SlideShare a Scribd company logo
 
Risk Management
What is Risk? Definition of Risk There are many definitions of  risk  that vary by specific application and situational context. Risk is described both qualitatively and quantitatively.
What is Risk? Definition of Risk “ risk  is considered as an indicator of  threat , or depends on threats,  vulnerability , impact and  uncertainty .”
What is Risk? Definition of Risk “ Qualitatively ,  risk is proportional to both the expected losses which may be caused by an event and to the probability of this event.  Greater loss  and  greater event likelihood  result in a  greater overall risk .”
What is Risk? Definition of Risk “ Financial risk  is often defined as the unexpected variability or  volatility  of returns and thus includes both potential  worse-than-expected  as well as  better-than-expected  returns.”
What is Risk? Definition of Risk “ In  statistics , risk is often mapped to the  probability  of some event which is seen as  undesirable .”
What is Risk? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition of Risk? “ A POTENTIAL THREAT OR POSSIBILITY THAT AN ACTION OR EVENT WILL ADVERSELY AFFECT THE ABILITY TO ACHIEVE DESIRED OBJECTIVE . DESIRED OBJECTIVE:   NO SURPRISES !!!
Types of Risks? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples of Risks ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Management Risk management  is a structured approach to  managing uncertainty  related to a threat, through a sequence of  human activities including:  risk assessment ,  strategies   development to manage it, and  mitigation of risk  using  managerial resources. The strategies include  transferring the risk  to another  party,  avoiding the risk ,  reducing the negative effect  of  the risk, and  accepting some or all of the consequences  of  a particular risk.
Risk Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Management Is Risk Management Applicable to Healthcare? Answer is  Yes Examples?
Risk Management Operation Room Risk Management Anesthesia 1 Patient Monitoring in the OR: Vigilance, Monitoring, and the Standard of Care 2 Anesthesia Malpractice: An Overview 3 Pre-Use Checklist for Anesthesia Units (Machines and Accessories) 4 Selecting and Using Physiologic Monitors 5 Selecting and Using Multiple Medical Gas Monitors 6 CO2 Monitors 7 Pulse Oximetry 7.1 Pulse Oximetry—More Than Meets the Eye 8 Automated Record Keeping in Anesthesia 9 NIOSH Alert: Controlling Exposures to Nitrous Oxide during Anesthetic Administration 10 Medical Gas and Vacuum Systems
Risk Management Operation Room Risk Management Anesthesia 12 Waste Anesthetic Gas 13 Technology Overview: Anesthesia Units 14 Awareness during Anesthesia Critical Care/PACU 1 Recovery Room Care 2 Do-Not-Resuscitate Orders 3 Termination of Life-Sustaining Treatment 4 Blood Transfusions 4.1 Refusal of Blood Transfusions on Religious Grounds Education/Credentialing 1 The Credentialing Process 2 Proctoring 3 First Assistants in Surgery
Risk Management Operation Room Risk Management 4 OR Nursing Preceptor Programs 5 Physician Credentialing in Gastroenterology 6 Clinical Competence in the Use of Flexible Simoidoscopy for Screening Purposes 7 Clinical Competence in Colonoscopy 8 Clinical Competence in Diagnostic Esophagogastroduodenoscopy 9Clinical Competence in Diagnostic Endoscopic Retrograde Cholangiopancreatography 10 Clinical Competence in Hemodynamic Monitoring 11 Clinical Competence in Adult Echocardiography 12 Clinical Competence in Percutaneous Transluminal Coronary Angioplasty 13 Medical Staff Credentialing
Risk Management Operation Room Risk Management Employment 1 Hiring and Firing 2 Residents 3 Floating Nurses 4 Back Injuries among Hospital Personnel 5 Employee Radiation Exposure 6 Sexual Harassment 7 Physician Substance Abuse 8 Reproductive Hazards 9 Employing Temporary and Agency Staff 10 Fatigue in Healthcare Workers 11Disruptive Practitioner Behavior
Risk Management Operation Room Risk Management Lasers 1 Surgical Lasers: A Technical Overview 2 Laser Use and Safety 3 Preventing and Fighting Laser-Related Airway Fires 4 Laser Smoke Evacuators 5 Gas Embolism during Intrauterine Laser Surgery Medical Records 1 Medical Abbreviations 2 Perioperative Documentation 3 Unauthorized Changes of Medical Records 4 Guidelines for Obstetrical Documentation 5 Retaining Electronic Monitoring Records 6 Safeguarding Electronic Medical Records
Risk Management Operation Room Risk Management Environmental Management 1 Environmental Acronyms and Abbreviations 2 Medical Waste 3 Waste Minimization 4 Personnel Exposure to Ethylene Oxide 5 Personnel Exposure to Formaldehyde 6 Noise in the OR Equipment 1 Critical Alarms 2 Defi brillator Failures 3 Antishock Trousers 4 High-Risk Equipment Problems 5 Product Briefi ng: Operating Tables 6 Cell Phones and Walkie-Talkies 7 Surgical Smoke Evacuation Systems
Risk Management Operation Room Risk Management Infection Control 1 Aseptic Technique in the Operating Room 2 Preventing Nosocomial Infections 3 Sharps Disposal Units 4 AIDS Liability 5 Hand Hygiene Safety 1 Surgical Fires 2 Surgical Fire Safety Training Program 3 Disaster Planning 4 Physical Restraints 5 Ergonomics 6 Public Address System Emergency Codes 8 Violence in Healthcare Facilities
Risk Management Operation Room Risk Management Surgery 1 Counts 2 Locating “Lost” Neurosurgical Sponges 3 Patient Positioning 4 Intraoperative Autologous Blood Transfusion 6 Surgical Drapes 7 Hypothermia Blankets 8 Electrosurgery 9 Burns during Cataract Surgery 10 Implants and Explants 11 Laparoscopic Electrosurgery Risks 12 Wrong-Site, Wrong-Procedure, and Wrong-Person Surgery 13 Bariatric Surgery
Risk Management Operation Room Risk Management Technology Management 1 Managing Equipment Service 2 Borrowing and Lending Equipment: Strategies for Reducing Liability 3 Alternate Parts and Supplies 4 Mismatched Parts and Accessories 5 Reusing Disposable Products Device Alerts Medical Device Tracking
Risk Management Is Risk Management Only About Safety? Is Risk Management Only Responsibility of Top  Management? Answer :  NO Answer :  NO
Risk Management WHEN IT COMES TO RISK MANAGEMENT,  ARE  YOU: A Fatalist  - willing to react to events without any prior  thinking  A Fanatic   -  believing that there are no risks to manage A Pessimist  -  never willing to take any risks because of  a strong fear of failure A Pragmatist  - understanding that there is a balance  between risk and reward and to identify  and manage risks
Risk Management Application of Risk Management Tools and Strategies in Hospital ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Assessment Risk Rating  =  Number  x  Severity  x  Likelihood Score Action to be taken Less than 10 Risk is  acceptable  provided cost or effort to control the risk further is very low. 11 – 20 Risk is  low.   Action is required to reduce the risk, although low priority.  Time, effort and cost should be proportional to the risk. 21 –50 Risk is   medium .  Action required urgently to control.  Interim measures may be necessary in the short term.
Risk Assessment Risk Rating  =  Number  x  Severity  x  Likelihood Score Action to be taken 51 –100 Risk is  high .  Action required urgently control risks.  Interim measures required in the short term.  Significant effort, time etc. may have to be used to control risk. 100 + Risk totally  unacceptable , immediate action required before work activity can continue.
Risk Matrix High Likelihood Control Share Mitigate & Control Accept High Risk Medium Risk Medium Risk Low Risk Low High S e V E R I T Y
Patient Service Risk Assessment High Likelihood ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],High Risk Medium Risk Medium Risk Low Risk Low High S e V E R I T Y
Impact vs. Probability Risk Assessment
Risk Assessment Job / Facility Risk Analysis Form
Risk Assessment Job / Facility Risk Analysis Form
Risk Assessment Job / Facility Risk Analysis Form
Thanks
Risk Management By:  Nadeem Baig HSE OFFICER ZAYED MILITARY HOSPITAL ABU DHABI – U.A.E. If you have any queries, please contact  Email:  [email_address] LinkedIn:  http://ae.linkedin.com/pub/nadeem-baig/14/68a/515

More Related Content

What's hot

Risk management in healthcare
Risk management in healthcareRisk management in healthcare
Risk management in healthcare
Mujeeb Kandy, MASc, MS, CPHQ, RHIA.
 
Patient safety and Risk Management in hospitals
Patient safety and Risk Management  in hospitalsPatient safety and Risk Management  in hospitals
Patient safety and Risk Management in hospitals
Avanti Kulkarni
 
Patient safety
Patient safetyPatient safety
Patient safety
MEEQAT HOSPITAL
 
Patient Safety Presentation
Patient Safety PresentationPatient Safety Presentation
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETYPPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
soumyareena
 
RISK MANAGEMENT.pptx
RISK MANAGEMENT.pptxRISK MANAGEMENT.pptx
RISK MANAGEMENT.pptx
ssuser107f14
 
Healthcare Quality: Basic concepts
Healthcare Quality: Basic concepts Healthcare Quality: Basic concepts
Healthcare Quality: Basic concepts
Yasser Sami Abdel Dayem Amer
 
Patient safety- To err is human, building safer health system -IPSG
Patient safety- To err is human, building safer health system -IPSGPatient safety- To err is human, building safer health system -IPSG
Patient safety- To err is human, building safer health system -IPSG
Lallu Joseph
 
Hospital security services
Hospital security servicesHospital security services
Hospital security services
Nc Das
 
Patient safety
Patient safetyPatient safety
Patient safety
Mohamed Mosaad Hasan
 
Facility Management System
Facility  Management System Facility  Management System
Facility Management System
Joven Botin Bilbao
 
Patient safety
Patient safetyPatient safety
Patient safety
rashmideshpande29
 
Introduction to patient safety department
Introduction to patient safety departmentIntroduction to patient safety department
Introduction to patient safety department
Shailendra Veerarajapura
 
Clinical Risk Management
Clinical Risk ManagementClinical Risk Management
Clinical Risk Management
limgengyan
 
Healthcare Quality Concepts
Healthcare Quality ConceptsHealthcare Quality Concepts
Healthcare Quality Concepts
alberpaules
 
Patient safety
Patient safety Patient safety
Patient safety
Mathew Varghese V
 
Patient safety
Patient safetyPatient safety
Patient safety
DrPreetiSaini2
 
Patient safety
Patient safetyPatient safety
Patient safety
Anupshrestha27
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safety
Renelda Tugade
 
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, IndonesiaRisk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
Reynaldo Joson
 

What's hot (20)

Risk management in healthcare
Risk management in healthcareRisk management in healthcare
Risk management in healthcare
 
Patient safety and Risk Management in hospitals
Patient safety and Risk Management  in hospitalsPatient safety and Risk Management  in hospitals
Patient safety and Risk Management in hospitals
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Patient Safety Presentation
Patient Safety PresentationPatient Safety Presentation
Patient Safety Presentation
 
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETYPPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
PPT ON QUALITY IMPROVEMENT& PATIENT SAFETY
 
RISK MANAGEMENT.pptx
RISK MANAGEMENT.pptxRISK MANAGEMENT.pptx
RISK MANAGEMENT.pptx
 
Healthcare Quality: Basic concepts
Healthcare Quality: Basic concepts Healthcare Quality: Basic concepts
Healthcare Quality: Basic concepts
 
Patient safety- To err is human, building safer health system -IPSG
Patient safety- To err is human, building safer health system -IPSGPatient safety- To err is human, building safer health system -IPSG
Patient safety- To err is human, building safer health system -IPSG
 
Hospital security services
Hospital security servicesHospital security services
Hospital security services
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Facility Management System
Facility  Management System Facility  Management System
Facility Management System
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Introduction to patient safety department
Introduction to patient safety departmentIntroduction to patient safety department
Introduction to patient safety department
 
Clinical Risk Management
Clinical Risk ManagementClinical Risk Management
Clinical Risk Management
 
Healthcare Quality Concepts
Healthcare Quality ConceptsHealthcare Quality Concepts
Healthcare Quality Concepts
 
Patient safety
Patient safety Patient safety
Patient safety
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Patient safety
Patient safetyPatient safety
Patient safety
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safety
 
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, IndonesiaRisk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
Risk Management in Hospitals - ROJoson - 2018 - Surabaya, Indonesia
 

Viewers also liked

Introduction to Risk Management
Introduction to Risk ManagementIntroduction to Risk Management
Introduction to Risk Management
FAA Safety Team Central Florida
 
Risk types
Risk  typesRisk  types
Risk types
sai precious
 
The Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk ManagementThe Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk Management
Lisa Shannon, RN, BSN, JD.
 
Financial Risk Mangment (FRM)
Financial Risk Mangment (FRM)Financial Risk Mangment (FRM)
Financial Risk Mangment (FRM)
Takshila Learning Pvt. Ltd.
 
Credit Risk FRM Part II
Credit Risk FRM Part IICredit Risk FRM Part II
Credit Risk FRM Part II
13 Llama Interactive
 
Financial risk management
Financial risk managementFinancial risk management
Financial risk management
Nam Ngo
 
Financial risk management
Financial risk managementFinancial risk management
Financial risk management
GAURAV SHARMA
 
Risk & Risk Management
Risk & Risk ManagementRisk & Risk Management
Risk & Risk Management
ansula
 
Implementing Enterprise Risk Management with ISO 31000:2009
Implementing Enterprise Risk Management with ISO 31000:2009Implementing Enterprise Risk Management with ISO 31000:2009
Implementing Enterprise Risk Management with ISO 31000:2009
Goutama Bachtiar
 
Financial risk management ppt @ mba finance
Financial risk management  ppt @ mba financeFinancial risk management  ppt @ mba finance
Financial risk management ppt @ mba finance
Babasab Patil
 
Types of-risk
Types of-riskTypes of-risk
Types of-risk
Dr. Ravneet Kaur
 
Understanding Risk Stratification, Comorbidities, and the Future of Healthcare
Understanding Risk Stratification, Comorbidities, and the Future of HealthcareUnderstanding Risk Stratification, Comorbidities, and the Future of Healthcare
Understanding Risk Stratification, Comorbidities, and the Future of Healthcare
Health Catalyst
 
Risk management
Risk managementRisk management
Risk management
Abhi Kalyan
 
Risk Management
Risk ManagementRisk Management
Risk Management
cgeorgeo
 

Viewers also liked (14)

Introduction to Risk Management
Introduction to Risk ManagementIntroduction to Risk Management
Introduction to Risk Management
 
Risk types
Risk  typesRisk  types
Risk types
 
The Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk ManagementThe Purpose And Goals Of Risk Management
The Purpose And Goals Of Risk Management
 
Financial Risk Mangment (FRM)
Financial Risk Mangment (FRM)Financial Risk Mangment (FRM)
Financial Risk Mangment (FRM)
 
Credit Risk FRM Part II
Credit Risk FRM Part IICredit Risk FRM Part II
Credit Risk FRM Part II
 
Financial risk management
Financial risk managementFinancial risk management
Financial risk management
 
Financial risk management
Financial risk managementFinancial risk management
Financial risk management
 
Risk & Risk Management
Risk & Risk ManagementRisk & Risk Management
Risk & Risk Management
 
Implementing Enterprise Risk Management with ISO 31000:2009
Implementing Enterprise Risk Management with ISO 31000:2009Implementing Enterprise Risk Management with ISO 31000:2009
Implementing Enterprise Risk Management with ISO 31000:2009
 
Financial risk management ppt @ mba finance
Financial risk management  ppt @ mba financeFinancial risk management  ppt @ mba finance
Financial risk management ppt @ mba finance
 
Types of-risk
Types of-riskTypes of-risk
Types of-risk
 
Understanding Risk Stratification, Comorbidities, and the Future of Healthcare
Understanding Risk Stratification, Comorbidities, and the Future of HealthcareUnderstanding Risk Stratification, Comorbidities, and the Future of Healthcare
Understanding Risk Stratification, Comorbidities, and the Future of Healthcare
 
Risk management
Risk managementRisk management
Risk management
 
Risk Management
Risk ManagementRisk Management
Risk Management
 

Similar to Risk management in Healthcare

Quality risk management by talha usmani
Quality risk management by talha usmaniQuality risk management by talha usmani
Quality risk management by talha usmani
mtalhausmani
 
Clinical risk management
Clinical risk managementClinical risk management
Clinical risk management
limgengyan
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
prasannroy1
 
Management Of Health And Safety NHS Royal Bath
Management Of Health And Safety NHS Royal BathManagement Of Health And Safety NHS Royal Bath
Management Of Health And Safety NHS Royal Bath
Lawson Odere
 
HIRA.pptx
HIRA.pptxHIRA.pptx
HIRA.pptx
daneshrango
 
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Canadian Patient Safety Institute
 
hirach at hospital.pptx
hirach at hospital.pptxhirach at hospital.pptx
hirach at hospital.pptx
AlfiannisaLuthfi
 
Risk Management
Risk ManagementRisk Management
Risk Management
Krishna Deo Prasad
 
Critical Hazard Management System (CHMS)
Critical Hazard Management System (CHMS)Critical Hazard Management System (CHMS)
Critical Hazard Management System (CHMS)
AnkitVasoya5
 
HIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
HIGH-Risk-Sport-and-Society-Health-and-safety-session.pptHIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
HIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
DEPEDTVRodolfoELayca
 
Quality risk management q9 & haccp
Quality risk management q9 & haccpQuality risk management q9 & haccp
Quality risk management q9 & haccp
Dineshgowd2
 
Top 5 tips for managing risks in your clinical studies - Pepgra
Top 5 tips for managing risks in your clinical studies - PepgraTop 5 tips for managing risks in your clinical studies - Pepgra
Top 5 tips for managing risks in your clinical studies - Pepgra
PEPGRA Healthcare
 
INTRODUCTION to risk_assessment.ppt
INTRODUCTION to risk_assessment.pptINTRODUCTION to risk_assessment.ppt
INTRODUCTION to risk_assessment.ppt
chandrasekars29
 
OHS
OHSOHS
OHS
bips007
 
Risk assessment and management
Risk assessment and managementRisk assessment and management
Risk assessment and management
YAWAR HASSAN
 
Risk assessment and management
Risk assessment and managementRisk assessment and management
Risk assessment and management
YAWAR HASSAN KHAN
 
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
Benghie Hyacinthe
 
Risk management
Risk managementRisk management
Risk management
AbbasFadhil12
 
CHAPTER -1 INTRODUCTION to risk_assessment.ppt
CHAPTER -1 INTRODUCTION to risk_assessment.pptCHAPTER -1 INTRODUCTION to risk_assessment.ppt
CHAPTER -1 INTRODUCTION to risk_assessment.ppt
chandrasekars29
 
patient safety and staff Management system ppt.pptx
patient safety and staff Management system ppt.pptxpatient safety and staff Management system ppt.pptx
patient safety and staff Management system ppt.pptx
anjalatchi
 

Similar to Risk management in Healthcare (20)

Quality risk management by talha usmani
Quality risk management by talha usmaniQuality risk management by talha usmani
Quality risk management by talha usmani
 
Clinical risk management
Clinical risk managementClinical risk management
Clinical risk management
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
 
Management Of Health And Safety NHS Royal Bath
Management Of Health And Safety NHS Royal BathManagement Of Health And Safety NHS Royal Bath
Management Of Health And Safety NHS Royal Bath
 
HIRA.pptx
HIRA.pptxHIRA.pptx
HIRA.pptx
 
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
Introduction of the Measuring and Monitoring of Safety (Vincent) Framework to...
 
hirach at hospital.pptx
hirach at hospital.pptxhirach at hospital.pptx
hirach at hospital.pptx
 
Risk Management
Risk ManagementRisk Management
Risk Management
 
Critical Hazard Management System (CHMS)
Critical Hazard Management System (CHMS)Critical Hazard Management System (CHMS)
Critical Hazard Management System (CHMS)
 
HIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
HIGH-Risk-Sport-and-Society-Health-and-safety-session.pptHIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
HIGH-Risk-Sport-and-Society-Health-and-safety-session.ppt
 
Quality risk management q9 & haccp
Quality risk management q9 & haccpQuality risk management q9 & haccp
Quality risk management q9 & haccp
 
Top 5 tips for managing risks in your clinical studies - Pepgra
Top 5 tips for managing risks in your clinical studies - PepgraTop 5 tips for managing risks in your clinical studies - Pepgra
Top 5 tips for managing risks in your clinical studies - Pepgra
 
INTRODUCTION to risk_assessment.ppt
INTRODUCTION to risk_assessment.pptINTRODUCTION to risk_assessment.ppt
INTRODUCTION to risk_assessment.ppt
 
OHS
OHSOHS
OHS
 
Risk assessment and management
Risk assessment and managementRisk assessment and management
Risk assessment and management
 
Risk assessment and management
Risk assessment and managementRisk assessment and management
Risk assessment and management
 
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
STH 2017_Day 3_Track 1_Session 1_Caralis_Preventing Medical Errors Compatibil...
 
Risk management
Risk managementRisk management
Risk management
 
CHAPTER -1 INTRODUCTION to risk_assessment.ppt
CHAPTER -1 INTRODUCTION to risk_assessment.pptCHAPTER -1 INTRODUCTION to risk_assessment.ppt
CHAPTER -1 INTRODUCTION to risk_assessment.ppt
 
patient safety and staff Management system ppt.pptx
patient safety and staff Management system ppt.pptxpatient safety and staff Management system ppt.pptx
patient safety and staff Management system ppt.pptx
 

Recently uploaded

The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
heathfieldcps1
 
South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)
Academy of Science of South Africa
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
mulvey2
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
David Douglas School District
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
National Information Standards Organization (NISO)
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
Priyankaranawat4
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
Nicholas Montgomery
 
DRUGS AND ITS classification slide share
DRUGS AND ITS classification slide shareDRUGS AND ITS classification slide share
DRUGS AND ITS classification slide share
taiba qazi
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
Celine George
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
Colégio Santa Teresinha
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
AyyanKhan40
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
ak6969907
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Excellence Foundation for South Sudan
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
Celine George
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
Scholarhat
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
RitikBhardwaj56
 
PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.
Dr. Shivangi Singh Parihar
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
TechSoup
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 

Recently uploaded (20)

The basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptxThe basics of sentences session 6pptx.pptx
The basics of sentences session 6pptx.pptx
 
South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)South African Journal of Science: Writing with integrity workshop (2024)
South African Journal of Science: Writing with integrity workshop (2024)
 
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptxC1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
C1 Rubenstein AP HuG xxxxxxxxxxxxxx.pptx
 
Pride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School DistrictPride Month Slides 2024 David Douglas School District
Pride Month Slides 2024 David Douglas School District
 
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
Pollock and Snow "DEIA in the Scholarly Landscape, Session One: Setting Expec...
 
Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
 
DRUGS AND ITS classification slide share
DRUGS AND ITS classification slide shareDRUGS AND ITS classification slide share
DRUGS AND ITS classification slide share
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
 
Your Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective UpskillingYour Skill Boost Masterclass: Strategies for Effective Upskilling
Your Skill Boost Masterclass: Strategies for Effective Upskilling
 
How to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP ModuleHow to Add Chatter in the odoo 17 ERP Module
How to Add Chatter in the odoo 17 ERP Module
 
Azure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHatAzure Interview Questions and Answers PDF By ScholarHat
Azure Interview Questions and Answers PDF By ScholarHat
 
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...The simplified electron and muon model, Oscillating Spacetime: The Foundation...
The simplified electron and muon model, Oscillating Spacetime: The Foundation...
 
PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.PCOS corelations and management through Ayurveda.
PCOS corelations and management through Ayurveda.
 
Walmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdfWalmart Business+ and Spark Good for Nonprofits.pdf
Walmart Business+ and Spark Good for Nonprofits.pdf
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 

Risk management in Healthcare

  • 1.  
  • 3. What is Risk? Definition of Risk There are many definitions of risk that vary by specific application and situational context. Risk is described both qualitatively and quantitatively.
  • 4. What is Risk? Definition of Risk “ risk is considered as an indicator of threat , or depends on threats, vulnerability , impact and uncertainty .”
  • 5. What is Risk? Definition of Risk “ Qualitatively , risk is proportional to both the expected losses which may be caused by an event and to the probability of this event. Greater loss and greater event likelihood result in a greater overall risk .”
  • 6. What is Risk? Definition of Risk “ Financial risk is often defined as the unexpected variability or volatility of returns and thus includes both potential worse-than-expected as well as better-than-expected returns.”
  • 7. What is Risk? Definition of Risk “ In statistics , risk is often mapped to the probability of some event which is seen as undesirable .”
  • 8.
  • 9. Definition of Risk? “ A POTENTIAL THREAT OR POSSIBILITY THAT AN ACTION OR EVENT WILL ADVERSELY AFFECT THE ABILITY TO ACHIEVE DESIRED OBJECTIVE . DESIRED OBJECTIVE: NO SURPRISES !!!
  • 10.
  • 11.
  • 12. Risk Management Risk management is a structured approach to managing uncertainty related to a threat, through a sequence of human activities including: risk assessment , strategies development to manage it, and mitigation of risk using managerial resources. The strategies include transferring the risk to another party, avoiding the risk , reducing the negative effect of the risk, and accepting some or all of the consequences of a particular risk.
  • 13.
  • 14. Risk Management Is Risk Management Applicable to Healthcare? Answer is Yes Examples?
  • 15. Risk Management Operation Room Risk Management Anesthesia 1 Patient Monitoring in the OR: Vigilance, Monitoring, and the Standard of Care 2 Anesthesia Malpractice: An Overview 3 Pre-Use Checklist for Anesthesia Units (Machines and Accessories) 4 Selecting and Using Physiologic Monitors 5 Selecting and Using Multiple Medical Gas Monitors 6 CO2 Monitors 7 Pulse Oximetry 7.1 Pulse Oximetry—More Than Meets the Eye 8 Automated Record Keeping in Anesthesia 9 NIOSH Alert: Controlling Exposures to Nitrous Oxide during Anesthetic Administration 10 Medical Gas and Vacuum Systems
  • 16. Risk Management Operation Room Risk Management Anesthesia 12 Waste Anesthetic Gas 13 Technology Overview: Anesthesia Units 14 Awareness during Anesthesia Critical Care/PACU 1 Recovery Room Care 2 Do-Not-Resuscitate Orders 3 Termination of Life-Sustaining Treatment 4 Blood Transfusions 4.1 Refusal of Blood Transfusions on Religious Grounds Education/Credentialing 1 The Credentialing Process 2 Proctoring 3 First Assistants in Surgery
  • 17. Risk Management Operation Room Risk Management 4 OR Nursing Preceptor Programs 5 Physician Credentialing in Gastroenterology 6 Clinical Competence in the Use of Flexible Simoidoscopy for Screening Purposes 7 Clinical Competence in Colonoscopy 8 Clinical Competence in Diagnostic Esophagogastroduodenoscopy 9Clinical Competence in Diagnostic Endoscopic Retrograde Cholangiopancreatography 10 Clinical Competence in Hemodynamic Monitoring 11 Clinical Competence in Adult Echocardiography 12 Clinical Competence in Percutaneous Transluminal Coronary Angioplasty 13 Medical Staff Credentialing
  • 18. Risk Management Operation Room Risk Management Employment 1 Hiring and Firing 2 Residents 3 Floating Nurses 4 Back Injuries among Hospital Personnel 5 Employee Radiation Exposure 6 Sexual Harassment 7 Physician Substance Abuse 8 Reproductive Hazards 9 Employing Temporary and Agency Staff 10 Fatigue in Healthcare Workers 11Disruptive Practitioner Behavior
  • 19. Risk Management Operation Room Risk Management Lasers 1 Surgical Lasers: A Technical Overview 2 Laser Use and Safety 3 Preventing and Fighting Laser-Related Airway Fires 4 Laser Smoke Evacuators 5 Gas Embolism during Intrauterine Laser Surgery Medical Records 1 Medical Abbreviations 2 Perioperative Documentation 3 Unauthorized Changes of Medical Records 4 Guidelines for Obstetrical Documentation 5 Retaining Electronic Monitoring Records 6 Safeguarding Electronic Medical Records
  • 20. Risk Management Operation Room Risk Management Environmental Management 1 Environmental Acronyms and Abbreviations 2 Medical Waste 3 Waste Minimization 4 Personnel Exposure to Ethylene Oxide 5 Personnel Exposure to Formaldehyde 6 Noise in the OR Equipment 1 Critical Alarms 2 Defi brillator Failures 3 Antishock Trousers 4 High-Risk Equipment Problems 5 Product Briefi ng: Operating Tables 6 Cell Phones and Walkie-Talkies 7 Surgical Smoke Evacuation Systems
  • 21. Risk Management Operation Room Risk Management Infection Control 1 Aseptic Technique in the Operating Room 2 Preventing Nosocomial Infections 3 Sharps Disposal Units 4 AIDS Liability 5 Hand Hygiene Safety 1 Surgical Fires 2 Surgical Fire Safety Training Program 3 Disaster Planning 4 Physical Restraints 5 Ergonomics 6 Public Address System Emergency Codes 8 Violence in Healthcare Facilities
  • 22. Risk Management Operation Room Risk Management Surgery 1 Counts 2 Locating “Lost” Neurosurgical Sponges 3 Patient Positioning 4 Intraoperative Autologous Blood Transfusion 6 Surgical Drapes 7 Hypothermia Blankets 8 Electrosurgery 9 Burns during Cataract Surgery 10 Implants and Explants 11 Laparoscopic Electrosurgery Risks 12 Wrong-Site, Wrong-Procedure, and Wrong-Person Surgery 13 Bariatric Surgery
  • 23. Risk Management Operation Room Risk Management Technology Management 1 Managing Equipment Service 2 Borrowing and Lending Equipment: Strategies for Reducing Liability 3 Alternate Parts and Supplies 4 Mismatched Parts and Accessories 5 Reusing Disposable Products Device Alerts Medical Device Tracking
  • 24. Risk Management Is Risk Management Only About Safety? Is Risk Management Only Responsibility of Top Management? Answer : NO Answer : NO
  • 25. Risk Management WHEN IT COMES TO RISK MANAGEMENT, ARE YOU: A Fatalist - willing to react to events without any prior thinking A Fanatic - believing that there are no risks to manage A Pessimist - never willing to take any risks because of a strong fear of failure A Pragmatist - understanding that there is a balance between risk and reward and to identify and manage risks
  • 26.
  • 27. Risk Assessment Risk Rating = Number x Severity x Likelihood Score Action to be taken Less than 10 Risk is acceptable provided cost or effort to control the risk further is very low. 11 – 20 Risk is low. Action is required to reduce the risk, although low priority. Time, effort and cost should be proportional to the risk. 21 –50 Risk is medium . Action required urgently to control. Interim measures may be necessary in the short term.
  • 28. Risk Assessment Risk Rating = Number x Severity x Likelihood Score Action to be taken 51 –100 Risk is high . Action required urgently control risks. Interim measures required in the short term. Significant effort, time etc. may have to be used to control risk. 100 + Risk totally unacceptable , immediate action required before work activity can continue.
  • 29. Risk Matrix High Likelihood Control Share Mitigate & Control Accept High Risk Medium Risk Medium Risk Low Risk Low High S e V E R I T Y
  • 30.
  • 31. Impact vs. Probability Risk Assessment
  • 32. Risk Assessment Job / Facility Risk Analysis Form
  • 33. Risk Assessment Job / Facility Risk Analysis Form
  • 34. Risk Assessment Job / Facility Risk Analysis Form
  • 36. Risk Management By: Nadeem Baig HSE OFFICER ZAYED MILITARY HOSPITAL ABU DHABI – U.A.E. If you have any queries, please contact Email: [email_address] LinkedIn: http://ae.linkedin.com/pub/nadeem-baig/14/68a/515