1. RISK MANAGEMENT AND PATIENT
SAFETY
Dr. Deborah Vilegi-Peters

2. TWO SEPARATE CONCEPTS
 Risk Management
 Insurance
 Claims management
 Adverse events
 Patient Safety
 IOM’s initial report
 Systematic mindfulness
 Transparency
 Adverse events are learning experiences

3. MAJOR POST IOM CHANGES
 Shifts from post sentinel events to continual
assessment
 Focus on near miss events
 View of risk
 Proactive vs. Punitive, education becomes a key
factor

4. RISK INTELLIGENT ENTERPRISE
 Move beyond the clinical risk
 Enlightened Approach which spans the organization
 Builds bridges between risk “silos”
 Creates open communication and need to share
information

5. WHAT IS THE FUNCTION OF RISK
MANAGEMENT?
 Must meet regulatory requirements
 Assist leaders in understanding risk
 Advising leaders and their staffs on the best
approach for the best outcome to manage the new
emerging risk for the organization
 Provide leadership to maintain the understanding of
the organizations:
 Mission
 Goals
 Vision

6. VALUE PROTECTION
 Value Protection
 Unrewarded risks
 Meeting regulatory requirements is insufficient, we need
more
 Baseline is established by Joint Commission and CMS

7. VALUE CREATION
 Rewarded risks
 New Business Acquisitions
 New models of clinical care to add “value” to
services
 No need to stay in the status quo

8. RESPONSIBILITIES OF RISK MANAGER
 Responsible for determining the potential severity
of the loss from the identified risk, the loss will
happen, and alternatives for dealing with risk.
 Alternatives:
 Retain
 Transfer
 Attempt to Modify

9. PATIENT SAFETY GOALS
 Goals:
 Provide a safe environment for the patient
 Explore and understand there is a possibility of failure
 Create defenses that will change the current system of
operations to key in on reduction of failure

10. RISK MANAGEMENT VERSUS PATIENT SAFETY
 Identify risk management goals, what is it all about?
 Identify patient safety , how is this different from the
risk management goals?

11. THE HIGH –RELIABILITY ORGANIZATION
 Track Small Failures
 Resist oversimplification
 Understand and remain sensitive to the operations
 Maintain capability for resilience

12. MAKING SENSE
 Question:
 In your Text, Principles of Risk Management and
Patient Safety, what are the seven properties of
Sense Making? Lets Discuss…

13. SEVEN PROPERTIES OF MAKING SENSE
 Social context
 Identify
 Retrospect
 Salient Cues
 Ongoing projects
 Plausibility
 Enactment

14. CONCLUSION
 Safety an expectation in the healthcare industry’
 Consumer awareness
 Multi-media
 System addresses safety issues
 Patient safety is the outcome