network
Belief networks
Bullying
Critical incidents
Decision making
Errors
Harassment
Health care
Health care industry
Health services
healthcare operations
Hospitals
Mathematical models
Medical errors
Medical research
Near misses
Organizational aspects
Organizational factors
Organizational research
Original
Original s
Patient safety
Patients
Probabilistic models
risk
Risk assessment
Safety
Well being
Work environment
Working conditions
ISSN:0272-4332, 1539-6924, 1539-6924
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Shrnutí:Medical errors pose high risks to patients. Several organizational factors may impact the high rate of medical errors in complex and dynamic healthcare systems. However, limited research is available regarding probabilistic interdependencies between the organizational factors and patient safety errors. To explore this, we adopt a data‐driven Bayesian Belief Network (BBN) model to represent a class of probabilistic models, using the hospital‐level aggregate survey data from U.K. hospitals. Leveraging the use of probabilistic dependence models and visual features in the BBN model, the results shed new light on relationships existing among eight organizational factors and patient safety errors. With the high prediction capability, the data‐driven approach results suggest that “health and well‐being” and “bullying and harassment in the work environment” are the two leading factors influencing the number of reported errors and near misses affecting patient safety. This study provides significant insights to understand organizational factors’ role and their relative importance in supporting decision‐making and safety improvements.
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ISSN:0272-4332
1539-6924
1539-6924
DOI:10.1111/risa.13610