Yet another OBSERVATION vs. EVALUATION issue

Gerard Freriks gfrer at luna.nl
Wed Aug 15 03:37:10 EDT 2012


RISK is a complex thing.

Read:
http://en.wikipedia.org/wiki/Risk#ISO31000:2009_Risk_Management_Standard

Only looking at temporal aspects:
The risk to die within 10 years when you are 100 years old is HIGH
The risk to die within 10 years when you are 30 years old is LOW

The risk to die within 100 years  for each average person is HIGH
The risk to die within one day for the average person is LOW

The risk to have prostate cancer until 40 years of age LOW
The risk to have prostate cancer after 70 years is HIGH
Adding severity:
The risk to die of prostate cancer after 70 years is LOW (Most man have prostate cancer at this age but most never die because of it)

How is RISK used in  healthcare?
Almost never it is calculated with mathematical precision.
It is expressed in a semi-quantitative way: Low, Normal, High, etc.
It would be nice when archetypes can express that in a sensible way.
It will be impossible to use the DV-Data Type for this.
Reason? It is not expressive enough because the semi-quantitative result needs to document more.
It needs inclusion and exclusion criteria because there is no generic definition of Low, Normal, High.
Each context is unique and opinions change over time.
Each and everybody has to define the criteria in the local context. (Speciality, organisation, disease/condition, healthcare provider even patient specific at one point in time)

Gerard Freriks
+31 620347088
gfrer at luna.nl




On 14 Aug 2012, at 16:58, Stefan Sauermann wrote:

> HIGH RISK= High probability of Something to occur in a certain time period and causing a severe harm to persons or other subjects
> LOW RISK = something will never occur and even if it does it will not harm anyone or anything
> 
> Greetings,
> 
> Stefan Sauermann
> 
> Program Director
> Biomedical Engineering Sciences (Master)
> 
> University of Applied Sciences Technikum Wien
> Hoechstaedtplatz 5, 1200 Vienna, Austria
> P: +43 1 333 40 77 - 988
> M: +43 664 6192555
> E: stefan.sauermann at technikum-wien.at
> 
> I: www.technikum-wien.at/mbe
> I: www.technikum-wien.at/ibmt
> I: www.healthy-interoperability.at
> 
> 
> Am 14.08.2012 16:55, schrieb Gerard Freriks:
>> E.g. RISK= High Risk of Something to occur in a certain time period.





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