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Table 1 Definitions of the five basic risk factors of Tripod Delta HC

From: The ecometric properties of a measurement instrument for prospective risk analysis in hospital departments

Basic Risk Factors Definition Example item
BRF Procedures Insufficient quality or availability of procedures, guidelines, instructions, and manuals (specifications, administration, use in practice). “Because procedures are insufficiently clear, I sometimes have to act according to my own discretion”.
BRF Training No or insufficient competence or experience among healthcare staff (not sufficiently suited to their tasks, inadequately trained). “There are always sufficiently experienced healthcare staff present in the department”.
BRF Communication No or ineffective communication between the various sites, departments or healthcare staff of an organization or with the official bodies. “Important information is often sent to the wrong department in the hospital”.
BRF Incompatible Goals The situation in which healthcare staff must choose between optimal working methods according to the established rules on one hand, and the pursuit of production, financial, political, social or individual goals on the other. “Necessary maintenance work has been postponed due to high costs”.
BRF Organization Shortcomings in the organization’s structure, organization’s philosophy, organizational processes or management strategies, resulting in inadequate or ineffective management of the organization. “The tasks are not properly coordinated between departments so that work is carried out twice”.
  1. (Controlling the controllable, Jop Groeneweg 2002).