Risk assessment in a teaching hospital in Western India from 2017 to 2021

Objective: The primary objective was to compare changes in risk assessment during five years (2017-2021) in a teaching hospital. Materials and Methods: The study was an analysis of documented data. The authors conducted the study in a teaching hospital in Western India. A team consisting of hospital administrators and heads of various committees (Who are faculties from multiple departments) carried out risk assessment thrice a year. We considered human - related, financial, technological, clinical, and other domains and 48 events/elements for assessment. We assigned the observations of the last round to the specific year. The probability of occurrence of an event and its impact was scaled into four grades unanimously after discussion and in concordance with acknowledged documents . The assessment process included a review of reported incidents and an unanimously agreed score if there were no incidents .We carried study for five years. The first tow years' assessment reflects the situation before National Accreditation Board for Hospitals and Healthcare Providrs (NABH) accreditation and the last three years' situation after NABH accreditation. Results: The first and last year's comparison revealed that out of 50 events/elements, 40 improved, six had descent, and four did not change. Out of six Descents, three originated due to constructional activities. In this period the management constructed a new super - speciality building and renovated some parts of the existing building. One descent was related to licensing delays due to the COVID-19 pandemic. Conclusions: Most of the events/elements showed decreased risk.