A Quantitative Public Health Risk Assessment Tool for Planning for At-Risk Populations

Peters, Rachel M.; Hipper, Thomas J.; Kricun, Hilary; Chernak, Esther

doi:10.2105/ajph.2019.305181

Cited by 7 publications

(12 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…MCDA methods were most frequently employed as they support the evaluation of multiple conflicting criteria. A few studies also applied Delphi methods in conjunction with MCDA, as this framework forces stakeholders to make trade-offs- reducing the subjectivity and bias of decisions ( 2 , 5 , 45 ). In most articles, criteria for prioritization were selected by drawing upon previous prioritization exercises and literature reviews, and then finalized through expert feedback ( 21 , 42 ).…”

Section: Resultsmentioning

confidence: 99%

“…Although criteria were individualized to the prioritization exercise(s), common criteria emerged, which we categorized into three unique groups: threat properties, threat implications, and risk modifiers. Criteria within these groups included measures of exposure (e.g., inhalation), impacts (e.g., health impacts), capabilities (e.g., ability to respond), vulnerabilities (e.g., health status), likelihood (e.g., disease trend), and drivers (e.g., climate change) ( 3 , 6 , 17 , 45 ). Likewise, vulnerability was commonly analyzed when prioritizing threats ( 22 , 45 , 46 ).…”

Section: Resultsmentioning

confidence: 99%

“…Criteria within these groups included measures of exposure (e.g., inhalation), impacts (e.g., health impacts), capabilities (e.g., ability to respond), vulnerabilities (e.g., health status), likelihood (e.g., disease trend), and drivers (e.g., climate change) ( 3 , 6 , 17 , 45 ). Likewise, vulnerability was commonly analyzed when prioritizing threats ( 22 , 45 , 46 ). The most common criteria utilized to prioritize threats were factors related to human impacts, health service impacts, and economic impacts ( 3 , 6 , 10 , 18 , 36 ).…”

Section: Resultsmentioning

confidence: 99%

“…Specifically, our research demonstrated that criteria should be expanded outside the realm of PH to include economic, environmental, social, and political factors ( 2 , 10 , 22 ). Likewise, an analysis of vulnerability, drivers, exposure, and capabilities is needed to accurately assess the risk posed by PHTs ( 18 , 31 , 36 , 45 ).…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

A rapid review of best practices in the development of risk registers for public health emergency management

Kostirko,

Zhao,

Lavigne

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

IntroductionPublic health organizations (PHO) must prepare to respond to a range of emergencies. This represents an ongoing challenge in an increasingly connected world, where the scope, complexity, and diversity of public health threats (PHT) have expanded, as exemplified by the COVID-19 pandemic. Risk registers (RR) offer a framework for identifying and managing threats, which can be employed by PHOs to better identify and characterize health threats. The aim of this review is to establish best practices (BP) for the development of RRs within Public Health Emergency Management (PHEM).MethodsIn partnership with a librarian from Health Canada (HC), and guided by the Cochrane Rapid Review Guideline, journal articles were retrieved through MEDLINE, and a comprehensive search strategy was applied to obtain grey literature through various databases. Articles were limited to those that met the following criteria: published on or after January 1, 2010, published in the English language and published within an Organisation for Economic Co-operation and Development setting.Results57 articles were included for synthesis. 41 papers specifically discussed the design of RRs. The review identified several guidelines to establish RRs in PHEM, including forward-looking, multidisciplinary, transparent, fit-for-purpose, and utilizing a systems approach to analyze and prioritize threats. Expert consultations, literature reviews, and prioritization methods such as multi-criteria-decision-analysis (MCDA) are often used to support the development of RRs. A minimum five-year-outlook is applied to assess PHTs, which are revisited yearly, and iteratively revised as new knowledge arises.DiscussionBased upon this review, RRs offer a systems approach to PHEM that can be expanded to facilitate the analysis of disparate threats. These approaches should factor in the multidimensionality of threats, need for multi-sectoral inputs, and use of vulnerability analyses that consider inherent drivers. Further research is needed to understand how drivers modify threats. The BPs and recommendations highlighted in our research can be adopted in the practice of PHEM to characterize the public health (PH) risk environment at a given point in time and support PHOs policy and decision-making.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A rapid review of best practices in the development of risk registers for public health emergency management

Kostirko,

Zhao,

Lavigne

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Salah satunya adalah penelitian yang dilakukan oleh Peters dkk., yang dengan instrumen sederhana menggunakan program Microsoft Excel telah dapat membantu manajemen risiko kesehatan masyarakat (Peters, Hipper, Kricun, & Chernak, 2013). Instrumen tersebut membantu perencana dalam memperkirakan risiko darurat, menilai dampak, dan memberikan tolok ukur bagi lembaga kesehatan masyarakat untuk meningkatkan upaya kesiap-siagaan (Peters, Hipper, Kricun, & Chernak, 2019). Limitasi instrumen ini yaitu sulitnya mengumpulkan data berupa identifikasi risiko dan sumber daya digunakan.…”

Section: Evaluasi Dan Pembelajaranunclassified

Implementasi Sistem Pengendalian Internal Rumah Sakit Mata Bali Mandara (SIPRIMA) dalam Manajemen Risiko

Nainggolan¹,

Yuniti²,

Adiguna³

2020

JHA

View full text Add to dashboard Cite

Masalah Mutu: World Health Organization menyatakan bahwa 10% pasien di rumah sakit mengalami insiden, dan 5-21% dari kejadian tersebut menyebabkan kematian. Di Indonesia, 14,41% KTD dan 18,53% KTD disebabkan karena proses atau prosedur klinik (9,26 %), medikasi (9,26%), dan pasien jatuh (5,15%). Manajemen risiko dipercaya dapat menjamin pengawasan dan pencegahan risiko dapat dilakukan secara terus menerus dan sistematis. Namun, hanya seperempat organisasi di dunia yang menerapkan manajemen risiko secara matur. Pada rumah sakit dengan maturitas manajemen risiko yang rendah, indeks pelaporan risiko atau insiden hanya mencapai 50% dengan indeks kemapanan manajemen risiko yang rendah. Pilihan Solusi: RS Mata Bali Mandara (RSMBM) membangun aplikasi software pengendalian internal berbasis komputer bernama Sistem Pengendalian Internal dan Manajemen Risiko RSMBM (SIPRIMA) yang memudahkan identifikasi dan analisis risiko, pengelolaan risiko yang komprehensif dan terintegrasi, serta memudahkan pelaporan berbagai insiden.Implementasi: Prosedur manajemen risiko melalui SIPRIMA meliputi memasukkan berbagai jenis risiko oleh masing-masing unit; menentukan risk priority number (RPN) inherent dan residual, prioritas risiko, matrix grading; merumuskan rencana pengelolaan dan menetapkan siklus FOCUS-PDCA untuk risiko yang memerlukan pengelolaan yang kompleks. FOCUS-PDCA dapat berlanjut ke siklus berikut dan seterusnya, mencetak detil risiko, siklus FOCUS-PDCA, dan pengendalian apabila risiko telah selesai dikelola.Evaluasi dan Pembelajaran: Terlihat peningkatan jumlah risiko dari 114 (2016) menjadi 249 (2018). Selain itu juga prosentase penanganan masalah meningkat, dari sebesar 86,80% (2016) menjadi sebesar 97,59% (2018), dan unit yang memiliki daftar risiko juga meningkat dari 53,8% (2016) menjadi 84,62% (2018). Sebesar 88,46% unit telah menyusun program berbasis manajemen risiko. Namun demikian, SIPRIMA masih belum optimal mendukung komunikasi dan koordinasi terkait manajemen risiko, sehingga perlu pengembangan aplikasi lebih lanjut.

show abstract

A jurisdictional risk assessment for the whole community: A new, systematic approach to participatory decision‐making in public health emergency preparedness using the analytic hierarchy process

Ray,

Tornello,

Pickart

et al. 2023

Multi Criteria Decision Anal

View full text Add to dashboard Cite

In 2018, the New York City (NYC) Department of Health and Mental Hygiene piloted a novel jurisdictional risk assessment (JRA) for public health disasters using the analytic hierarchy process (2018 JRA‐AHP). This new approach offers a replicable and equitable model for consensus decision‐making that incorporates the complexities of disaster preparedness. Its main contribution to the field is to offer a practical manifestation of emergency management's Whole Community Approach. The 2018 JRA‐AHP applied this principle by expanding traditional definitions of ‘expertise’ to include lived experience of disaster and facilitating direct participation in the risk decision by a variety of individuals with diverse backgrounds, expertise and knowledge of public health disasters. This paper describes the theory, methods and results behind the JRA‐AHP. The paper also presents a critical analysis of public health disaster risk assessments; contextualizes the Whole Community Approach using models of the relationship between democratic governments and communities; and addresses the practical applications of the 2018 JRA‐AHP in NYC while exploring the potential challenges that other jurisdictions may face in attempted adaptation.

show abstract

A Quantitative Public Health Risk Assessment Tool for Planning for At-Risk Populations

Cited by 7 publications

References 1 publication

A rapid review of best practices in the development of risk registers for public health emergency management

A rapid review of best practices in the development of risk registers for public health emergency management

Implementasi Sistem Pengendalian Internal Rumah Sakit Mata Bali Mandara (SIPRIMA) dalam Manajemen Risiko

A jurisdictional risk assessment for the whole community: A new, systematic approach to participatory decision‐making in public health emergency preparedness using the analytic hierarchy process

Contact Info

Product

Resources

About