Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Patient safety and risk management
Examples of evidence based practice and their effect in nursing care
Examples of evidence based practice and their effect in nursing care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Patient safety and risk management
Risk management is the system in which companies assess potential liabilities within an organization (Raso, Gulinello, 2011). Through this process information is gathered, assessed, and implemented to avoid these potential risk. Risk managers are beneficial to their organizations because not only do they save money but they can also save lives. In the hospital setting where mistakes can cost someone their lives, risk managers work to develop protocols to help prevent human error. Information is gathered through the process of evidence based practice as well as guidelines in place by best practice. Not only do they help protect the lives of the patients within the facilities, they are also responsible for ensuring staff safety. A risk manager’s responsibility is multi-faceted and complex. They will prevent potential litigations by implementing patient safety protocols, reduce risk to associates, and reduce cost to the organizations. Never events In order for hospitals to be reimbursed from government based insure companies certain standards must be met. When standards are not met, any subsequent cost in relationship to preventable errors will not be remunerated (Youngberg, 2011). These preventable errors are termed never events. Never events are considered error that can be prevented if certain checklist and guidelines are in place are followed such as medication errors, falls with injury, wrong surgical site, and pressure ulcers (Agency for Healthcare Research and Quality, 2012). There are currently ten mandated never events (Youngberg, 2011). In order to avoid these preventable human errors, risk manager help implement policies and procedure. This process based on risk analysis and outcomes which helps to improv... ... middle of paper ... ...ch and Quality (October, 2012). Never Events. Retrieved from ahrq.com. website http://psnet.ahrq.gov/primer.aspx?primerID=3 Center for Disease Control and Prevention (September 20, 2013). Costs of Falls Among Older Adults. Retrieved from cdc.gov. Website http://www.cdc.gov/homeandrecreationalsafety/falls/fallcost.html Mayo, A., Duncan D., (September 2004). Nurse Perceptions of Medication Errors: What We Need to Know for Patient Safety. Journal of Nursing Care Quality (Vol. 19-3, pp. 209-217). Retrieved from http://www.nursingcenter.com/lnc/journalarticle?Article_ID=514523 Raso, R., Gulinello, C., (February 2011). Creating cultures of safety: Risk Management Challenges and Strategies. Retrieved from lww.com doi: 10.1097/01.NUMA.0000390459.88752.0c Youngberg, B., (2011). Principles of Risk Management and Patient Safety. Jones & Bartlett Learning, Sudbury, MA
It is imperative that Health Care Professionals learn to manage risk. There are many factors to think about including environment, assessment, identification and prioritising when managing risk. Being able to strategically implement preventative measures will help in managing risk. Risk management works hand in hand with all enablers set out by chapelhow.
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
This is directly related to my Nursing major and current practice as an RN. I have a personal interest in making sure I am practicing in a way that is safe for my patients.
Every hospital is committed to ensuring that their patients in stroke rehabilitation wards and other facilities are safe from any form of harm that may occur as a result of the health care providers’ negligence. Firstly, every hospital integrates quality and safety approaches into its everyday’s operations to promote and enhance the safety and quality of its environment and services respectively (Garban, 2011). This is usually complemented by other strategies meant for enhancing organizational knowledge to improve efficiency and overall productivity. Some hospitals provide further training to their health care personnel to ensure that they efficiently incorpor...
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
The risk manager will adhere to the Joint commission requirements for reporting sentinel events for accredited hospitals. “Accredited hospital are to identify and respond to any sentinel event in a timely and through manner.”( Radtke, K., & Milton, C. (2003). The Requirements include a credible root analysis and the development of an action plan that reduces risk and improves patient safety measures. The process of the root analysis should find risk in areas like performance but should focuses primarily on systems and processes. The focus should not be limited to the level of individual performance. While doing the analysis, it should progress from special causes then to clinical processes and will conclude in common causes. The analysis should be within the organizations processes and systems, and can assist in identifying improvements that should be put into place to prevent such an event from happening again. If the root analysis shows that the occurrence was unpreventable and there are no such measures to be improved to avoid the event from reoccurring. The root analysis is to help assist in the process of developing a plan of strategies to help reduce the risk of it happening again.” (Joint Commission ,2010)
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Patient safety in the words of Dodds and Kodate (2011) is definded by the avoidance and prevention of adverse outcomes or errors within a healthcare environment. It has become the highest health policy in the UK and and many other countries (Holme, 2009). The NMC Code of Conduct (2015), states that you must work within the limits of your compitence, exercising your professional duty of care and rasing any concerns you have immediatley that may put a patients’ safety at risk. Over the past few years, patient safety has been notified as a global importance, however more work remains to be done (WHO, 2004). The main goal of WHO (2004) patient safety project is to accelerate and facilitate patient safety improvements globally by leadership, teamwork
In analyzing risks as a risk manager, has to consider patient safety, which would include activity, process, and policies in reducing harm to patients from errors. The aim should be to prevent harm to patients and avoid costly medical mal practice suits. A risk management process should be clearly understood and stated in order to apply appropriate measures. In implementing an effective risk management plan, Avedis Donabedian, introduced a model that is called the seven pillars of quality in health care. Efficacy, which focuses on improving a patient’s well-being. Efficiency emphasizes focus on an organization obtaining the best improvements at the lowest costs. Optimality the balance of costs and benefits for all in the organization as well as the patients. Acceptability which involves catering to the wishes expectations and each patients values. Legitimacy the provision of care that is acceptable to all of society. Equity the distribution of care amongst everyone fairly and of course the consideration of cost the optimizing of cost –benefit ratio. Threw his work he established that a breakdown within an organization is a series of events that led up to the error. . Patient safety has been the major focus of risk management in today’s healthcare system. To carefully analyze records to avoid medication errors and providing the best care possible. Clinical staff must be a consideration when applying a risk management plan educating them on advances in safer practices and use of new equipment and technology to apply safe care to their patients. To provide safety to patients and also to clinical staff in assuring they understand the policies and procedures that are set in place for their protection. Every organization has protocol...
Whether you are coming in to sit and wait for someone or you are the one who is having a procedure done safety and quality in any department of health is very important. Patient safety and quality of hospital care can affect hospital ratings.
After reading the article regarding patient safety, there was a prominent area in which we still fall short in preventing and reducing medical errors. It is apparent there is a major problem with the system itself, yet hospitals and clinics haven’t come close to fixing the issue. Over the last 10 years, new laws and regulations have been made to improve patient safety conditions, however, the shortfall is occurring during this transition time. Two different issues can be blamed as the cause for this shortfall.
Ballard K.A. (2003) builds upon the premise regarding Patient safety; her study suggested that Patient Safety is a shared responsibility with the healthcare worker and the patient. Sufficient information and options are rendered to the patient so as to support patient-informed choices. Informed patients can also inquire about the competency and credential of the health worker as a proper provision and care can only be provided by an educated and licensed health care
Risk management can help professionals to face various issues in different settings. Training enables healthcare managers should know to identify and examine danger and risks as a way to decrease patient’s harms. Hence, healthcare comprehensive training becomes a
As addressed by Dolansky (2013), “…a safety and high quality system of care requires that all healthcare professionals take responsibility to learn and apply skills associated with improving the wider system of care”. The emphasis in this statement is that it includes ‘all healthcare professionals’. In comparison, patient safety was defined as a shared responsibility as, “a variety of stakeholders are responsible for ensuring that patient care is safely delivered and that no harm occurs to patients” (Ballard 2003). Noting that the stakeholders were described as anyone involved in the healthcare system, this journal article addressed the actions toward promoting safe care while emphasizing on the aspect of a team