Evaluation Of Beaumont Hospital 's Risk Management

Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency

Patient safety and risk management should be intertwined in the organization. Patient safety is where the patient does not experience unnecessary harm or pain or other suffering during their treatment (Youngberg, 2011). Minimizing risk is to decrease unnecessary losses or improve or implement process that will decrease adverse event (Youngberg, 2011). The Samantha Jones adverse event is a perfect example to enhance patient safety through improved process or project. To understand the event a root analysis needs to be done and action items are created from this analysis.

Patient safety is of major concern in healthcare settings due to the preventable nature of events that sometimes lead to serious injury, and even death, for patients. This was catapulted to the forefront of healthcare delivery in 1999 when the Institute of Medicine wrote a scathing report; To Err is Human: Building a Safer Health System, that highlighted "the lack of safety for patients in healthcare organizations" (Ulrich and Kear 2014). The National Patient Safety

S., & Kavaler, F. (2014). Risk management in healthcare institutions: Limiting liability and enhancing care. Burlington, MA: Jones & Bartlett Learning.p. 138, 143

“Organizations with a positive safety culture are characterized by communications founded on mutual trust, by shared perceptions of the importance of safety and by confidence in the efficacy of preventive measures” (Stavrianopoulos, 2012, pg, 202). Communication and teamwork go hand and hand. An effective teamwork involves effective communication. No communication can lead to possible medical errors, whether the failure to communicate comes from the patient to the nurse or between the health care providers. Evidence based care is another factor which aids in safety. “Healthcare organizations that demonstrate evidence-based best practices, including standardized processes, protocols, checklists, and guidelines, are considered to exhibit a culture of safety” (Stavrianopoulos, 2012, pg, 203). Providing better safety means learning from the past mistakes. By understanding the root of the issue, which would then lead to learning how to improve the situation. Educational training about safety should be available for medical staff to attend and learn if there was to be any doubt in he or she’s mind. Patient centered care is another factor in providing safety. It focuses on the patient and their family. Helping patient’s and family be more active in the care of the health plan can lead to safer and better

A process was designed by Ascension Health to eliminate preventable injuries and deaths within five years by the identification of causes to patient harm. They worked to define best practices and use them to improve these areas of patient safety by creating a structure for continuous improvement. A Clinical Excellence Team was put together to help guide the pursuits of the goal. Prototype strategies were put together at eight volunteer or alpha sites. These sites were chosen based on past performance for leading quality improvement. No mention was made regarding financial resources except that organizational members recognize the business case supporting the changes (“Case Study,” 2006).

In general, there is a need for patient safety improvements. However, the good new is, that there have been some slow improvements, including a better foundation to address patient safety. A good example is the annual Agency for Healthcare Research and Quality (AHRQ) survey designed to help healthcare organizations compare their safety record to other health care organizations. Over 600 hospitals participate each year in the volunteer survey. The results of the survey provide a baseline to track and evaluate patient safety interventions (Para. 15).

The Joint Commission has set forth standards for health care organizations to reduce the number of risks and amend the quality of care and the safety of the patient. Risk management and quality management focus on these attributes of the organization and the patient. Risks are impossible to avoid since it linked to everyday living and the workforce. Risk management must take the initiative to distinguish and oversee these risks. Due to the lack of consistency in the quality of care, health care organizations aim to reduce the negative outcomes of the patient safety through quality management methods. Internal and external factors may pose a risk that can have an impact on the organization and the consequence of the patient care and safety.

The main objective of Beaumont Hospital is to provide high quality, efficient, accessible services, in a caring environment for Southeastern Michigan residents. Beaumont Hospital believes that patient safety is just as important as medical progression. Constant improvements are made to ensure the patients have the safest hospital experience, which includes a Utilization Management Program. The utilization program facilitates cost effective, quality, and medically appropriate services across a variety of care that incorporates a range of services. Services include preauthorization, concurrent review, transitional care, discharge planning, and retrospective review. The Beaumont Utilization Management staff are available Monday through Friday from 8:00am – 5:00pm. Patients can telephone via a toll free number or fax requests. Patients can also use web-based application to request preauthorization. The coordination of the utilization management program is directed by the Medical Directors and the Vice President of Health Care Services. Registered Nurses (RN) and Licensed Practical Nurses (LPN) oversee the daily tasks. The RN coordinates work, performs planning, and monitors team functions.

Healthcare risk management ( HRM) began in The late 1970s, when hospitals are facing a malpractice crisis (Kavaler & Alexander, 2014). According to Kavaler and Alexander (2014), it is estimated more than 140,000 Americans die from medical errors and the cost ranges between $17 billion and $29 billion each year in the United States (Kavaler & Alexander, 2014). In this essay, the student will explain a healthcare risk management program, evaluate the program for compliance with the American Society for Healthcare Risk Management (ASHRM), and Examine the administrative process of management the risk program.

The Springfield Community Hospital was established on the belief that medicine can be practice at a higher level with each passing day. The belief is to continue to serve our community by practicing the highest quality of medicine known to the world, today. We will serve our community in sickness and health, regardless of where they come from in their walk of life. The Springfield Community Hospital is a non-profit organization and continues to give charitable donations yearly to multiple organizations. We will continue to create a supportive team environment for patients, employees, and clinical staff. Foster learning and growth through comprehensive academic and educational relationships. Exhibit stewardship and creativity in the management of all available resources.

In today’s health care system, “quality” and “safety” are one in the same when it comes to patient care. As Florence Nightingale described our profession long ago, it takes work and vigilance to ensure we are doing the best we can to care for our patients. (Mitchell, 2008)

Issues related to a lack of patient safety have been going on for a lot of years now. Throughout the first decade of the 21st century, there has been a national emphasis on cultivating patient safety. Patient safety is a global issue, that touches countries at all levels of expansion and is one of the nation's most determined health care tests. According to the Institute of Medicine (1999), they have measured that as many as 48,000 to 88,000 people are dying in U.S. hospitals each year as the result of lapses in patient safety. Estimates of the size of the problem on this are scarce particularly in developing countries; it is likely that millions of patients worldwide could suffer disabling injuries or death every year due to unsafe medical care. Risk and safety have always been uninterruptedly been significant concerns in the hospital industry. Patient safety is a very much important part of our health care system and it really

In the context of risk management, there are several ways that Failure Mode and Effects Analysis can be used to improve processes in health care organizations. According to Stanley Davis and colleagues, documenting and analyzing potential risks proactively is essential for improving patient safety (Davis, et al., n.d.). The article states that Failure Mode and Effects Analysis (FMEA) is used prospectively to identify the possible system failures, and to fix the problems to make the system more robust before an adverse event actually occurs (Davis, et al., n.d.). In a study conducted by G Bonfant and colleagues (2010), FMEA was used for chronic hemodialysis outpatients. The authors recorded phases and activities, listed activity related failure modes and effects, described control measures, assigned severity, occurrence and detection scores for each failure mode and calculated the risk priority numbers (RPNs) by multiplying the 3 scores (Bonfant, et al., 2010). The authors (2010) also analyzed failure mode causes, made recommendations, and planned new control measures. Their results showed that the failure modes with the highest RPN was from communication, and organizing problems (Bonfant, et al., 2010). They (2010) created two tools to fix the communication flow, including dialysis agenda software, and nursing datasheets. In addition, the authors scheduled nephrological examinations, and changed medical and nursing organization, and this resulted in a decrease in RPN value

Risk management is “an organized effort to identify, assess, and reduce, where appropriate, risks to patients, visitors, staff, and organization assets” (Kavaler, F., and Alexander, R. S. 2014). Institutions need to do ensure that their environment is safe. Risk management is one way to address actual and/or potential risks identified in the organization. Risk management process focus on risk identification, risk assessment and risk control/management (Kavaler, F., and Alexander, R. S. 2014). Each organization is unique and the challenges faced by each may differ. In health care settings, the safety and security risks can be categorized under patient safety, infection prevention, fire prevention, and disaster preparedness among others. The