This essay will discuss risk management, components of a risk management program, incident reporting, patient safety steps, risk assessment, blah blah blah.
Risk management, according to (white book), is a system of actions intended to identify, evaluate and take corrective against potent risks that could lead to the injury of patients, staff or visitors or harm to the organization. Risk management is a problem focused, planned program of loss prevention and liability control and it is an essential component of a quality management program. They also mentioned that risk management is an ongoing daily program of detection education and intervention. Purple book mentioned that a risk management program should involve all departments of the
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It should identify potential risks for accident, injury, or financial loss. Formal an informal communication with all organizational departments and inspection of facilities are essential to identifying problem areas. It should also review current organization-wide monitoring systems such as incident reports, audits, committee minutes, oral complaints and evaluate completeness and determine additional systems needed. The program should analyze the incidents causing injury or adverse outcomes to patients so as to be able to plan risk intervention strategies and new programs as well as monitor laws and codes related to patient safety, consent and care. A risk management program should also attempt to eliminate and reduce as much risks as possible and review the work of other committees to determine potential liability and recommend prevention or correction action. Additionally, the program should identify patient’s, family member’s and personal education needs suggested and to be able to evaluate the results of a risk management program. A periodic report should also be provided to administration, medical staff, and the board of directors. (White) identified that high risk areas in health care fall into five general categories. Namely, medication errors, complications from diagnostic or treatment procedure, falls, patient of family dissatisfaction with care and the refusal …show more content…
In order to do so, purple suggested that to reduce risk, nurse managers should ensure their staff view health and illness from the perspective of their patients. By doing so, the nurse will be able to comprehend what illness is to the patient and their relatives. This will allow for the nurse to individualize patient care and be able to better manage risks. Any incident brought about by the patient themselves or their relatives with regards to their dissatisfaction in the hospital or staff, only highlights that there is a shortage in the quality of care provided. Therefore, a risk management should emphasize on an approach that is personal. Many filed claims against a hospital would be due to a miscommunication between the healthcare worker and the patient which could then be alleviated by a quick call or visit. As soon as an incident as occurred, prompt attention has to be given by the nurse manager to avert a situation where a claim or complaint is made against the organization. To manage risk successfully, there should be recognition of the incident, quick follow-up and action, personal contact and immediate restitution where
The Joint Commission is involved in making sure the health care facilities are providing the patient and family members of patients the effective and safe care that the patient needs and deserves. There is a close relationship between the National Patient Safety Goals (NPSG) and the results of the Joint Commission survey. If the facility were following the NPSG’s then the facility would have more of likelihood that the organization will receive a good survey results from the Joint Commission. There are serious consequences for the health care organization if the organization does not meet the benchmarks set by the Joint Commission. Multiple tools out there will aid this author in determining if the organization that this author works in is
As the role of case management becomes apparent so are legal and liability claims. It makes no matter what practice setting a case manager is in they can be held for damages if their actions fall below the normal accepted standards of care and if the patient has a bad outcome. The case manager needs to be aware of the standards of care and document all intervention done. When preparing to case management a client gather information that appropriated health care history from admission to discharge. So, that appropriate plan of care can developed among the health care team to ensure positive outcome for this episode of care.
Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?
Care staff have a duty of care to ensure the safety of individuals they support; however, individuals also have a right to make their own choices which can lead to dilemmas. The risk assessment process can be used to support individuals to understand the possible repercussions of their choices and put measures in place to reduce or eliminate these risks this can help individuals and staff to have a positive attitude towards risk taking and to promote their strengths and abilities. This can lead to self-confidence, self-esteem and overall
- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
The article reviews the development of goals as a result of an Institute of Medicine report that highlighted the number of patients harmed each year by inadequate hospital practices (Rajecki, 2009). The NPSGs are a top priority in patient care delivery today and have paved the way in increasing patient safety and thereby decreasing costs associated with inconsistent care (Rajecki, 2009). Most health care organizations are now addressing care in a transparent manner. Organizations are looking within to make sure best care practices are being performed and are involving patients and families in their health care goals to achieve better quality outcomes (Rajecki, 2009).
Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
Learning Team Discussion In this summary, the team discusses the association between risk and quality management and their impact on health outcomes. Risk management is the recognition of anything or anyone who can cause harm to an organization. An example of a risk of an organization is finances or a technical deficiency. Quality management aims to find the motive of risks and develop a plan for the betterment of quality care for the patient.
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
Health and Safety at Work Act 1974 These Act inform practices that all staff the responsibility to keep themselves and other around them safe through their actions at work and they must to report any health and safety problems. Also, all staff must to follow policies and procedure when hand handing equipment and they should to work in way that puts other around them in danger. Control of substances and Hazardous to Health Regulations 1992 These regulations inform practices that cleaning materials must to be kept in a locked cupboard. Also, these regulation state that disposable gloves and aprons must to be provided for cleaning and handing chemicals.
Historical data about on the job injuries will assist managers the training new employees how to avoid those risky behaviors while working. Historical data related to the incidents that lead up to an employee being injured on the job will establish the foundation for safety training for existing employees. Effective risk management policies regarding employee safety usually come from past incidents that the company would not to prevent in the future. The culture of Target should be a risk management culture based on prevention and identification of potential new risks by staff. Target is a customer centered organization that focuses less on price and more on the overall customer experience.
They act as legal nurse consultants with clinical staff on risk management issues. They may conduct professional licensure investigations and attend claims management team meetings. One of the keys of proper legal-medical risk management is the education of staff members. All health care professionals must understand the inherent dangers from malpractice lawsuits, especially when the claims are justified. Risk and management departments in hospitals exist to promote safe clinical practices, continually improve the quality of care and support clinical investigations, risk analyses and improvement
Nursing profession- with effective nurse-patient communication, misdiagnosis, wrong treatment pattern as well as deaths are avoided. The aim of nursing care is also achieved and nurses are satisfied with the care rendered to patients. Nurse-patient communication also makes nursing work easier. CONCEPT 4: THE ROLES OF NURSES IN DIFFERENT HEALTHCARE DELIVERY
Similarly, readmissions are also scrutinized. In addition, patient satisfaction has been added, as some believe if patients feel safe and involved, they will be more satisfied with the care they are receiving. Hospitals are held accountable through Medicare reimbursements, which was brilliant on the part of the government. Once reimbursement was affected, hospitals jumped on board and bought in to the need for a culture of safety. Researchers worked hard to develop the evidence for best practices, and multidisciplinary teams were created to ensure the best practices were delivered to the healthcare setting.