Risk Management
Risk Management - ANSprocess of identifying, analyzing, & controlling risks posed to pt's
What 3 things does risk management involve? - ANS1) human factor & incident analysis
2) ∆'s in system operations
3) loss control & prevention
3 main roles of a RM - ANS1) act as insurance liaison for facility
2) act as contract for facility
3) Monitor - safety, employee health, security, provider credentials, incident reports, pt
complaints
How might a RM act as a contract for a facility? - ANSteaching employees under
investigation what to & what not to say in a deposition
What 6 things are RM responsible for monitoring? - ANS1) safety
2) employee health
3) incident reports
4) security
5) provider credentials
6) pt complaints
3 Roles of RM in a HC setting - ANS1) minimize financial effects of accidental loss
2) reduce accidents & injuries
3) intervene if either #1 or #2 occur
Who does the RM have a responsibility to? - ANSall persons on HC facility property
(providers, nurses, patients, family members, etc)
4 Steps to Risk Management - ANS1) IDENTIFY potential risks/hazards
2) ANALYZE risks
3) ACT to reduce risks
4) EVALUATE steps taken
10 Components to RM Program - ANS1) ID potential risks for accident, injury or financial
loss
2) review current organization-wide monitoring systems
3) analyze frequency, severity, & causes of general categories & specific types of incidents
causing injuries or adverse outcomes
4) review/appraise safety & risk aspects of pt care procedures & new programs
5) monitor laws & codes r/t pt safety, consent & care
6) eliminate/reduce risks as much as possible
7) review work of other committees to determine potential liability & recommend prevention
or corrective action
, 8) evaluate results of risk management program
9) ID needs for pt/family & personal education & implement appropriate education program
10) Provide periodic reports to admin, med staff, & board of directors
5 main categories of risk dealt with in RM - ANS1) medication incident
2) diagnostic incident
3) medical-legal incident
4) pt/family dissatisfaction with care incidents
5) falls
Medication Incident - ANSreportable incident occurring when a drug is administered that
does not follow the rights of med admin
Diagnostic Incident - ANSany incident occurring before, during, or after a procedure
Medical-Legal Incident - ANSoccurs when pt/family refuse treatment as ordered &
prescribed or refuses to sign consent forms
Pt/Family Dissatisfaction w/Care Incident - ANSpt or family indicates general dissatisfaction
w/care & situation cannot be or has not been resolved
Who is a RM? - ANSevery nurse
10 ways RNs are critical to the success of RM - ANS1) reporting problems quickly
2) ID potential problem areas & helping create solns
3) reviewing clinical P&P w/management
4) reporting near misses
5) making sure each team member knows their role & is properly trained
6) removing faulty equipment
7) clear & concise documentation
8) good communication & using ISBARR
9) adhering to state & federal statutes
10) following chain of command
Who would a RN report a near miss, adverse event, or sentinel event to? - ANSRisk
Manager (follow agency P&P)
How should a RN properly handle an unfortunate incident? - ANSacknowledge it & express
concern w/out taking blame, blaming others or reacting defensively
Within the context of the nursing practice, what is the RN always accountable for? -
ANSoutcomes of actions in carrying out nursing duties
True or False: the nurse is assumes responsibility for pt harm or injury that is a result of RN's
negligent acts - ANStrue
True or False: a nurse can be relieved of personal liability by another professional -
ANSFalse
Risk Management - ANSprocess of identifying, analyzing, & controlling risks posed to pt's
What 3 things does risk management involve? - ANS1) human factor & incident analysis
2) ∆'s in system operations
3) loss control & prevention
3 main roles of a RM - ANS1) act as insurance liaison for facility
2) act as contract for facility
3) Monitor - safety, employee health, security, provider credentials, incident reports, pt
complaints
How might a RM act as a contract for a facility? - ANSteaching employees under
investigation what to & what not to say in a deposition
What 6 things are RM responsible for monitoring? - ANS1) safety
2) employee health
3) incident reports
4) security
5) provider credentials
6) pt complaints
3 Roles of RM in a HC setting - ANS1) minimize financial effects of accidental loss
2) reduce accidents & injuries
3) intervene if either #1 or #2 occur
Who does the RM have a responsibility to? - ANSall persons on HC facility property
(providers, nurses, patients, family members, etc)
4 Steps to Risk Management - ANS1) IDENTIFY potential risks/hazards
2) ANALYZE risks
3) ACT to reduce risks
4) EVALUATE steps taken
10 Components to RM Program - ANS1) ID potential risks for accident, injury or financial
loss
2) review current organization-wide monitoring systems
3) analyze frequency, severity, & causes of general categories & specific types of incidents
causing injuries or adverse outcomes
4) review/appraise safety & risk aspects of pt care procedures & new programs
5) monitor laws & codes r/t pt safety, consent & care
6) eliminate/reduce risks as much as possible
7) review work of other committees to determine potential liability & recommend prevention
or corrective action
, 8) evaluate results of risk management program
9) ID needs for pt/family & personal education & implement appropriate education program
10) Provide periodic reports to admin, med staff, & board of directors
5 main categories of risk dealt with in RM - ANS1) medication incident
2) diagnostic incident
3) medical-legal incident
4) pt/family dissatisfaction with care incidents
5) falls
Medication Incident - ANSreportable incident occurring when a drug is administered that
does not follow the rights of med admin
Diagnostic Incident - ANSany incident occurring before, during, or after a procedure
Medical-Legal Incident - ANSoccurs when pt/family refuse treatment as ordered &
prescribed or refuses to sign consent forms
Pt/Family Dissatisfaction w/Care Incident - ANSpt or family indicates general dissatisfaction
w/care & situation cannot be or has not been resolved
Who is a RM? - ANSevery nurse
10 ways RNs are critical to the success of RM - ANS1) reporting problems quickly
2) ID potential problem areas & helping create solns
3) reviewing clinical P&P w/management
4) reporting near misses
5) making sure each team member knows their role & is properly trained
6) removing faulty equipment
7) clear & concise documentation
8) good communication & using ISBARR
9) adhering to state & federal statutes
10) following chain of command
Who would a RN report a near miss, adverse event, or sentinel event to? - ANSRisk
Manager (follow agency P&P)
How should a RN properly handle an unfortunate incident? - ANSacknowledge it & express
concern w/out taking blame, blaming others or reacting defensively
Within the context of the nursing practice, what is the RN always accountable for? -
ANSoutcomes of actions in carrying out nursing duties
True or False: the nurse is assumes responsibility for pt harm or injury that is a result of RN's
negligent acts - ANStrue
True or False: a nurse can be relieved of personal liability by another professional -
ANSFalse
