International Research Journal of Engineering and Technology (IRJET)
e-ISSN: 2395-0056
Volume: 11 Issue: 09 | Sep 2024
p-ISSN: 2395-0072
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Developing a Safe Culture through Implementation of Hazard Identification and Risk Assessment (HIRA) at a Tertiary Diabetes Centre Parvathi S J1, Anjana R M2, Ranjit Unnikrishnan I3, Vinitha Lakshmi P4, Parthasarathy B5, Gopal Menon6, Ivy S7, Dhandapaani C G8, Ilankumaran P9, Premkumar B10 Viswanathan Mohan11 1 Vice President, Quality Systems, 2 Managing Director & Senior Consultant Diabetology, 3 Vice Chairman & Senior
Consultant Diabetology, 4 Senior Manager- Quality Systems, 5 Consultant Diabetology & Committee Head for Facility, Safety& Security, 6Chief Operating Officer, 7 Nursing Superintendent 8 HOD- Maintenance, 9 HOD – Safety & Security, 10 Security officer, 11 Chairman & Chief consultant Dr. Mohan's Diabetes Specialities Centre & Madras Diabetes Research Foundation, WHO Collaborating Centre for Non-Communicable Diseases Prevention and Control, Chennai, India 1-10 belong to Dr Mohan’s Diabetes Specialities Centre, No. 6B, Conron Smith Road, Gopalapuram, Chennai 600086, Tamil Nadu, India. -----------------------------------------------------------------------***-------------------------------------------------------------------Abstract 1. INTRODUCTION Hospital is a place where safety is of prime importance. Healthcare workers, patients and the public are vulnerable to injuries and illness due to unforeseen hazards at workplace [1]. A study was conducted to develop a safe environment by implementing hazard identification, analysing and assessing the risk at a tertiary diabetes centre in Chennai. Hazard identification and Risk Assessment (HIRA) was done at departments of the hospital including the medical, paramedical and support services. In this paper, the proactive measure of risk identification and implementation of control measures was introduced through a step-by-step process. Hazards identified were classified and analyzed for the severity of impact. The process implementation was done for severe impact first, followed by moderate and then minimal impact risk. This was followed by the review of the implementation and its effectiveness. In this process, new risks, if any, were also identified. This implementation has been carried out for 3 years since 2017, and the cycle is being followed till date. Major impact hazards were addressed immediately through suitable risk management techniques, such as reducing the impact of risk, removing the risk, adopting preventive measures, substituting other means of mitigating the risks, etc. The teams were equipped through regular training on HIRA and guided to review risk and preventive measures regularly. This standardisation has imbibed a culture of safety within the organisation. From this exercise, HIRA matrix is prepared and the factors influencing hazards are controlled from time to time thereby reducing incidents and saving costs on damage.
Dr. Mohan’s Diabetes Specialities Centre, (DMDSC), a world class Diabetes Care Centre was established in Royapettah, Chennai, India in September 1991, with an objective of providing comprehensive diabetes care and guidance to patients, to help them lead a full and healthy life despite diabetes. Currently DMDSC has it’s headquarters at Gopalapuram in Chennai and provides complete diabetes care under one roof. About 640,000 patients have been registered since 1991, and spread across 32 cities and eight states of India with 50 branches. DMDSC is the largest chain of diabetes centres. The main aim of the centre is to ensure that patients have access to diabetes treatment as close to their residence as possible (www.drmohans.com). The centre also focuses on increasing the awareness of the general public with respect to diabetes and its complications, diabetes management and updates on the newest in the field of diabetes. With the number of branches increasing, we find a surge in the number of people having better access to diabetes management.
1.1 Hazard identification and Risk Assessment (HIRA) technique A hazard is any potential damage, harm or adverse health effect on a person (staff, patient or visitor) or hospital assets [2]. “Hazard” is the cause or circumstances that have the potential to cause injury or illness to humans, property damage, and pollution to the environment or a combination of all [3] and “risk” is the likelihood that the hazard will cause harm. Safety measures have to be implemented based on the identification of hazards and assessing the risks in order to provide a safe environment in the hospital. It is also the
Key Words: Hazard Identification, Risk Assessment, HIRA, Safety, Diabetes hospital
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