The factor analysis of loss prevention among clinical risk management model in Iranians hospitals

Background: Many patient safety problems occur during the course of providing health care. They include transfusion errors; wrong-site surgery and surgical injuries; hospital-acquired or other treatment-related infections; and falls, burns, pressure ulcers, and mistaken identity. Key departments such as nursing and nurses, as the largest health care workforce have a critical role in this concern. For assuring health services, it should be set an efficient clinical risk management (CRM) system. An important factor in CRM is the loss prevention plan. This study aimed to reveal the variables affecting loss prevention factor in CRM model of Iran's hospitals. Materials and Methods: This is a cross-sectional and factor analysis research that aims to clarify variables affecting loss prevention component of CRM model. In order to clarify variables affecting loss prevention factor of CRM the valid resources of CRM such as dominant health care organizations websites, books, and journals were reviewed. Leading health care organizations were chosen based on consulting some of the experts of health services studies in Tehran and Isfahan medical universities. Another resources were searched invalid databases such as PubMed, ProQuest, and Springer Preliminary questionnaire consisting of 56 variables was distributed in experts population including top nurses and physicians and also a number of faculty members in relevant departments of 3 universities, in 3 provinces of Iran. Final validated questionnaire through cronbach coefficient was included 40 variables. A final questionnaire distributed to a sample of 210 persons, which were selected through clustering and randomized method. Analyzing data, explanatory factor analysis (EFA) were used in SPSS 18. Results: Loss prevention factor showed, respectively 12/18% of the total variances of variables. This factor in CRM model using Varimax rotation was loaded with the five variables. Factor loading of variables was in a range of 0/5 to 0/8. Confirmatory factor analysis was made to verify the fitness of the factors achieved by the EFA and the findings showed that all of fitness indexes are desirable and appropriate. Conclusion: Establishing a CRM model in Iran's hospitals, it would be necessary to set loss prevention plan. This plan includes five variables. Variables such as: Event reporting, risk identification techniques concern to the education of personnel and patients, and effective communication or collaboration of nursing; and other departments.