Governance of Safety in Healthcare Organizations: The Role of Health Assistants and Security Personnel in Risk Reduction, Compliance, and Institutional Performance – A Comprehensive Review
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Ali Mohammed Alsaiari, Hassan Mahdi Salem Albaraiki, Omar Saleh Mubarak Alsaiari, Hassan Muhammad Ali Alsaiari, Ali Taleeb Alsaiari
Mardhi Abdullah Ali Alsaiari, Jaber Saleh Alsaiari, Abdulmajeed Abdullah Saleh Alsaiari, Muslih Awadh Ali Alsaiari, Yahya Ali Wale Hakami
Abstract
Purpose: This review examines the governance role of health assistants and healthcare security personnel in promoting safety, risk reduction, regulatory compliance, and institutional performance within healthcare organizations.
Methods: A comprehensive review of international peer-reviewed literature published between 2015 and 2025 was conducted using databases such as PubMed, Scopus, and Web of Science. Studies addressing safety governance, healthcare workforce roles, security management, risk prevention, compliance, and organizational performance were included.
Results: Findings indicate that health assistants and security personnel play a critical yet often under-recognized role in ensuring safe care environments. Their contributions span patient supervision, incident prevention, infection control support, violence mitigation, access control, regulatory compliance, and crisis response. Effective governance structures, clear role definitions, training, and interdepartmental coordination significantly enhance institutional safety outcomes.
Conclusion: Integrating health assistants and security personnel into formal safety governance frameworks strengthens healthcare resilience, compliance, and performance. Strategic investment in training, leadership engagement, and governance integration is essential for achieving sustainable safety excellence.
Keywords :
Healthcare governance, patient safety, health assistants, security personnel, risk management, compliance, institutional performance.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty