Welcome back everyone.
Risk and uncertainty are inevitable
in healthcare organizations.
Human nature, the provision of
intricate and multifaceted care
and a highy complex system of healthcare-guaranteed
healthcare entities will face adverse circumstances.
But these occurences can be
mitigated through risk management,
Risk management in healthcare comprises
the clinical and administrative systems,
processes and reports employed to detect,
monitor, assess, mitigate and prevent risks.
In thinking about the evolution of risk management,
now historicall it's been very reactive.
It's kinda focused only on the promotion of patient
safety and the prevention of legal exposure.
But currently, it's increasingly proactive, really viewing risk
through much broader lands of the entire healthcare ecosystem
Enterprise risk management involves 8 risk domains.
The first one is operational or
how the organization functions.
It also includes the clinical
and patient safety domain.
Legal and regulatory,
And environmental and infrastructure based hazards.
Now since risk management involves managing
uncertainty and new risk is constantly emerging,
it's challenging to recognize all
the threats to healthcare entity faces.
However through the use of data,
institutional and industry knowledge,
and by engaging everyone including patients,
employees, administrators and payers,
healthcare risk managers can uncover threats
that otherwise would be hard to anticipate.
Now once identified, it's vital the score, rank and prioritized
risk based on their likelihood and impact of occurence
and then allocate resources and
assigned tasks based on these measures.
Coined by the joint commission, sentinel events are
any unanticipated events in a heathcare setting,
resulting in the death or serious
physical or psychological injury
to a patient or patients not related to the
natural course of the patient's illness.
Now when sentinel event occurs, quick
response and thorough investigation
address immediate patient safety
issues and reduce future risk.
Now as with the joint commission, federal, state
and other oversight bodies mandate reporting
of certain types of incidents including sentinel events,
medication errors, and medical device malfunctions.
Incidents such as wrong side or patient's surgery, workplace injuries,
medication errors need to be documented, coded and reported.
And when mistakes or adverse events are avoided due to
luck or intervention, near misses and good catches occur.
These are often the best way
to identify and prevent risk.
Healthcare providers should develop
a culture that encourages reporting
so that preventive measures and
best practices can be instituted.
Now models for analyzing accidents are used to
understand causes as well as relationships among risks.
For example, understaffing and
fatigue often lead to medical errors.
Applying well-established models improves
risk management effectiveness and efficiency.
Risk management plans need to detail employed
training requirements which should include
new employee orientation, ongoing and in-service training, annual
review and conpetency validation and advanced specific training.
To promote patient satisfaction and
reduce the likelihood of litigation,
procedures for documenting and responding to patient and family
complaint should be described in the risk management plan.
Response time, staff response abilities and prescribed
actions need to be articulated and communicated.
Risk management plans should clearly define the purpose
and benefits of the healthcare risk management plan.
Specific goals to reduce liability
claims, sentinel events, near misses
and the overall cost of the organization's
risk should also be well articulated.
Additionally, reporting on quantifiable and actionable
data should be detailed and mandated by the plan.
While it's critical that the healthcare risk
management team promote open and spontaneous dialogue,
information about how to communicate about risk and with whom
should be provided in the healthcare risk management plan.
The plan to promote a safe, no-blind culture and
should include anonymous reporting capabilities.
Risk management plans also need to include contingency
preparation for adverse system wide failures
in catastrophic situations such as a malfunction electronic
records system or security breaches or cyber attacks.
Every healthcare organization must have a
quick and easy to use system for documenting,
classifying a tracking possible
risks and adverse events.
These systems must include protocols
from mandatory reporting.
Plans for healthcare risks must also include
collaborative systems from responding to reported risk
and advanced indicating acute response follow
up reporting and repeat failure prevention.
So remember, by employing risk managament,
healthcare organizations proactively
and systematically safeguard
So in thinking of what we covered today, I'd
like for you to consider this question:
What are the 7 steps in an
effective risk management plan?
They are education and training,
Patient and family grievances,
Purpose, goals and metrics,
And response and mitigation.
I hope you've enjoyed today's
video on risk management
Thanks so much for watching.