Risk Management Paper
Edgard Delos Santos
492/ NUR Senior Practicum: Leadership and Management
January 26, 2015
Professor Kathy Smith
I interviewed James Alviar RN, the Coordinator of Risk Management at my current place of employment the Queen's Medical Center West Oahu. I asked him if there were any current risk management issues at our facility that we could discuss, but he said all current issues were confidential and he could not divulge any information to me. Instead, James pointed me in the generic direction of hospital falls that is a nationwide risk management issue and also pertains to us at Queens Medical Center. This paper will be discussing risk management's role, what falls are, how falls are addressed, how risk management would remedy the problem, and how the similar situation is discussed at another facility. Queen's Health Systems Risk Management (Risk Management) serves the Queen's Health Systems (QHS) by developing and applying an integrated program for the preservation of QHS's capital assets and resources. The role of the Risk Management Department is to plan, direct, and coordinate the risk management and insurance function of Queen's Medical Center, subject to and consistent with the Queen's Health Services Mission Statement, policy and procedures, guidelines and applicable laws. Risk management is a process with four major components: identification, assessment, mitigation, and monitoring. Risk management addresses many issues that include patient safety, potential medical questions or errors, federal regulations, and legislation impacting healthcare. At Queen's Medical Center, there are two options to file an event report. The employee may submit an event report anonymously or log onto the hospital intranet and utilize the RL's Risk Management software. The software is an easy step by step program for writing a thorough incident report to be submitted to Risk Management. The purpose of the occurrence report is to: Assist in identifying potential liability issues, facilitating appropriate corrective or remedial measures. To develop only information for investigation, evaluation, and a final disposition of the reported incident. The information collected will provide management with a means of analyzing risk and quality levels. Fulfill QHS's internal reporting requirements, regulatory requirements, or insurance carrier's requirements or legal obligation. Once the Risk Management department gets the report, they determine whether the situation should be investigated. If the situation needs to be examined, other departments are called upon to review the case. The other departments are but not exclusive to Falls Prevention and Protection Committee/Patient Safety, Department Managers and their nurses, Risk Managers, Human Resources, and Patient Advocate. Follow-up reports will be completed within three weeks, unless circumstances require a quicker response. I visited a smaller 57-bed hospital located central on the island to serving the residents of Central Oahu and the North Shore. Their incident reports are submitted on a form requiring the following information: How, when (date and time) and where the incident or offense took place The names of any injured persons and witnesses
The nature and location of any injury or damage arising out of the incident or offense If a security report was made, a forwarded copy is required. If an incident report is written up, it would be submitted to the Risk Management where it would be reviewed. An investigation begins with a meeting with the department manager of the unit where the event occurred. If the incident was a fall, the incident is investigated to see if the ultimate cause of the fall was physiological or environmental. If the patient fell for physiological reasons, a plan of care is initiated. If it were an environmental reason like a loose handrail, they would be repaired immediately. Specifically to this...
References: American College of Surgeons National Trauma Data Bank 2013 Annual Report. (2013). Retrieved from https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntdb%20annual%20report%202013.ashx
Hurley, A., Dykes, P., & Carroll, D. (2009). Fall Tip : validation of icons to communicate fall risk status and tailored interventions to prevent patient falls. Studies in health technology and informatics, 146(), 455-459. University of Phoenix Online Library.
Rowe, J. (2013, June). Preventing Patient Falls What are the Factors in Hospital Settings that Help Reduce and Prevent Inpatient Falls?, Home Health Care Management & Practice, 25(3), 98-103. University of Phoenix Online Library
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