Next Article in Journal
Assessing Vulnerability to Urban Heat: A Study of Disproportionate Heat Exposure and Access to Refuge by Socio-Demographic Status in Portland, Oregon
Previous Article in Journal
Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients’ Adherence to Medical Recommendations?
Previous Article in Special Issue
Feasibility of Integrating Residential Care Pharmacists into Aged Care Homes to Improve Quality Use of Medicines: Study Protocol for a Non-Randomised Controlled Pilot Trial
Open AccessArticle

Assessing the Health-Care Risk: The Clinical-VaR, a Key Indicator for Sound Management

1
Department of Financial Economics, Pablo de Olavide University, 41013 Seville, Spain
2
International Cooperation Andalusian Agency (AACID), Seville 41012, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 639; https://doi.org/10.3390/ijerph15040639
Received: 12 December 2017 / Revised: 12 March 2018 / Accepted: 24 March 2018 / Published: 30 March 2018
(This article belongs to the Special Issue Healthcare Quality and Patient Satisfaction)
Clinical risk includes any undesirable situation or operational factor that may have negative consequences for patient safety or capable of causing an adverse event (AE). The AE, intentional or unintentionally, may be related to the human factor, that is, medical errors (MEs). Therefore, the importance of the health-care risk management is a current and relevant issue on the agenda of many public and private institutions. The objective of the management has been evolving from the identification of AE to the assessment of cost-effective and efficient measures that improve the quality control through monitoring. Consequently, the goal of this paper is to propose a Key Risk Indicator (KRI) that enhances the advancement of the health-care management system. Thus, the application of the Value at Risk (VaR) concept in combination to the Loss Distribution Approach (LDA) is proved to be a proactive tool, within the frame of balanced scorecard (BSC), in health organizations. For this purpose, the historical events recorded in the Algo-OpData® database (Algorithmics Inc., Toronto, ON, Canada, IBM, Armonk, NY, USA) have been used. The analysis highlights the importance of risk in the financials outcomes of the sector. The results of paper show the usefulness of the Clinical-VaR to identify and monitor the risk and sustainability of the implemented controls. View Full-Text
Keywords: health-care; adverse event (AE); medical error (ME); clinical-value at risk; performance; quality improvement; key risk indicator (KRI); cost-effectiveness and efficiency measures health-care; adverse event (AE); medical error (ME); clinical-value at risk; performance; quality improvement; key risk indicator (KRI); cost-effectiveness and efficiency measures
Show Figures

Figure 1

MDPI and ACS Style

Jiménez-Rodríguez, E.; Feria-Domínguez, J.M.; Sebastián-Lacave, A. Assessing the Health-Care Risk: The Clinical-VaR, a Key Indicator for Sound Management. Int. J. Environ. Res. Public Health 2018, 15, 639.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop