Operational and employees performance of Serbian industrial companies with ISO 9001 certificate

Poslovne performanse se mere putem ključnih pokazatelja, koji opisuju stanje u preduzeću i devijacije od postavljenih ciljeva. U preduzećima ekonomija u tranziciji neophodno je obratiti posebnu pažnju praćenju mera poslovnih performansi. Najčešće razmatrani tipovi poslovnih performansi u literaturi su performance kvaliteta, operativne performanse, tržišne performanse, inovacione performance, performance projekata i zadovoljstva kupaca. U ovom radu razmatrane su performanse zaposlenih i operativne performance na uzorku 113 srpskih industrijskih preduzeća. Nakon prikupljanja podataka putem upitnika, primenjene su deskriptivna statistika, faktorska i analiza pouzdanosti u cilju provere statistički značajnih dimenzija konstrukata performansi prema prethodnim istraživanjima. Pretpostavljene dimenzije su potvrđene kao statistički značajne u opisivanju konstrukata, tako da su dobijeni rezultati su u skladu sa prethodnim istraživanjima sprovedenim u drugačijim kontekstima. Kao predlog daljih istraživanja daje se longitudinalna studija, kao i uključivanje drugih industrijskih sektora u analizu. Takodje je korisno istražiti i vezu između operativnih i performansi zaposlenih.Business performance is manifested through key performance indicators, which show the actual state in business enterprises and possible deviations from the business objectives that have been set. Due to new practices in transitional economies it is necessary to track business performance measures on company level. The most frequently studied types of performance in the available literature are quality, operational, market and financial, employee performance, innovation, project, aggregate firm performances, and customer satisfaction. This study empirically examines operational and employees performance on a sample of 113 Serbian industrial companies. After data collection through questionnaire usage, descriptive statistics, factor and reliability analysis were used to check if description of examined performances could be done using dimensions proposed according to results of the previous research in a statistically significant way. Examined operational and employees performances provided, have proved valid and reliable dimensions of Serbian industrial companies as a construct. The obtained results comply with previous research done in other countries and contexts. Future research could consist of a longitudinal study but as an examination of operational and employees’ performance measures in other Serbian industrial sectors, too. Also, the relationship between operational and employees performance measures could be explored

Operational and employees performance of Serbian industrial companies with ISO 9001 certificate

Poslovne performanse se mere putem ključnih pokazatelja, koji opisuju stanje u preduzeću i devijacije od postavljenih ciljeva. U preduzećima ekonomija u tranziciji neophodno je obratiti posebnu pažnju praćenju mera poslovnih performansi. Najčešće razmatrani tipovi poslovnih performansi u literaturi su performance kvaliteta, operativne performanse, tržišne performanse, inovacione performance, performance projekata i zadovoljstva kupaca. U ovom radu razmatrane su performanse zaposlenih i operativne performance na uzorku 113 srpskih industrijskih preduzeća. Nakon prikupljanja podataka putem upitnika, primenjene su deskriptivna statistika, faktorska i analiza pouzdanosti u cilju provere statistički značajnih dimenzija konstrukata performansi prema prethodnim istraživanjima. Pretpostavljene dimenzije su potvrđene kao statistički značajne u opisivanju konstrukata, tako da su dobijeni rezultati su u skladu sa prethodnim istraživanjima sprovedenim u drugačijim kontekstima. Kao predlog daljih istraživanja daje se longitudinalna studija, kao i uključivanje drugih industrijskih sektora u analizu. Takodje je korisno istražiti i vezu između operativnih i performansi zaposlenih.Business performance is manifested through key performance indicators, which show the actual state in business enterprises and possible deviations from the business objectives that have been set. Due to new practices in transitional economies it is necessary to track business performance measures on company level. The most frequently studied types of performance in the available literature are quality, operational, market and financial, employee performance, innovation, project, aggregate firm performances, and customer satisfaction. This study empirically examines operational and employees performance on a sample of 113 Serbian industrial companies. After data collection through questionnaire usage, descriptive statistics, factor and reliability analysis were used to check if description of examined performances could be done using dimensions proposed according to results of the previous research in a statistically significant way. Examined operational and employees performances provided, have proved valid and reliable dimensions of Serbian industrial companies as a construct. The obtained results comply with previous research done in other countries and contexts. Future research could consist of a longitudinal study but as an examination of operational and employees’ performance measures in other Serbian industrial sectors, too. Also, the relationship between operational and employees performance measures could be explored

MENADŽMENT RIZIKA U PROCESU KLINIČKE ZDRAVSTVENE NJEGE

Risk management in the process of nursing clinical practice is a systematic process that requires expertise and skills in risk prevention. Patient safety at the hospital is the primary goal of every individual providing health care service, and at the same time of the organizations. Accordingly, it is necessary to develop strategies that minimize the risks in the hospital and successfully address adverse events in practice. The main hypothesis was that risk management in the healthcare process has a positive impact on the quality and safety of healthcare service. The following goals were set: 1) to identify the most common risks reported in the healthcare process; 2) to examine the ways and models of risk prevention in the healthcare process in hospitals; and 3) to examine the practice and attitude of nurses in the process of managing risks and adverse events. The survey was conducted among 115 nurses/medical technicians employed at the public health institutions-hospitals in the Federation of Bosnia and Herzegovina. The survey used the original questionnaire prepared by the authors in the electronic Google forms, which was available to the respondents via personal e-mail address, and they responded completely independently without the infl uence of another person. Comparison of risk events in practice showed a statistically signifi cant decrease with advancing age of the respondents (rho=-0.274; p=0.003), longer work experience of the respondents (rho=-0.334; p=0.0001), higher education of the respondents (rho=-0.198; p=0.034), conducting patient categorization (rho=-0.289; p=0.002), and policies and procedures adopted (rho=-0.408; p=0.0001). A statistically signifi cant effect on reducing the number of adverse events per patient was shown for the frequency of examination of patient skin and mucous membranes during hospital stay (rho=-0.200; p=0.032), use of scales to assess the risk of falls (rho=-0.422; p=0.0001), use of risk assessment scales for pressure ulcers (rho=-0.375; p=0.0001), frequency of intravenous cannula replacement (rho=-0.204; p=0.029), frequency of patient bathing (rho=-0.355; p= 0. 0001) and the method of performing nutritional evaluation of artifi cially fed patients (rho=-0.327; p=0.0001). In conclusion, patient safety in the hospital should be considered a paramount issue, and nurses who spend most time with patients are expected to provide conditions for secure hospital stay, conditions for safe and quality service in the health care process, and implementation of standardized procedures based on scientifi c and practical evidence. Continuous reporting of quality indicators in the health care process contributes to strengthening of the organizational culture, prevention of risks and adverse events, and planning of personnel and equipment necessary for the quality of the health care process.Upravljanje rizicima u procesu sestrinske kliničke prakse je sistematičan proces koji zahtijeva stručnost i vještine u prevenciji nastanka rizika. Sigurnost bolesnika u bolnici je primarni cilj svakog pojedinca koji pruža zdravstvenu uslugu, a istodobno i same organizacije. U skladu s time neophodno je razviti strategije kojima će rizici u bolnici biti svedeni na minimum i kojima će se uspješno riješiti neželjeni događaji u praksi. Glavna hipoteza rada bila je da upravljanje rizicima u procesu zdravstvene njege ima pozitivan utjecaj na kvalitetu i sigurnost zdravstvenih usluga. Ciljevi rada bili su: 1. Utvrditi najčešće rizike koji se prijavljuju u procesu zdravstvene njege; 2. Ispitati načine i modele prevencije rizika u procesu zdravstvene njege u bolnicama; 3. Ispitati praksu i stav medicinskih sestara u procesu upravljanja rizicima i neželjenim događajima. Istraživanje je provedeno među 115 medicinskih sestara-tehničara zaposlenih u javnim zdravstvenim ustanovama, bolnicama u FBiH. U istraživanju je primijenjen originalni autorski anketni upitnik pripremljen u elektroničkom programu Google forms koji je ispitanicima bio dostupan putem osobne adrese e-pošte, a na njega su odgovarali potpuno samostalno bez utjecaja druge osobe. Usporedba rizičnih događaja u praksi pokazuje statistički značajno smanjenje u odnosu na stariju dob ispitanika (rho=-0,274; p=0,003), duži radni staž ispitanika (rho=-0,334; p=0,0001), višu stručnu spremu ispitanika (rho=-0,198; p=0,034), provođenje kategorizacije bolesnika (ro=-0,289; p=0,002), usvojene politike i postupke (rho=-0,408; p=0,0001). Na smanjenje broja neželjenih događaja za bolesnika statistički značajan utjecaj pokazali su: učestalost pregleda kože i sluznica bolesnika za vrijeme hospitalizacije (rho=-0,200; p=0,032), uporaba ljestvica za procjenu rizika od pada (rho=-0,422; p=0,0001), uporaba ljestvica za procjenu rizika za nastanak dekubitusa (rho=-0,375; p=0,0001), učestalost promjene intravenske kanile (ro=-0,204; p=0,029), učestalost kupanja bolesnika (rho=-0,355; p=0,0001) i način nutritivne procjene bolesnika koji se hrane umjetnim putem (rho=-0,327; p=0,0001). U zaključku, sigurnost bolesnika u bolnici treba biti na prvom mjestu, a od medicinskih sestara koje najviše vremena provode uz bolesnike očekuje se osiguranje uvjeta za siguran smještaj u bolničkom prostoru, uvjeta za sigurnu i kvalitetnu uslugu u procesu zdravstvene njege te primjenu standardiziranih postupaka osnovanih na znanstvenim dokazima i dokazima iz prakse. Kontinuirano izvještavanje o indikatorima kvalitete u procesu zdravstvene njege doprinosi jačanju organizacijske kulture, prevenciji rizika i neželjenih događaja te planiranju kadrova i opreme neophodne za kvalitetu procesa zdravstvene njege

Upravljanje dokumentacijom zdravstvene njege u bolničkim uvjetima

Healthcare documentation or nursing documentation as often used in practice is the name of an indispensable part of a patient’s medical documentation, and documentation is an integral part of a nurse’s daily work. Documenting health care in the hospital means recording data on all procedures performed, during the entire health care process for the individual, all for the purpose of systematic monitoring, planning and evaluation of the quality of health care. Nursing documentation serves as a means of communication between the team and is of great importance for the quality and continuity of health care. AIMS: 1 - To determine the existence of health care documentation in hospital health care institutions; 2 - Examine the importance and purpose of documenting health care among nurses-medical technicians; 3 - Examine the practice of nurses-medical technicians in the process of administering health care; 4 - Present quality indicators that are monitored and analyzed through health care documentation; 5 - Compare the obtained results in two examined areas. METHODS: This research was conducted in two geographically separate areas of Sarajevo and Travnik. The study involved 210 respondents, 147 nurses-technicians employed at the Clinical Center of the University of Sarajevo and 63 nurses-technicians employed at the General Hospital in Travnik. Data collection for research was carried out by exploratory and descriptive method. An original authorized questionnaire was used for the descriptive research. The questionnaire was made available to respondents in the electronic form trough Google Forms. The anonymity of the respondents was fully guaranteed. The survey was conducted in the period from July 15- August 15, 2019. RESULTS: At the Clinical Center of the University of Sarajevo (CCU), 98% of respondents use health care documentation forms on a daily basis, and at the General Hospital Travnik 77.8% of respondents. In CCU Sarajevo, respondents use more standardized forms of health care documentation, 97.6%, compared to respondents in the General Hospital Travnik, where the documenting is carries out in nursing records, 74.6%. 68% of respondents at CCU Sarajevo believe that documentation contributes to the evaluation of nursing services, while only 19% of re-spondents at General Hospital Travnik believe the same. As the most common shortcomings, the respondents state the lack of computer technology in the department in 74.3%, then adequate premises for document administration in 37.6%, the lack of forms in printed form in 32.1% and 6 or 2.3% respondents did not answer this question. In both institutions, the biggest shortcoming is the problem of computer equipment in the department, in 70.7% in CCU Sarajevo and 82.5% in General Hospital Travnik. CONCLUSIONS: The research found that over 95% of respondents use standardized health care processes in their daily practice, document health care, know the basic purpose and monitor health care indicators. More than 90% of respondents in both study groups use health care documentation to plan health care and monitor its outcomes. More than half of respondents in both study groups stated that documenting health care is a problem because it consumes a lot of time. A larger number of respondents from both groups, as many as 30%, state that they do not use the data from the health care documentation for any purpose. The lack of workers in the health care process, insufficient knowledge of information technologies, and the lack of an information system represent an aggravating circumstance in documenting the health care process.Dokumentacija zdravstvene njege ili sestrinska dokumentacija, kako se često naziva u praksi, neizostavan je dio medicinske dokumentacije pacijenta, a dokumentiranje je sastavni dio svakodnevnoga sestrinskog posla. Dokumentiranje zdravstvene njege u bolnici podrazumijeva zapisivanje podataka o svim provedenim postupcima tijekom cjelokupnog procesa zdravstvene njege za pojedinca, a sve u svrhu sustavnog praćenja stanja te planiranja i vrednovanja kvaliteta zdravstvene njege. Sestrinska dokumentacija služi kao sredstvo komunikacije između tima i od velike je važnosti za kvalitetu i kontinuitet zdravstvene njege. CILJEVI RADA: 1. Utvrditi postojanje dokumentacije zdravstvene njege u bolničkim zdravstvenim ustanovama. 2. Ispitati praksu medicinskih sestara/tehničara u procesu administriranja zdravstvene njege. 3. Prikazati indikatore kvalitete koji se prate i analiziraju putem dokumentacije zdravstvene njege. 4. Komparirati dobivene rezultate u dva ispitivana područja. METODE RADA: Ovo istraživanje provedeno je na dva geografski odvojena područja, u Sarajevu i Travniku. U istraživanju je sudjelovalo 210 ispitanika, i to 147 medicinskih sestara/tehničara zaposlenih u Kliničkom centru Univerziteta u Sarajevu i 63 medicinske sestre / medicinska tehničara zaposlena u Općoj bolnici u Travniku. Prikupljanje podataka za istraživanje provedeno je deskriptivnom metodom. Za deskriptivno istraživanje primijenjen je originalni autorski upitnik. Upitnik je ispitanicima bio dostupan u elektroničkom obliku u internetskoj aplikaciji Google Forms. Anonimnost ispitanika bila je u potpunosti zajamčena. Istraživanje je provedeno u periodu od 15. srpnja do 15. kolovoza 2019. REZULTATI ISTRAŽIVANJA:U Kliničkom centru Univerziteta u Sarajevu 98 % ispitanika svakodnevno upotrebljava obrasce dokumentacije zdravstvene njege, a u Općoj bolnici Travnik 77,8 % ispitanika. U KCU-u Sarajevo ispitanici više upotrebljavaju standardizirane obrasce dokumentacije zdravstvene njege, i to 97,6 %, u odnosu na ispitanike u Općoj bolnici u Travniku, gdje se dokumentiranje vrši u sestrinske evidencijske bilježnice, i to 74,6 %. 68 % ispitanika u KCU-u Sarajevo smatra da dokumentiranje pridonosi vrednovanju sestrinskih usluga, dok to smatra samo 19 % ispitanika iz Opće bolnice Travnik. Kao najčešće nedostatke ispitanici navode nedostatak računalne tehnike na odjelu (74,3 %), zatim neadekvatne prostorije za administriranje dokumentacije (37,6 %) te nedostatak obrazaca u tiskanom obliku (32,1 %), a na ovo pitanje nije odgovorilo šest ili 2,3 % ispitanika.U obje ustanove kao najveći nedostatak navode problem računalne opreme na odjelu, i to 70,7 % u KCU-u Sarajevo i 82,5 % u OB-u Travnik. ZAKLJUČCI: Istraživanjem je utvrđeno da više od 95 % ispitanika u svakodnevnoj praksi primjenjuje standardizirane procese zdravstvene njege, dokumentira zdravstvenu njegu, poznaje osnovnu svrhu i prati indikatore zdravstvene njege. Više od 90 % ispitanika u obje ispitivane skupine dokumentacijom zdravstvene njege kori-sti se za planiranje zdravstvene njege i praćenje njezinih ishoda.Više od polovine ispitanika u obje ispitivane skupine navelo je da im dokumentiranje zdravstvene njege predstavlja problem jer im oduzima mnogo vremena u radu. Veći broj ispitanika obje ispitivane skupine, čak 30 %, navodi da se podacima iz dokumentacije zdravstvene njege ne koriste ni u kakve svrhe. Nedostatak izvršitelja procesa zdravstvene njege, nedovoljno znanje o informacijskim tehnologijama te nepostojanje informacijskog sustava predstavlja otežavajuću okolnost u dokumentiranju procesa zdravstvene njege

Psychosocial influence of COVID-19 on healthcare workers

Aim To assess a psychosocial impact of the Coronavirus disease 2019 (COVID-19) on health care workers and to quantify the size of depression symptoms, anxiety and stress levels. Methods This cross-sectional study used an anonymous online survey questionnaire as a research instrument and it included 114 health workers of all profiles from the Sarajevo Canton employed in private and public institutions. The research was voluntary, non-commercial and all participants provided an oral informed consent. Depression, Anxiety and Stress Scale (DASS-21) questionnaire was used for assessing emotional status of depression, anxiety and stress. Results The mean age of participants was 40.5±8.44 years with male:female ratio of 0.28. Prevalence of depression was 46.5%, anxiety61.4%, and 36.9% stress. Age and gender had no effect on emotional status, but it was revealed that women achieved higher depression, anxiety and stress scores than men (without statistical significance). The most notable effect on the emotional state was found for direct or indirect contact with COVID-19 patients. Medical workers in direct contact with COVID-19 patients achieved greater depression (p=0.005), anxiety (p=0.001), stress (p=0.030) and total DASS-21 (p=0.003) scores. Conclusion High prevalence of health workers affected by various psychological ailments during the COVID-19 pandemic was found. This evidence underscores the need to address adverse effects of the pandemic on mental health of health care workers

ZADOVOLJSTVO PACIJENATA USLUGAMA PRUŽENIM U ŽUPANIJSKOJ BOLNICI „DR FRA MIHOVIL SUČIĆ“ LIVNO

Uvod: Procjena kvalitete pruženih usluga u današnjoj medicini predstavlja potpuno opravdan zahtjev. Cilj: Ispitati zadovoljstvo pacijenata pruženim uslugama u Županijskoj bolnici „Dr fra Mihovil Sučić“ Livno. Ispitanici i metode: Presječna studija provedena je na uzorku od 200 ispitanika (n=200). Kao instrument istraživanja, korišten je upitnik Agencije za kvalitetu i akreditaciju u zdravstvu FBiH (AKAZ). Rezultati: Većina ispitanih, njih 90 %, naveli su zadovoljstvo odnosom medicinskih sestara, bez statistički značajne razlike između spolova. Uvijek zadovoljno odnosom liječnika je bilo 84,5 % ispitanika. Nije nađena statistički značajna razlika u ocjeni fizičkog zdravlja (p=0,392) i mentalnog zdravlja (p=0,088) između starijih i mlađih dobnih skupina. Zaključak: Rezultatima ovog istraživanja utvrđen je vrlo visok stupanj zadovoljstva ispitanika pruženim uslugama, što je u suprotnosti s općim raspoloženjem javnosti prema zdravstvenom sustavu u Federaciji Bosne i Hercegovine

ZADOVOLJSTVO PACIJENATA USLUGAMA PRUŽENIM U ŽUPANIJSKOJ BOLNICI „DR FRA MIHOVIL SUČIĆ“ LIVNO

Uvod: Procjena kvalitete pruženih usluga u današnjoj medicini predstavlja potpuno opravdan zahtjev. Cilj: Ispitati zadovoljstvo pacijenata pruženim uslugama u Županijskoj bolnici „Dr fra Mihovil Sučić“ Livno. Ispitanici i metode: Presječna studija provedena je na uzorku od 200 ispitanika (n=200). Kao instrument istraživanja, korišten je upitnik Agencije za kvalitetu i akreditaciju u zdravstvu FBiH (AKAZ). Rezultati: Većina ispitanih, njih 90 %, naveli su zadovoljstvo odnosom medicinskih sestara, bez statistički značajne razlike između spolova. Uvijek zadovoljno odnosom liječnika je bilo 84,5 % ispitanika. Nije nađena statistički značajna razlika u ocjeni fizičkog zdravlja (p=0,392) i mentalnog zdravlja (p=0,088) između starijih i mlađih dobnih skupina. Zaključak: Rezultatima ovog istraživanja utvrđen je vrlo visok stupanj zadovoljstva ispitanika pruženim uslugama, što je u suprotnosti s općim raspoloženjem javnosti prema zdravstvenom sustavu u Federaciji Bosne i Hercegovine

Effect of kinesitherapy on improving the functions of walking in patients with hemiparesis

Hemiparesis is a syndrome of brain damage leading to motor weakness of one half of the body accompanied by changes in sensibility , as well as speech and psychological and other changes in the patient. Medical gymnastics-kinesiotherapy (KTH) enhances sensory and motor recovery of the patient . The study was conducted on 148 patients (88 men and 60 women) aged 45-87 years who have been at the rehabilitation treatment in ZZFMR ,,Dr. M. Zotović' in Banja Luka. The aim of the study was to examine the effect of KTH in improving walking function in patients with hemiparesis. Measurements of functional ability Motoricity Index, and Test UP & Go were performed in all patients on admission and at the end kinesiotherapeutic treatment, which lasted an average of 4 weeks. We followed the effect of kth program and questioned the degree of recovery of patients with hemiparesis in relation to sex and age. For statistical analyzes, we used the median test and the Wilcoxon rank test. The research results have identified a statistically significant increase in recent side - the motor index at discharge in relation to the receipt of all observed parameters. Test UP & GO showed a statistically significant increase in the release of results in relation to the admission of patients except for patients females and older than 75 years

Morphological, structural and magnetic properties of alpha-Fe2O3 nanoparticles in an amorphous alumina matrix obtained by aqueous combustion method

We report on morphological, structural and magnetic properties of alpha-Fe2O3 nanoparticles in an amorphous alumina matrix synthesized by aqueous combustion method. The sample was characterized by X-ray powder diffraction (XRPD), high-resolution electron microscopy (HREM) and SQUID magnetometry. XRPD study reveals the phase purity of alpha-Fe2O3 whereas HREM images show an unusual spongy structure and well-crystallized nanoparticles with a size of about 25 nm. Magnetic measurements show a high irreversibility temperature T-irr approximate to 350 K, Morin transition at T-M approximate to 210 K, increase of the magnetization below T approximate to 45 K and hysteretic behavior below T-M at 5 K and 200 K. (C) 2009 Elsevier B.V. All rights reserved

MENADŽMENT RIZIKA U PROCESU KLINIČKE ZDRAVSTVENE NJEGE

Risk management in the process of nursing clinical practice is a systematic process that requires expertise and skills in risk prevention. Patient safety at the hospital is the primary goal of every individual providing health care service, and at the same time of the organizations. Accordingly, it is necessary to develop strategies that minimize the risks in the hospital and successfully address adverse events in practice. The main hypothesis was that risk management in the healthcare process has a positive impact on the quality and safety of healthcare service. The following goals were set: 1) to identify the most common risks reported in the healthcare process; 2) to examine the ways and models of risk prevention in the healthcare process in hospitals; and 3) to examine the practice and attitude of nurses in the process of managing risks and adverse events. The survey was conducted among 115 nurses/medical technicians employed at the public health institutions-hospitals in the Federation of Bosnia and Herzegovina. The survey used the original questionnaire prepared by the authors in the electronic Google forms, which was available to the respondents via personal e-mail address, and they responded completely independently without the infl uence of another person. Comparison of risk events in practice showed a statistically signifi cant decrease with advancing age of the respondents (rho=-0.274; p=0.003), longer work experience of the respondents (rho=-0.334; p=0.0001), higher education of the respondents (rho=-0.198; p=0.034), conducting patient categorization (rho=-0.289; p=0.002), and policies and procedures adopted (rho=-0.408; p=0.0001). A statistically signifi cant effect on reducing the number of adverse events per patient was shown for the frequency of examination of patient skin and mucous membranes during hospital stay (rho=-0.200; p=0.032), use of scales to assess the risk of falls (rho=-0.422; p=0.0001), use of risk assessment scales for pressure ulcers (rho=-0.375; p=0.0001), frequency of intravenous cannula replacement (rho=-0.204; p=0.029), frequency of patient bathing (rho=-0.355; p= 0. 0001) and the method of performing nutritional evaluation of artifi cially fed patients (rho=-0.327; p=0.0001). In conclusion, patient safety in the hospital should be considered a paramount issue, and nurses who spend most time with patients are expected to provide conditions for secure hospital stay, conditions for safe and quality service in the health care process, and implementation of standardized procedures based on scientifi c and practical evidence. Continuous reporting of quality indicators in the health care process contributes to strengthening of the organizational culture, prevention of risks and adverse events, and planning of personnel and equipment necessary for the quality of the health care process.Upravljanje rizicima u procesu sestrinske kliničke prakse je sistematičan proces koji zahtijeva stručnost i vještine u prevenciji nastanka rizika. Sigurnost bolesnika u bolnici je primarni cilj svakog pojedinca koji pruža zdravstvenu uslugu, a istodobno i same organizacije. U skladu s time neophodno je razviti strategije kojima će rizici u bolnici biti svedeni na minimum i kojima će se uspješno riješiti neželjeni događaji u praksi. Glavna hipoteza rada bila je da upravljanje rizicima u procesu zdravstvene njege ima pozitivan utjecaj na kvalitetu i sigurnost zdravstvenih usluga. Ciljevi rada bili su: 1. Utvrditi najčešće rizike koji se prijavljuju u procesu zdravstvene njege; 2. Ispitati načine i modele prevencije rizika u procesu zdravstvene njege u bolnicama; 3. Ispitati praksu i stav medicinskih sestara u procesu upravljanja rizicima i neželjenim događajima. Istraživanje je provedeno među 115 medicinskih sestara-tehničara zaposlenih u javnim zdravstvenim ustanovama, bolnicama u FBiH. U istraživanju je primijenjen originalni autorski anketni upitnik pripremljen u elektroničkom programu Google forms koji je ispitanicima bio dostupan putem osobne adrese e-pošte, a na njega su odgovarali potpuno samostalno bez utjecaja druge osobe. Usporedba rizičnih događaja u praksi pokazuje statistički značajno smanjenje u odnosu na stariju dob ispitanika (rho=-0,274; p=0,003), duži radni staž ispitanika (rho=-0,334; p=0,0001), višu stručnu spremu ispitanika (rho=-0,198; p=0,034), provođenje kategorizacije bolesnika (ro=-0,289; p=0,002), usvojene politike i postupke (rho=-0,408; p=0,0001). Na smanjenje broja neželjenih događaja za bolesnika statistički značajan utjecaj pokazali su: učestalost pregleda kože i sluznica bolesnika za vrijeme hospitalizacije (rho=-0,200; p=0,032), uporaba ljestvica za procjenu rizika od pada (rho=-0,422; p=0,0001), uporaba ljestvica za procjenu rizika za nastanak dekubitusa (rho=-0,375; p=0,0001), učestalost promjene intravenske kanile (ro=-0,204; p=0,029), učestalost kupanja bolesnika (rho=-0,355; p=0,0001) i način nutritivne procjene bolesnika koji se hrane umjetnim putem (rho=-0,327; p=0,0001). U zaključku, sigurnost bolesnika u bolnici treba biti na prvom mjestu, a od medicinskih sestara koje najviše vremena provode uz bolesnike očekuje se osiguranje uvjeta za siguran smještaj u bolničkom prostoru, uvjeta za sigurnu i kvalitetnu uslugu u procesu zdravstvene njege te primjenu standardiziranih postupaka osnovanih na znanstvenim dokazima i dokazima iz prakse. Kontinuirano izvještavanje o indikatorima kvalitete u procesu zdravstvene njege doprinosi jačanju organizacijske kulture, prevenciji rizika i neželjenih događaja te planiranju kadrova i opreme neophodne za kvalitetu procesa zdravstvene njege