Authors

1 Associate Professor, Health Information Management, Tehran University of Medical Sciences, Tehran, Iran

2 Associate Professor, Health Services Management, Tehran University of Medical Sciences, Tehran, Iran

3 Lecturer, Medical Records, Hormozgan University of Medical Sciences, Bandarabbass, Iran

4 Lecturer, Medical Records, Hormozgan University of Medical Sciences, Bandarabbass, Iran.

Abstract

Introduction: The goal of every healthcare risk management program is to reduce the possibility 
of undesired events for patients. Such programs include identifying undesired events, analyzing 
their causes, estimating the possibility of outbreak and their results and taking proper actions to 
prevent their recurrence. The goal of this study was to compare healthcare risk management programs in selected countries and to propose a model for Iran. 
Methods: This descriptive-comparative study included England, the USA and Australia. National 
Health Services (NHS), Joint Commission on Accreditation of Health care Organization (JCAHO) 
and Medical Defenses Association of Victoria (MDAV) were selected as samples (because of functionality scope). Available information through the Internet, email and library references were used 
to collect data. Data was analyzed by comparative tables and descriptive statistical methods. The 
final model was prepared based on the performed analyses and after obtaining the viewpoints of 
related specialists. 
Results: There were numerous common points between the risk management process and documentation principles while few were observed in informed consent gathering principles. On the 
other hand, many differences were found among data elements in incident report forms. JCAHO 
gave more roles to medical record managers. 
Conclusion: Despite common points in risk management principles, each sample had mainly focused on needs and infrastructures of care delivery in their country. 

Keywords