C430 WGU
Communication reduces consequences - ANSWER-•Altruism
the belief in or practice of disinterested and selfless concern for the well-being of
others
•Rationalization
• Accountability
•Compensation
Hospital Acquired Conditions - ANSWER-CMS identified conditions that are not
present on admission and could be "reasonably preventable", and therefore
hospitals are not allowed to receive additional payment for these conditions that
do present.
focus on loss but don't
TQM - ANSWER-system focus
Variation on the Pareto Principle
•85/15 rule - 85% of problem is related to system failure and 15% is the fault of
the people involved
•Three premises:
•Quality is important and can be measured
•People are part of the solution not the problem
•Change is fundamental and can be managed
Developing a Risk Management Plan - ANSWER-Analyze/identify
-the possible liability (e.g. patient and employee safety, operational, financial)
risks related to medication errors in the hospital.
-The team interviews key internal stakeholders, develops a sequenced timeline
of the event, analyzes quality assessment studies, accreditation surveys,
medication error incidents, and error near-miss reports, and reviews related tasks
and medication protocols from the emergency room, pharmacy, and physicians.
•Severity to the individual and/or organization
,•Number of people harmed or potentially harmed
•Likelihood or frequency of occurrence
Examine/determines
-the errors that must be addressed by
-analyzing the data gathered in the first step.
They determine that the operational management from the involved departments
must refine processes.
Develop/agreed upon plan
(e.g. including stakeholder manager(s) insights) to respond to and mitigate
communication, dispensing errors, and improve overall work flow.
Implement/education
After developing the plan and educating the staff, the operational managers
implement the plan in the hospital.
Monitor/change-move forward:
-the results of the implementation to determine effectiveness of the plan.
Quality Tools from in the Industry - ANSWER-reduce time and waste
•Lean Management focuses on
reducing waste and eliminating errors in the processes.
•Six Sigma focuses on
eliminating causes of defects or errors and minimizing variability in process.
Risk Management Tools for Identifying Risk - ANSWER-•Incident Reporting
System to identify events that are not consistent with the routine operation of a
hospital or routine care of patients
•Occurrence Reporting
A policy listing specific adverse events that MUST be reports
•Required by some states and insurers
•Can increase identification of adverse events to 40-60%
, •Occurrence Screening
System that identifies deviations from normal procedures or expected outcomes
•Uses criteria to identify adverse events but does not rely on staff reporting
•Increases identification of adverse events to 80-85%
Risk and Quality of Care - ANSWER-Maximization of the use of limited resources
Elimination of duplication
Developing new solutions to problems
Facilitation of training programs
Improvement of budget process
•Today, organizations utilize a more integrated approach, recognizing that many
risk management errors are breakdowns in process (quality) rather than
individual error.
Risk Management - protection of assets - ANSWER-•Risk Management -
the identification of and proactive decisions to minimize the affects of potential
loss situations and developing strategies of avoidance and prevention
(identification and analysis)
•Risk Control
- the conscious effort or decision to act, or not act, that reduces the frequency,
severity or unpredictability of a potential loss.
(risk acceptance, exposure avoidance, loss prevention, segregation, contractual
transfer)
decision to act/not act
•Loss Control - ability to minimize the actual loss (response to the loss, loss
reduction)
•Loss Management
- proactive activities to return the organization to the pre-existing state.
another definition states that risk management is a program designed to reduce
the incidence of preventable accidents and injuries to minimize the financial loss
to the institution should an injury or accident occur.1
Communication reduces consequences - ANSWER-•Altruism
the belief in or practice of disinterested and selfless concern for the well-being of
others
•Rationalization
• Accountability
•Compensation
Hospital Acquired Conditions - ANSWER-CMS identified conditions that are not
present on admission and could be "reasonably preventable", and therefore
hospitals are not allowed to receive additional payment for these conditions that
do present.
focus on loss but don't
TQM - ANSWER-system focus
Variation on the Pareto Principle
•85/15 rule - 85% of problem is related to system failure and 15% is the fault of
the people involved
•Three premises:
•Quality is important and can be measured
•People are part of the solution not the problem
•Change is fundamental and can be managed
Developing a Risk Management Plan - ANSWER-Analyze/identify
-the possible liability (e.g. patient and employee safety, operational, financial)
risks related to medication errors in the hospital.
-The team interviews key internal stakeholders, develops a sequenced timeline
of the event, analyzes quality assessment studies, accreditation surveys,
medication error incidents, and error near-miss reports, and reviews related tasks
and medication protocols from the emergency room, pharmacy, and physicians.
•Severity to the individual and/or organization
,•Number of people harmed or potentially harmed
•Likelihood or frequency of occurrence
Examine/determines
-the errors that must be addressed by
-analyzing the data gathered in the first step.
They determine that the operational management from the involved departments
must refine processes.
Develop/agreed upon plan
(e.g. including stakeholder manager(s) insights) to respond to and mitigate
communication, dispensing errors, and improve overall work flow.
Implement/education
After developing the plan and educating the staff, the operational managers
implement the plan in the hospital.
Monitor/change-move forward:
-the results of the implementation to determine effectiveness of the plan.
Quality Tools from in the Industry - ANSWER-reduce time and waste
•Lean Management focuses on
reducing waste and eliminating errors in the processes.
•Six Sigma focuses on
eliminating causes of defects or errors and minimizing variability in process.
Risk Management Tools for Identifying Risk - ANSWER-•Incident Reporting
System to identify events that are not consistent with the routine operation of a
hospital or routine care of patients
•Occurrence Reporting
A policy listing specific adverse events that MUST be reports
•Required by some states and insurers
•Can increase identification of adverse events to 40-60%
, •Occurrence Screening
System that identifies deviations from normal procedures or expected outcomes
•Uses criteria to identify adverse events but does not rely on staff reporting
•Increases identification of adverse events to 80-85%
Risk and Quality of Care - ANSWER-Maximization of the use of limited resources
Elimination of duplication
Developing new solutions to problems
Facilitation of training programs
Improvement of budget process
•Today, organizations utilize a more integrated approach, recognizing that many
risk management errors are breakdowns in process (quality) rather than
individual error.
Risk Management - protection of assets - ANSWER-•Risk Management -
the identification of and proactive decisions to minimize the affects of potential
loss situations and developing strategies of avoidance and prevention
(identification and analysis)
•Risk Control
- the conscious effort or decision to act, or not act, that reduces the frequency,
severity or unpredictability of a potential loss.
(risk acceptance, exposure avoidance, loss prevention, segregation, contractual
transfer)
decision to act/not act
•Loss Control - ability to minimize the actual loss (response to the loss, loss
reduction)
•Loss Management
- proactive activities to return the organization to the pre-existing state.
another definition states that risk management is a program designed to reduce
the incidence of preventable accidents and injuries to minimize the financial loss
to the institution should an injury or accident occur.1
