Risk Assessment and Management Assignment
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Risk Assessment and Management Assignment
Risk Management
Risk Assessment and Management is an approach to improve quality in healthcare that places special emphasis on identifying circumstances, such as direct and indirect patient care processes, buildings, equipment, occupants, and internal physical systems, which put patients, staff, and other people coming to KAMC at risk of harm, and then acting to prevent or control those risks. The aim is to both improve quality of care for patients and to reduce the costs of such risks for healthcare providers.
All human activities carry a measure of risk and their success or failure depends on their management. Risk Assessment and Management ensures the following:
- Reduce patient harm and discontent.
- Prevent poor use of staff, time and money.
- Making staff aware that there is a spectrum of outcome.
- Improves morale by making organization more safety conscious.
- Ranking of risks.
- Protection from legal responsibility and litigation.
- Protection from bad publicity.
- More precise and justifiable decision making, and most importantly for Patient Safety
The Plan for Risk Assessment and Management provides a systematic, coordinated and continuous approach to the maintenance and improvement of patient safety through the establishment of mechanisms that support effective responses to:
- Near misses.
- Actual occurrences.
- Medical and healthcare errors.
- Adverse events.
- Integration of patient safety priorities into the new design and redesign of all relevant organization systems, processes, and functions.
Patient care is a coordinated and collaborative effort, and the methodology to optimal patient safety involves multiple departments and disciplines in establishing the plans, processes and mechanisms that encompass the patient safety activities at KAMC-CR. The Plan for Risk Assessment and Management was developed by the Risk Management Unit and Director Quality Management, and it outlines the elements of the organizational Patient Safety Program.
Sentinel Events
The Risk Management unit plays a fundamental role in investigation of Sentinel events and conduction of Root Cause Analysis (RCA) as members of the Sentinel Event Review Committees (SERC)
Sentinel event is described as “an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.”
Root Cause Analysis (RCA) is a process for identifying the basic or causal factors of an adverse event. A root cause analysis focuses primarily on systems and processes, not on individual performance
Key elements of RCA:
- Prevention, not blame or punishment (cornerstone: no one comes to work to make a mistake or hurt someone)
- System level vulnerabilities rather than individual performance such as:
- Communication
- Environment
- Equipment
- Education & Training
- Regulations/Rules/Policies & Procedures
- Barriers
Who is responsible for conducting an RCA?
A multidisciplinary committee comprising of physicians, nurses, Quality Management staff and others, on need basis.
Safety Reporting System
When a patient incident takes place, studies show that dealing with the situation quickly can dramatically improve the patient’s outcome and safety
The Electronic Safety Reporting System (SRS) is the first web-based incident and adverse event management system at NGHA that makes it easy to submit, refine, analyze and communicate critical incident information about patients, staff, family members and visitors and/or the loss of or damage to property.
The Safety Reporting system (SRS) is going to help us to assess process/system failures and identify ways in which we can reduce adverse incidents from recurring. SRS is a non-punitive system and is not a method of blaming any particular individual/service. Any NGHA-staff can use it to report an incident
Risk Management (RMU)
The risk management unit is responsible to identify the risks in all KIMARC processes and facilities. It also oversight the implementation of control plans to avoid, transfer or minimize the risks impact on the research center and that will enhance the research center efficiency.
Functions of Risk Management Unit
- Implement Risk Management System in KAIMRC
- Developing and implementing risk management plan
- Conduct Risk assessments
- Plan and implement corrective action to eliminate risks in KAIMRC
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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