Implementation of risk management in a public health laboratory

• Autor(a) principal: Kira, Carmen Silvia
• Data de Publicação: 2020
• Outros Autores: Fonseca, Larissa Germano
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1319
• topic: Risk Management; Quality Improvement; Public Health Laboratory; Gestão de Riscos; Melhoria de Qualidade; Laboratório de Saúde Pública

Introduction: Managing risks means, in the case of risks with negative effects, having them under control to mitigate or eliminate them, if possible, or in the case of risks with positive effects, turning them into opportunities. The Adolfo Lutz Institute (IAL) establishes documents and implements and maintains a management system in accordance with option A of ISO/IEC 17025: 2017. Thus, risk management is one of the requirements to be met. In order to fulfill this requirement, the IAL started the implementation of the risk management process using the Failure Mode, Effect and Criticality Analysis (FMECA) tool. As the methodology was considered complex by the collaborators, this tool was abandoned and only the brainstorming was used for the identification step, and the probability and impact analysis at the risk analysis for the assessment stage. Objective: To assess the level of implementation of the risk management process in the IAL and identify the main difficulties involved in this process. Method: 74 risk matrix forms filled out by the various sectors of the institution were analyzed. Results: There was a 76.3% adherence to the implementation of risk management and the main difficulties encountered in the risk management process were: identification of the risks, including identification of risks with positive effects, selection of an indicator associated with risk, and proposal of actions to treat risks. Conclusions: To implement the risk management process, the use of simpler tools should be recommended when the team maturity level is still low or intermediate. Another point to be considered for the successful implementation of this process is strengthening of the understanding of risks by everyone in the organization. In IAL, the risk management process is in the risk monitoring phase; the next step is to review the risk mapping initially done.