Study on safety risk management model of geriatric hospital based on COSO-ERM

doi:10.3969/j.issn.1009-6493.2017.16.014

Abstract：Objective:To construct the safe risk management model of the elderly patients in the geriatric hospital based on "the enterprise risk management integrated framework" (COSO-ERM),and to explore the comprehensive safety risk management system of the geriatric hospital.Methods:Four objectives,eight elements and four levels of the COSO-ERM three-dimensional framework were used to construct the item pool of the patient safety risk management model of the geriatric hospital.The expert consultation questionnaire was formed by collective discussion and expert interview.Using the Delphi method,through two rounds of 20 experts' advice to determine the model of geriatric hospital's safety risk management.Results:The recovery rate of the two rounds of expert consultation questionnaires were: 90.91% and 100.00%,respectively.Expert authority coefficient(CR)was 0.81.The smaller coefficient of variation,the better coordination of experts.After two rounds of expert consultation,the coefficient of variation in the index was from 0.06 to 0.20,which was less than 0.25,indicating that the expert's opinion was more concentrated.The security risk management model was composed of 30 items in three dimensions.Conclusions:Based on COSO-ERM,Delphi's expert consultation method was used to construct the model of patient's safety risk management in the geriatric hospital.The research methods were scientific and reliable,which provided the basis for comprehensive safety risk management of the geriatric hospital.