Introduction: One of the new and effective approaches to the management of medical centers and hospitals is the use of safety, health, environment and quality management system (HSEQ). The purpose of this study is to assess the risk of safety, health, environment and quality in hospitals and medical centers of the country.
Methods: This research is of survey and analytical type. In the first step of the research, HSEQ evaluation criteria and indicators were developed using a group of experts (32 people). Then, 22 study sites in Alborz province were randomly selected and the events and challenges related to the indicators were examined over a period of 2 years (2020-2022). In the third step, risk assessment was performed. The project management structure (PMBOK) was used to analyze the identified factors. In this study, probability factor and impact rate are classified into 5 levels.
Results: 21 indicators can be listed as components of risk assessment (HSEQ) for medical centers. The "safety" criterion had the highest (243 cases) and the "health" criterion had the lowest risk (95 cases). The highest number of risk indicators belonged to "failure to identify the main foci of risk" and then, "failure to assess safety risk" and "failure to assess environmental risk", which were classified in the range of "very high risk".
Conclusion: It can be said that the applying the HSEQ approach can play a decisive role in reducing the level of various errors and also increasing the level of safety. Keywords: safety, health, environment, quality, medical centers, risk assessment.