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Sikkerhet i helse som et samfunnsanliggende . Lillestrøm, 31. oktober 2007. Sven Mollekleiv Det Norske Veritas . New risk reality. Companies today are operating in an increasingly more complex and demanding risk environment

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sikkerhet i helse som et samfunnsanliggende

Sikkerhet i helse som et samfunnsanliggende

Lillestrøm, 31. oktober 2007

Sven Mollekleiv

Det Norske Veritas

new risk reality
New risk reality
  • Companies today are operating in an increasingly more complex and demanding risk environment
  • Society at large is gradually adopting a “zero tolerance” for failure
  • More detailed reporting and demands for transparency
  • Stricter regulatory requirements
  • More watchdogs

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environment business
Environment = Business
  • “Responsible investing: Bottom line is more than making a profit”
  • “Commentators agree that taking a longer-term view is not altruistic, but about ensuring the best outcome for investors” 9. October 2006

”The Stern review is not only a counsel of hope, it is a necessary call for action” - Financial Times Leader, 31. October 2006

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enron
Enron

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slide12

Stakeholders’ growing importance

Local community

NGOs

Company

Shareholders

Own employees

Customers

Authorities

Investors

Suppliers/

business partners

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patient safety makes it to the headlines

HC Issues

Patient safety makes it to the headlines
  • Never has so many patient been treated
  • Never has the spending been so high
  • Never has the quality been so good
  • Still 10.000’s are dying of errors in hospitals
  • Patient safety on the agenda “world wide”

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what we deliver
What we deliver….
  • Climate Change & Managing greenhouse gas emissions
  • Environmental services & emergency response
  • Management systems & Risk Based Certification™
  • Sustainability reporting
  • Corporate responsibility assessment
  • Corporate governance assessment
  • Fraud & corruption resistance assessment
  • Social Accountability (SA 8000).
  • isrs7 - environment, health safety and quality in the workplace.

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dnv sertifisering av styringssystemer
DNV - sertifisering av styringssystemer
  • Kvalitetsstyring ISO 9001
  • Miljøstyring ISO 14001/EMAS
  • HMS - Sikkert arbeidsmiljø OHSAS 18001
  • Matvaresikkerhet BRC, ISO 22001
  • Medisinsk utstyr ISO 13485:2003
  • Informasjonssikkerhet ISO/IEC 27001
  • IT Drift ISO/IEC 20001
  • Guide for softwareutvikling TickIt
  • eBusiness Management System EB trust
  • Bedrifters samfunnsansvar CSR/SA 8000

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dnv services
DNV services
  • NOW: gaining “Hospital Assessors” position
    • Alternative Accreditation in the US
    • Hospital Assessment and rating in the UK
    • Hospital certification (ISO, OHSAS) in various countries
  • NOW: Risk Management
    • Existing Risk management - UK
    • Involve IQM – quality off information is crucial as hospitals move to electronic medical records systems
  • Future (depends greatly on achieving recognition as an Accreditation Organization of Hospitals)
    • Bio Risk
    • Public Health
    • Fraud and Corruption (Insurance?)

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referanser systemsertifisering

Klinikk Stokkan AS

  • Selle Rehabiliteringssenter
  • Aleris Ungplan
  • Laerdal Medical
  • Hand-Pro AS
  • Fresenius Kabi Norge AS
  • Actavis Norway, Avdeling Norgesplaster
  • Snøgg AS
  • Roche Diagnostics Norge AS
  • Vingmed AS
  • Diacor AS
  • FMC Biopolymer AS Nova Matrix
  • SonoWand AS
  • Larvik kommune
Referanser - systemsertifisering
  • Rikshospitalet – radiumhospitalet HF avd for Sterilforsyning
  • Ullevål Universitetssykehus, Mikrobiologisk avd. og Blodbank
  • Akershus Universitetssykehus Blodbank
  • Sykehuset Asker og Bærum HF, Blodbank og Nukleærmedisinsk seksjon
  • St. Olavs Hospital HF, Blodbank
  • Helse Nord-Trøndelag HF, psykiatrisk klinikk

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sikkerhetskultur i helsevesenet
Sikkerhetskultur i helsevesenet

The National Coalition on Health Care beskriver et ”paradigmeskifte” i synet på pasientsikkerhet i USA:

Fra Til

  • Her er alt bra! Her er det uendelige muligheter for feil
  • Feil oppstår sjelden Feil oppstår ofte
  • Si så lite som mulig Fortell alt du vet
  • Gi meg navnet på den som gjorde det! Finn frem til root cause
  • Straff den som varsler Belønn den som varsler
  • Lag flere rutiner og prosedyrer Gjør systemet enklere

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sertifisering bidrar til
Sertifisering bidrar til
  • Oversikt, styring og kontroll med prosessene
  • Fokus, motivasjon og inspirasjon
  • Forpliktelse av ledelsen
  • Uavhengig vurdering – perspektiv utenfra
  • Hjelp til organisasjonen (kvalitet/ miljø/ sikkerhet…)
  • Forbedret konkurranseevne
  • Bedret styring av leverandørene
  • Pålitelighet. Standarden er ofte definert som beste praksis, og bidrar til

å sikre pålitelige og konsistente tjenester/produkter.

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laboratory biorisk management current situation
Laboratory biorisk management - current situation
  • Few internationally recognized standards
  • Poor awareness and adoption of formal systems to manage biorisk
  • Oversight varies according to geography

Ebola, smallpox, Lassa fever

50

BSL4

Level of control

TB, prions, HIV, anthrax

16,500

BSL3

Salmonella, influenza,

250,000

BSL2

  • International exchange and collaboration increasingly difficult
  • Limited transparency towards external stakeholders

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guidance operation reporting
Guidance, operation, reporting

International declarations and conventions

UDHR, ILO, OECD, UN Global Compact, etc.

National legislation

Vision, objective, strategy

Optimise predictability

Minimise uncertainty

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our people a vital resource

Competency chart

DNV staff around the world

Our people – a vital resource
  • People are the core of DNV
  • 85 different nationalities

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