Risk Mitigation Practices Becoming Less Stratified Sinnock B
Risk Mitigation Practices Becoming Lessstratified Sinnock Bonnie
Risk management has traditionally been segmented into specialized areas such as quality assurance, quality control, vendor risk management, and fraud prevention. However, there is a discernible shift towards adopting a more holistic approach, as noted by Michael Larkin, Director of Risk Management at Indecomm Global Services. This trend underscores the importance of integrating these disciplines to gain a comprehensive view of potential risks, especially in complex environments like financial services. The move towards a unified risk management system emphasizes the sharing of information across departmental boundaries, thus enabling more rapid and informed decision-making.
Implementing a holistic approach involves consolidating risk practices while maintaining expertise through cross-training and collaborative strategies. Larkin suggests that combining departments can lead to efficiencies and cost savings but must be managed carefully to avoid over-centralization, which can diminish specialized knowledge crucial for accurate risk assessment. The analogy of the watchdog highlights the balance required: automated systems generate alerts that require human judgment to discern real threats from false positives. Effective risk mitigation therefore combines manual reviews and advanced technological tools to ensure a balanced and thorough risk evaluation process.
The approach also emphasizes the need for a layered alert system, assigning different weights to various risk indicators to prioritize responses. Nonetheless, excessive complexity may obscure the overall risk landscape, a phenomenon colloquially described as "not seeing the forest for the trees." Effective risk management practices must therefore strike a balance between detail and clarity to remain practical and actionable. Furthermore, Larkin notes that risk levels fluctuate over time, necessitating ongoing reviews and updates to risk protocols to adapt to evolving threats, such as the increasing incidence of fraud, which remains a persistent concern in the lending industry.
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The trend toward less stratified risk management practices reflects a broader shift in organizational strategies aimed at fostering comprehensive and agile risk mitigation frameworks. In the context of financial institutions, such as mortgage lenders or banks, integrating specialized risk domains into a unified system enhances the ability to respond promptly to potential threats, thereby reducing vulnerabilities and improving operational resilience (Larkin, 2013). This approach is particularly relevant in Saudi Arabia’s healthcare application example, where transitioning from paper-based records to electronic health systems exemplifies a significant organizational change requiring effective management across various stakeholders.
The change from traditional paper patient folders to the Bestcare electronic health record (EHR) system in King Abdulaziz Medical City-National Guard Hospital (KAMC NGHA) was a substantial, radical transformation. Implemented to improve data accuracy, accessibility, and healthcare delivery efficiency, this transition involved multiple phases of planning, stakeholder engagement, and training (Aldosari, 2017). The leadership of this change was primarily undertaken by hospital administrators in collaboration with IT professionals, with support from policymakers to ensure compliance with national health information standards. Such a comprehensive change exemplifies a radical shift from manual to digital processes, fundamentally altering workflows and staff routines.
The management of this change was characterized by a structured, phased implementation, including pilot testing, staff training, and feedback mechanisms. Resistance from healthcare professionals, especially physicians and nurses accustomed to paper records, was significant at the outset. Some perceived the system as complex, fearing increased workload and potential technical issues interfering with patient care. Nevertheless, ongoing training sessions, continuous support, and demonstrating the benefits—such as quicker access to patient information and enhanced data security—helped mitigate resistance.
The outcomes of the transition have generally been positive, with improved data accuracy, streamlined workflows, and better coordination among healthcare teams. Studies (Aldosari, 2018; Khalifa, 2013) highlight that success depends on effective change management strategies, including involving end-users early in the process and providing continuous training and support. The hospital's experience underscores that radical changes require strong leadership, clear communication, and addressing concerns proactively. As resistance diminishes over time, staff acceptance tends to improve, leading to better utilization of the new system and ultimately enhancing patient care quality.
To manage resistance effectively, organizations can adopt several strategies. First, active stakeholder engagement ensures that concerns are heard and addressed early (Khalifa, 2013). Second, comprehensive training programs tailored to different user groups can build confidence and competence. Third, transparent communication about the benefits and ongoing support fosters trust and buy-in. Fourth, pilot testing allows for adjustments based on user feedback before full-scale implementation. Lastly, demonstrating quick wins can motivate staff by showing tangible benefits, thus accelerating acceptance.
In conclusion, organizational change in healthcare—such as transitioning to an EHR system—is inherently complex and often radical. Success hinges on strong leadership, systematic management, and strategies to address resistance. The positive outcomes witnessed at KAMC NGHA exemplify how careful planning and stakeholder engagement can turn significant change into an opportunity for improvement. As healthcare organizations worldwide move toward digitalization, understanding and applying effective change management principles rooted in research and practical experiences are essential for achieving sustainable transformation.
References
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- Aldosari, B., Al-Mansour, S., Aldosari, H., & Alanazi, A. (2018). Assessment of factors influencing nurses acceptance of electronic medical record in a Saudi Arabia hospital. Informatics in Medicine Unlocked, 10, 82–88.
- Khalifa, M. (2013). Barriers to health information systems and electronic medical records implementation: A field study of Saudi Arabian hospitals. Procedia Computer Science, 21.
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- Ministry of Health Saudi Arabia. (2022). National digital health strategy. Riyadh: Saudi Ministry of Health.
- Alshammari, S., et al. (2022). Overcoming resistance to health information technology in Saudi hospitals. JMIR Medical Informatics, 10(3), e29852.
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