The implementation of Risk management in a health care organisation ensure safe health care,increased patient satisfaction , improved bottom line and brand value.
The implementation of Risk management in a health care organisation ensure safe health care,increased patient satisfaction , improved bottom line and brand value.
Chocking the Barriers to Change in Healthcare System.By.Dr.Mahboob ali khan Phd Healthcare consultant
Change is undeniably hard, whether the subject is weight control for an individual or “wait control” in the emergency department. But even though it is easy to come up with excuses for allowing diets or change initiatives to slide, there are measurable rewards for adopting an approach that allows a person or an institution to set the right targets, achieve those goals and stay on track.
Overcoming Challenges in implementation of Quality Process in Healthcare By D...Healthcare consultant
Research has shown that 95 percent of diets fail over the long term. Oddly enough, various studies show that 60 to 80 percent of major change initiatives also fail. In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to see those pounds sneak back on. And it is just as frustrating for an organization which has implemented a major improvement initiative to have costs, errors or inefficiencies creep in again. This is the short-term-gain, long-term-wane syndrome.
When the Promise of Prehabilitation Meets the Power of Healthcare AnalyticsHealth Catalyst
Patients who undergo surgery frequently follow a rehabilitation program afterwards to promote recovery. However, starting this program before the procedure may help further accelerate recovery time. Prehabilitation is defined as physical or lifestyle preparation that happens before surgery and is designed to help patients regain function in less time.
Asian Hospital & Healthcare Management, the leading magazine in the healthcare industry empowers people providing the latest healthcare related issues, articles. Our latest issue provides the required information helpful to build healthier tomorrow. Check our Digital Magazine: https://goo.gl/4KfGjt
Care Management - Critical Component Of Effective Population HealthHealth Catalyst
In this first webinar, of a two-part series, Dr. Kathleen Clary will share how analytics can be used to answer these questions to ensure delivery of a well-organized and effective care management program.
Dr. Clary will discuss how analytics can enable:
Data integration from multiple EMRs and data sources
Patient stratification and intake
Care coordination
Patient engagement
Performance measurement
We look forward to you joining us!
Turning your organization into a high reliability organization just makes sense. Implementing predictable behaviors and reliable processes create a culture that strives to achieve error-free performance and safety in every procedure, every time. This increases safety and satisfaction for both patients and staff while reducing costs and improving clinical results.
Join HRO expert Tony Gorski and learn steps that you can take to turn your organization into the efficient and safe environment you know it can be.
The Healthcare Outcomes Improvement Engine: The Best Way to Ensure Sustainabl...Health Catalyst
How do healthcare organizations create a systemwide focus on outcomes improvement? They build a healthcare outcomes improvement engine—a mechanism designed to drive successful and sustainable change.
Creating this outcomes improvement engine requires four critical components:
Engaging executives around outcomes improvement.
Prioritizing opportunities most likely to succeed.
Adequately staffing initiatives.
Communicating success early and often.
Once up and running, multidisciplinary engagement and standardized improvement processes fuel the outcomes improvement engine in its mission to produce sustainable, scalable improvement.
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Removing Barriers to Clinician Engagement: Partnerships in Improvement WorkHealth Catalyst
With clinicians driving many of the decisions that affect health system quality and cost, they’re an essential part of successful improvement efforts. Clinicians are, however, notoriously overburdened in today’s healthcare setting, and getting their buy-in for additional projects is often a big challenge. To successfully partner with these professionals in improvement work, health systems must develop engagement strategies that prioritize clinician needs and concerns and leverage data that’s meaningful to clinicians.
Improvement leaders can approach clinician engagement on three levels:
Clinician-led local programs.
Department- or division-level programs.
Leadership-level growth and improvement programs.
Chocking the Barriers to Change in Healthcare System.By.Dr.Mahboob ali khan Phd Healthcare consultant
Change is undeniably hard, whether the subject is weight control for an individual or “wait control” in the emergency department. But even though it is easy to come up with excuses for allowing diets or change initiatives to slide, there are measurable rewards for adopting an approach that allows a person or an institution to set the right targets, achieve those goals and stay on track.
Overcoming Challenges in implementation of Quality Process in Healthcare By D...Healthcare consultant
Research has shown that 95 percent of diets fail over the long term. Oddly enough, various studies show that 60 to 80 percent of major change initiatives also fail. In both cases, it is certainly not for lack of good intentions. For a person who has been on a successful diet, it is frustrating to see those pounds sneak back on. And it is just as frustrating for an organization which has implemented a major improvement initiative to have costs, errors or inefficiencies creep in again. This is the short-term-gain, long-term-wane syndrome.
When the Promise of Prehabilitation Meets the Power of Healthcare AnalyticsHealth Catalyst
Patients who undergo surgery frequently follow a rehabilitation program afterwards to promote recovery. However, starting this program before the procedure may help further accelerate recovery time. Prehabilitation is defined as physical or lifestyle preparation that happens before surgery and is designed to help patients regain function in less time.
Asian Hospital & Healthcare Management, the leading magazine in the healthcare industry empowers people providing the latest healthcare related issues, articles. Our latest issue provides the required information helpful to build healthier tomorrow. Check our Digital Magazine: https://goo.gl/4KfGjt
Care Management - Critical Component Of Effective Population HealthHealth Catalyst
In this first webinar, of a two-part series, Dr. Kathleen Clary will share how analytics can be used to answer these questions to ensure delivery of a well-organized and effective care management program.
Dr. Clary will discuss how analytics can enable:
Data integration from multiple EMRs and data sources
Patient stratification and intake
Care coordination
Patient engagement
Performance measurement
We look forward to you joining us!
Turning your organization into a high reliability organization just makes sense. Implementing predictable behaviors and reliable processes create a culture that strives to achieve error-free performance and safety in every procedure, every time. This increases safety and satisfaction for both patients and staff while reducing costs and improving clinical results.
Join HRO expert Tony Gorski and learn steps that you can take to turn your organization into the efficient and safe environment you know it can be.
The Healthcare Outcomes Improvement Engine: The Best Way to Ensure Sustainabl...Health Catalyst
How do healthcare organizations create a systemwide focus on outcomes improvement? They build a healthcare outcomes improvement engine—a mechanism designed to drive successful and sustainable change.
Creating this outcomes improvement engine requires four critical components:
Engaging executives around outcomes improvement.
Prioritizing opportunities most likely to succeed.
Adequately staffing initiatives.
Communicating success early and often.
Once up and running, multidisciplinary engagement and standardized improvement processes fuel the outcomes improvement engine in its mission to produce sustainable, scalable improvement.
How to Use Data to Improve Patient Safety: A Two-Part DiscussionHealth Catalyst
As healthcare organizations continue to experience expenses growing faster than revenues, value based care, and consumer transparency of costs and quality, patient safety will be an important determinant of success. This session will describe the sociotechnical attributes of a safe system, the challenges, the barriers and opportunities, and how to use data and your culture of safety as a powerful tool to drive down adverse events.
Attendees will learn:
Why patient safety and quality are important.
How data can help improve patient safety.
The history of patient safety and where we are today.
What components make up a safety analytics culture.
How the internal safety culture directly impacts patient safety metrics.
To describe basic guidelines for improving a safety culture with analytics.
Removing Barriers to Clinician Engagement: Partnerships in Improvement WorkHealth Catalyst
With clinicians driving many of the decisions that affect health system quality and cost, they’re an essential part of successful improvement efforts. Clinicians are, however, notoriously overburdened in today’s healthcare setting, and getting their buy-in for additional projects is often a big challenge. To successfully partner with these professionals in improvement work, health systems must develop engagement strategies that prioritize clinician needs and concerns and leverage data that’s meaningful to clinicians.
Improvement leaders can approach clinician engagement on three levels:
Clinician-led local programs.
Department- or division-level programs.
Leadership-level growth and improvement programs.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptxanjalatchi
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
Managing the unexpected in
a healthcare organisation is a
challenging and arduous task.
Experience of other
industries like aviation, nuclear
power etc. have proved that
it is possible to achieve this.
10Patient Safety Culture in hospitals.Student’s NameCoBenitoSumpter862
10
Patient Safety Culture in hospitals.
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
September 24, 2021.
Patient Safety Culture in hospitals.
Introduction.
Patient safety is an issue of global public health concern. It refers to preventing patients from harm by implementing a care system that contains errors and learns from medical errors to build a safety culture involving healthcare workers, patients, and healthcare organizations. The safety of patients is critical in care quality. Many patients worldwide have suffered injuries, disabilities, and death due to medical errors or unsafe care. Patient safety culture can be defined as healthcare organizations' values about what is essential and how to operate to protect patients. To achieve a safe culture, organizations and their members must understand the values, norms, and beliefs about essential and attitudes and behaviors related to patient safety (Ali et al., 2018).
To achieve a culture of safety, organizations should emphasize addressing disparities in the quality of care because the current challenges may worsen the efforts to narrow the gap. The key issues in establishing and providing accessible, responsive, and effective health systems are quality and safety. Poor quality and unsafe patient care increase mortality and morbidity rates throughout the world. About 75% of the healthcare delivery gaps are preventable, and approximately 10% of inpatient admission result from preventable patient harm (Amiri et al., 2018).
Patient safety cultures with strong collaboration and leadership drive and prioritize safety (Wu et al., 2019). Strong leadership and commitment from manger are essential because their attitudes and actions influence the wider workforce's behaviors, perceptions, and attitudes. The other important aspects of patient safety culture include; effective communication, mutual trust, shared views on the importance of patient safety, engaging the healthcare workforce, acknowledging mistakes, and having a system that recognizes, responds, and gives feedback on adverse events (Alquwez et al., 2018). Patient safety culture is influenced by burnouts, hospital characteristics, communication, position, work area, commitment to the patient safety program, leadership, and patient safety resources and management.
Thesis statement.
Patient safety culture focuses on safety in health care by emphasizing the prevention, reporting, and investigation of medical errors that may cause patients' adverse effects, thus reducing harm by implementing necessary measures. Several factors are affecting the culture of patient safety in hospitals. This paper highlights patient safety culture and the factors affecting patient safety culture in public hospitals.
Body.
Patient safety culture encompasses shared values and beliefs about healthcare delivery system, training and education of healthcare workers on patient safety culture, commitment from leaders and managers, ope ...
10Patient Safety Culture in hospitals.Student’s NameCoSantosConleyha
10
Patient Safety Culture in hospitals.
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
September 24, 2021.
Patient Safety Culture in hospitals.
Introduction.
Patient safety is an issue of global public health concern. It refers to preventing patients from harm by implementing a care system that contains errors and learns from medical errors to build a safety culture involving healthcare workers, patients, and healthcare organizations. The safety of patients is critical in care quality. Many patients worldwide have suffered injuries, disabilities, and death due to medical errors or unsafe care. Patient safety culture can be defined as healthcare organizations' values about what is essential and how to operate to protect patients. To achieve a safe culture, organizations and their members must understand the values, norms, and beliefs about essential and attitudes and behaviors related to patient safety (Ali et al., 2018).
To achieve a culture of safety, organizations should emphasize addressing disparities in the quality of care because the current challenges may worsen the efforts to narrow the gap. The key issues in establishing and providing accessible, responsive, and effective health systems are quality and safety. Poor quality and unsafe patient care increase mortality and morbidity rates throughout the world. About 75% of the healthcare delivery gaps are preventable, and approximately 10% of inpatient admission result from preventable patient harm (Amiri et al., 2018).
Patient safety cultures with strong collaboration and leadership drive and prioritize safety (Wu et al., 2019). Strong leadership and commitment from manger are essential because their attitudes and actions influence the wider workforce's behaviors, perceptions, and attitudes. The other important aspects of patient safety culture include; effective communication, mutual trust, shared views on the importance of patient safety, engaging the healthcare workforce, acknowledging mistakes, and having a system that recognizes, responds, and gives feedback on adverse events (Alquwez et al., 2018). Patient safety culture is influenced by burnouts, hospital characteristics, communication, position, work area, commitment to the patient safety program, leadership, and patient safety resources and management.
Thesis statement.
Patient safety culture focuses on safety in health care by emphasizing the prevention, reporting, and investigation of medical errors that may cause patients' adverse effects, thus reducing harm by implementing necessary measures. Several factors are affecting the culture of patient safety in hospitals. This paper highlights patient safety culture and the factors affecting patient safety culture in public hospitals.
Body.
Patient safety culture encompasses shared values and beliefs about healthcare delivery system, training and education of healthcare workers on patient safety culture, commitment from leaders and managers, ope ...
Hospital administrator should
ensure that clear, early,
complete and simple financial
communication is provided
both at the admission and
at the discharge occasion to
create patient-friendly financial
services for customer delight.
This effort shall enhance
both the brand value and
bottom line of the healthcare
organisation
Manpower is a
Health care organisation’s greatest asset and the development
of this asset is critical for
continued financial health of
the organisation
Health care organisation should provide top priority to the health hazards resulting from use of malfunctioning equipment in the present era of medical
device driven healthcare.
Clinical Audit is a method of confirming the quality of clinical services and identify the need for improvement. A skill hospital administrator should learn and practice.
Medication error is a most common problem in a health care organisation.Its prevention can improve patient satisfaction,organisation brand value and bottom line.
Suicide in a hospital is known risk factor and recognized as sentinel event by JCI &NABH. Health care provider should know what to do in a post suicdide scenario.
In the present era of Pvt Health care industry in India with rising penetration of health care insurance,the need of Revenue Cycle Management is of paramount importance for organisation bottom line
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
1. The ultimate goal of a successful risk management programme is to improve
patient care and reduce the cost of medical malpractice
BY DR AK KHANDELWAL
Sk management is defined as
the systematic process of
dentifying, evaluating and
addressing potential and ctual
risks. Although in
troduced to the healthcare industry nearly a
decade ago, it status in Indian hospitals remains
uncertain. Healthcare organisations, by their
very nature, are fraught with risks. And in
recent years, huge compensation for medical
negligence along with increased regulatory
requirements have forced healthcare
organisations to expend significant resources to
address risk, and shareholders in turn have
begun to scrutinise whether healthcare
organisations had the right controls in place.
HERE are various risks facing a
healthcare organisation. These risks
can be grouped into the following risk
domains:
Operational: These risks are derived from an
organisation's core business. Examples:
1. Adverse effects/ Sentinel events.
2. Delay in diagnosis.
3. Drug related error.
4. Wrong patient error.
5. Increased billing.
Financial: These risks are related to an organi-
sation's ability to earn, raise, or access capital.
Examples:
1. Pilferage.
2. Reduction in market share.
3. Employee fraud.
4. Bad debts.
5. Changes in interest rates.
6. Being overly reliant on a single customer.
Human: These risks are human resource
management issues.
Examples:
1. High staff turnover.
2. Compensation.
3. Sabotage and strike.
4. Compensation.
5. Rising manpower cost.
Strategic: These are risks related to an organ-
isation's ability to grow and expand through
mergers, joint ventures and the likes.
Examples:
1. Changes in customer demand.
2. New technology or practices.
3. New competitors.
Legal/Regulatory: These are risks associated
with statutory and regulatory compliance.
Examples:
1. Penalties due to legal and regulatory
non-compliances.
2. Personnel indulging in criminal/unethical
conduct.
3. Consumer'compensation claim.
Technological: These are risks associated with
the use of biomedical and information
technology.
Examples.
1. System failure.
2. Security.
o, how to implement risk management?
Every person in an organisa
tion should recognise his or her respon-
sibilities to patient safety and works
to improve the care that they deliver.
No doubt that mistakes and incidents will
happen, and that healthcare is not without its
risks. But evidence shows that if an
organisation is safety conscious and people are
encouraged to speak up about mistakes and
incidents, then patient safety and patient care is
improved. Ajust culture, as defined by James
Reason, is one that supports the discussion of
errors so that lessons can be learned from them.
The recommendation for building a safe
healthcare system from James Reason are:
Principles: Safety should be everybody's
business. The top management should be
proactive towards improving safety-
Healthcare Radius February 201
4 33
R
T
s
~~ -_POLICY
-seeking out error traps, eliminating error
producing factors, brainstorming new
scenarios of failure.
Policies: Management should discourage
finding fault with the person and process
should be identified responsible for deficien-
cy. Top managers should create a reporting
culture. Safety related information should
have direct access to the top management.
Meetings on safety should be attended by
staff from many levels and departments.
Procedures: Organisations should develop
protocols on important activities. Procedures
must be intelligible, workable, and available.
Training in the recognition and recovery of
errors should be provided. Practices:
Organisations should ensure that rapid,
useful, and intelligible feedback on lessons
learnt and actions needed.
And when mishaps occur, the administrator
should acknowledge, apologise and amend.
The administraor should convince patients
and victims that lessons learned will reduce
chance of recurrence.
he commitment of top management for
safe health care delivery is
essential for the Success of risk manage-
ment programme. To show that safety is a
priority and that the management of the
organisation is committed to improvement,
leaders must be visible and active in
leading patient safety improvements.
One needs to ensure that risk manage-
ment is integrated with organisation's regular
activities. It is important to align all
categories of staffs in the process of risk
management. Housekeeping to the head of
institution, all are aware, committed and
enthusiastic to identify, analyse and mange
all potential risks. The Success of risk
management programme is dependant
on reporting culture of organisation. Top
management should make organisation
reporting friendly.
Suggestions to increase reporting are:
• Make it simple to report, and commu-
nicate it widely.
• Ensure timely and valuable feedback.
• Provide training on the process of
reporting.
34 Healthcare Radius February 201
4
• Disseminate safety information through
newsletters, local intranet sites,
presentations, safety focus meetings,
safety briefings, executive walk a-
bouts/drive-abouts etc.
• Highlight Success stories, good practice
and improvement tips.
• Ensure clinical and managerial leader-
ship Support.
• Provide a 'reporting pack' of background
information, key contacts, roles and
responsibilities, example feedback
reports, patient safety definitions, etc.
• Evaluate the process.
The seven steps to patient safety
Step1
0 Build a culture of safety.
Step20 Lead and support your staff.
Step30 Intergrate your risk
management activity.
Step40 Promote reporting.
Step5
0 Involve and communicate with
patient and public.
Step60 Learn and share safety lessons.
Step7
0 Implement solutions to prevent
harm.
iterature reveals that involving and
communicating openly with patients,
their relatives, their care taker and the public
is essential to improving patient safety. The
risk of health problems decreases when
patients take responsibility for their own
lifestyle, safety and health. If a patient is
harmed when things go wrong, they can offer
insight into the reasons for the problem and
inform solutions to prevent the incident
recurring. To enable this to take place, the
health service must be open and receptive to
engaging with patients. Well-informed
decision by patient and their family on
potential risk should be ensured. Knowing
what might go wrong can help patients play
their part in managing and avoiding risks.
he approach known as 'Speak Up'
was developed by the US Joint
Commission on Accreditation of Health
Organisations.
S peak up if you have any questions or
concerns and if you don't understand.
P ay attention to the care you are receiving and
make sure you are receiving the right
treatment and medication.
Educate yourself about your diagnosis and
treatment.
A sk a trusted family member or friend to be
your advocate.
K now what medicines you are taking and why.
Understand more about your hospital.
Participate in all decisions around your
treatment.
It is essential that healthcare organisations
look at the underlying causes of patient
safety incidents and learn how to prevent
them from happening again. It is
recommended in literature that adopting the
following procedures can help ensure
lessons learned and effect a change in cul-
ture and practice.
Stage 1: Understand the problem and identify
the changes that need to be made.
Stage 2: Identify potential solutions.
Stage 3: Risk assess solutions.
Stage 4: Pilot and learn.
Stage 5: Implement.
The development of hospital risk man-
agement prevention programmes will lead to
improved patient care and reduce the number
and cost of future medical malpractice
actions. An effective risk management
programme must gear itself toward
improving patient care through identifYing
and reducing hospital risks. This, in turn, will
tend to reduce mortality and morbidity. And,
in time, it will reduce the number of claims
filed against the hospital, as well as decrease
the liability in each case. The ultimate goal of
a successful risk management programme is
to both improve patient care and to reduce
the cost of medical malpractice for the
institution. CIlI
Dr AK. Khandelwal
is medical director,
AnandaLoke Hospital &:
Neurosdeneces Centre,
Siliguri,
T
L
T