Kalite Evi Yaklaşımına Dayalı Yeni Bir Holistik Risk Analizi Yöntemi

Yıl 2023, Cilt: 38 Sayı: 1, 265 - 280, 30.03.2023

Birsen İrem Selamoğlu , Yusuf Kuvvetli

https://doi.org/10.21605/cukurovaumfd.1273825

Öz

Risk yönetimi, birçok bileşenden oluşan çok önemli bir süreçtir. Risk yönetiminde, risk tanımlama, risk değerlendirme, önleyici faaliyetlerin belirlenmesi ve izleme olmak üzere farklı süreçler dikkate alınmaktadır. Bu çalışmada, tüm risk süreçlerinin entegre edildiği yeni bir risk yönetimi yaklaşımı önerilmiştir. Bu kapsamda, kalite evi yaklaşımına dayalı bütüncül bir risk yönetimi yaklaşımı tanımlanmıştır ve yeni yönteme ait sekiz aşamalı oluşturma planı açıklanmıştır. Önerilen yaklaşım bir birinci basamak sağlık kuruluşu için uygulanmış ve tehlikeler, bu tehlikelerin yaratacağı riskler ve önleyici öneriler sunulmuştur. Vaka çalışmasında, yirmi beş tehlike tanımlanmış ve yirmi beş tehlikeyle ilgili olarak on bir risk belirlenmiş ve sıralanmıştır. Risk öncelik sayılarına göre beş önleyici faaliyet önerilmiş ve değerlendirilmiştir.

Anahtar Kelimeler

Risk yönetimi, Kalite evi, Holistik risk analizi, Risk azaltma

A New Holistic Risk Analysis Approach Based on the House of Quality

Öz

Risk management is a crucial process s that consists of many components. In risk management, different processes are considered, namely, risk identification, risk assessment, determination of preventive actions and monitoring. In this study, a novel risk management approach in which all risk processes are integrated is proposed. In this context, a holistic risk management approach based on the house of quality approach is introduced, and an eight-step creation process is defined. The proposed approach was applied for a primary health care center, and the hazards, risks to be occurred by these hazards, and preventive suggestions were presented. In the case study, twenty-five hazards were identified and eleven risks related to twenty-five hazards were identified and ranked. According to the risk priority numbers, five preventive actions were suggested and evaluated.

Anahtar Kelimeler

Risk management, House of quality, Holistic risk analysis, Risk mitigation

Kaynakça

• ⦁ EPA, What is sustainability, https://www.epa.gov/sustainability. Access date: 26.02.2019.
• ⦁ Carroll, R., 2009. Risk Management Handbook for Healthcare Organizations. John Wiley & Sons, 50-51.
• ⦁ Organization, WH, Health Care-Associated Infections Fact Sheet, https://www.convatec .ca/media/1286/gpsc_ccisc_fact_sheet_en.pdf, Access date: 25.01.2022.
• ⦁ Vose, D., 2008. Risk Analysis: A Quantitative Guide. John Wiley & Sons, 3.
• ⦁ Mallon, J., Mulligan, D., 1993. Quality Function Deployment-A System for Meeting Customers' Needs, Journal of Construction Engineering and Management, 119, 516-531.
• ⦁ Fargnoli, M., Lombardi, M., Haber, N., Puri, D., 2018. The Impact of Human Error in the Use of Agricultural Tractors: A Case Study Research in Vineyard Cultivation in Italy, Agriculture-Basel 8.
• ⦁ Korayem, M.H., Iravani, A., 2008. Improvement of 3P and 6R Mechanical Robots Reliability and Quality Applying FMEA and QFD Approaches, Robotics and Computer-Integrated Manufacturing, 24, 472-487.
• ⦁ Ko, W.C., 2013. Exploiting 2-tuple Linguistic Representational Model for Vonstructing HOQ-based Failure Modes and Effects Analysis, Computers & Industrial Engineering 64, 858-865.
• ⦁ Lin, C.Y., Lee, A.H.I., Kang, H.Y., 2015. An Integrated New Product Development Framework-An Application on Green and Low-carbon Products, International Journal of Systems Science,, 46, 733-753.
• ⦁ Kaddoura, K., Zayed, T., 2018. Defect- and Component-based Assessment Model for Manholes, Tunnelling and Underground Space Technology, 82, 380-393.
• ⦁ Liu, H.-T., Tsai, Y.-l., 2012a. A Fuzzy Risk Assessment Approach for Occupational Hazards in the Construction Industry, Safety Science, 50, 1067-1078.
• ⦁ Koomsap, P., Charoenchokdilok, T., 2018. Improving Risk Assessment for Customer-oriented FMEA, Total Quality Management & Business Excellence, 29, 1563-1579.
• ⦁ Chen, S.H., 2016. Determining the Service Demands of an Aging Population by Integrating QFD and FMEA Method, Quality & Quantity, 50, 283-298.
• ⦁ Liu, H.T., Tsai, Y.I., 2012b. A fuzzy Risk Assessment Approach for Occupational Hazards in the Construction Industry, Safety Science, 50, 1067-1078.
• ⦁ Cinar, U., Cebi, S., 2020. A Hybrid Risk Assessment Method for Mining Sector based on QFD, Fuzzy Inference System, and AHP, Journal of Intelligent & Fuzzy Systems, 39(5), 6047-6058.
• ⦁ Haktanır, E., 2022. Risk Analysis of Digital Transformation with an Integrated Picture Fuzzy QFD and FMEA Methodology, In Intelligent and Fuzzy Systems: Digital Acceleration and The New Normal-Proceedings of the INFUS 2022 Conference, Volume 1, (471-480). Cham: Springer International Publishing.
• ⦁ Colombo, S., 2019. The Holistic Risk Analysis and Modelling (HoRAM) Method, Safety Science, 112,18-37.
• ⦁ de la Canal, M.D., Ferraris, I.C., 2013. Risk Analysis Holistic Approach as a Base for Decision Making under Uncertainties, In: Zio, E., Baraldi, P., Pierucci, S., Klemes, J.J. (Eds.), 2013, Prognostics and Health Management Conference, Aidic Servizi Srl, Milano, 193-198.
• ⦁ Braglia, M., Di Donato, L., Gabbrielli, R., Marrazzini, L., 2018. The House of Safety: A Novel Method for Risk Assessment Including Human Misbehaviour, Safety Science, 110, 249-264.
• ⦁ Spears, J.L., 2005. A Holistic Risk Analysis Method for Identifying Information Security Risks, In: Dowland, P., Furnell, S., Thuraisingham, B., Wang, X.S. (Eds.), Security Management, Integrity, and Internal Control in Information Systems. Springer, New York, 185-202.
• ⦁ Zhang, X., Mohandes, S.R., 2020. Occupational Health and Safety in Green Building Construction Projects: A Holistic Z-Numbers-Based Risk Management Framework, Journal of Cleaner Production, 275, 122788
• ⦁ Mishra, S., Anderson, K., Miller, B., Boyer, K., Warren, A., 2020. Microgrid Resilience: A Holistic Approach for Assessing Threats, Identifying Vulnerabilities, and Designing Corresponding Mitigation Strategies, Applied Energy, 264, 114726.
• ⦁ Zhou, Y., Li, X., Yuen, K.F., 2022. Holistic Risk Assessment of Container Shipping Service Based on Bayesian Network Modelling, Reliability Engineering & System Safety, 220, 108305.
• ⦁ Abba, Z.Y.I., Balta-Ozkan, N., Hart, P., 2022. A Holistic Risk Management Framework for Renewable Energy Investments, Renewable and Sustainable Energy Reviews, 160, 112305.
• ⦁ van Tilburg, C.M., Leistikow, I.P., Rademaker, C.M.A., Bierings, M.B., van Dijk, A.T.H, 2006. Health Care Failure Mode and Effect Analysis: A Useful Proactive Risk Analysis in a Pediatric Oncology Ward, Quality and Safety in Health Care, 15, 58-63.
• ⦁ Chanamool, N., Naenna, T., 2016. Fuzzy FMEA Application to Improve Decision-Making Process in an Emergency Department, Applied Soft Computing, 43, 441-453.
• ⦁ Gul, M., Ak, M.F., Guneri, A.F., 2017. Occupational Health and Safety Risk Assessment in Hospitals: A Case Study using Two-Stage Fuzzy Multi-Criteria Approach, Human and Ecological Risk Assessment: An International Journal, 23, 187-202.
• ⦁ Liu, H.C., 2019. Improved FMEA Methods for Proactive Healthcare Risk Analysis, Singapore: Springer, 73-96.
• ⦁ Maritan, D., 2015. Practical Manual of Quality Function Deployment. Springer.
• ⦁ Franceschini, F., 2016. Advanced Quality Function Deployment. CRC Press.
• ⦁ Kazemzadeh, R., Behzadian, M., Aghdasi, M., Albadvi, A., 2009. Integration of Marketing Research Techniques into House of Quality and Product Family Design, The International Journal of Advanced Manufacturing Technology, 41, 1019.
• ⦁ TUIK, Sağlık Harcamaları İstatistikleri, 2021, Access date: 28.03.2023.
• ⦁ 1. Turkish Ministry of Health, www.saglik.gov.tr, Access date: 22.03.2020.