RISK MANAGEMENT Essays

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. Therefore, Beaumont Hospital’s risk management program consists of identifying hazard associated risks, controlling risks, and monitoring the effectiveness of procedures/practices. Risk is a part of patient care and services because everything doesn’t always go according to plan. Catastrophic patient injuries often occur because of unanticipated failures. The risk management team is responsible of effective surveillance, analysis, and prevention of events which may injure patients, lead to malpractice claims, or cause loss to the health care system. The risk management staff at Beaumont use the Failure Mode and Effects Analysis (FMEA) as a tool to anticipate what might go wrong with a process or product and how that failure effects the patient. FMEA is designed to dissect a particular process into its individual steps, isolate the potential steps that could cause the problem, assign a specific risk level to each abnormal step, analyze the risk potential for the process, and assign and action plan to correct the problem (Fibuch & Ahmed, 2014). The risk management team also evaluates and modifies potential problems. Beaumont Hospital’s risk management team helps avoid or eliminate risks by identifying an alternate

When it comes to medication errors several things may occur such as adverse drug event, unexpected deterioration, and even death in severe cases. AHRQ (2015) states, “an adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs account for nearly 700,000 emergency department visits 100,000 hospitalizations each year.” There are many ways that errors may occur such as dispensary errors, prescription errors

Patient death or serious disability associated with a medication error, and the use or function of a device in patient care in which the device is used or functions other than as intended (AHRQ, 2009).

Risk management is about reducing the likelihood of errors with the aim of improving and monitoring the quality of health care services. The purpose for risk and quality management is to improve the care of the patients and reduce liability among the staff and the patients. In following risk and quality management protocols

Error of commission basically performing a correct action at the wrong time or vice versa. For example, a worker subtracting figure of the product instead of adding the value.

Each year medical errors cause more than 400,000 American deaths and at least 10-20 times that number experience serious harm. Researchers say that is equivalent to “three 747 airplanes crashing each day.” Medical errors rank as the third-leading cause of death in America. Therefore, patient safety is a national concern.

A medication error refers to an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Preventable adverse drug events result from a medication error that reaches the patient and causes any degree of harm. It is generally estimated that about half of ADEs are preventable. Medication errors that do not cause any harm—either because they are intercepted before reaching the patient, or by luck—are often called potential ADEs. An ameliorable ADE is one in which the patient experienced harm from a medication that, while not completely preventable, could have been mitigated. Finally, a certain percentage of patients will experience ADEs even when medications are prescribed and administered appropriately; these are considered adverse drug reactions or non-preventable ADEs (and are popularly known as side

The safety of the patient is a worldwide issue and is not a single hospitals problem as noted by Aiken et al. (2012). According to Van Den Bos et al. (2011) some of the ways that patients could be harmed includes poor application of technology that is meant to reduce errors in health care. According to Tzeng et al., 2013 patients die unnecessarily year after year due to medical harm that can be prevented. The 2011 report by the FDA Adverse Event Reporting System (FAERS) revealed that over 98,000 of medical harm resulted in death which is about 38% of the fatalities related to medication errors (Classen et al., 2011).This has prompted the organizations and government Agencies such as Agency for Healthcare Research and Quality (AHRQ) to continually

According to Kavaler and Alexander ( 2014), Risk identification involves the gathering of data about present and prior patient care occurrences and

An error is a failure to carry out planned action as intended or application of an incorrect plan (WHO, 2009). In this case study both active and systematic error occurred which adversely affected the health of the patient. This included both systematic and active errors such as, poor patient care, poor documentation, poor patient monitoring and poor follow up. Systematic error is defined as the error that is not the result of an individual section but the predictable outcome of a series of action and factors that comprise a diagnostic or treatment process (Kimberly A. Galt, 2011). As in this case study, due to poor treatment process as the knowledge

According to the Institute of Healthcare Improvement [IHI] (2016a), unsafe acts may be grouped as violations or errors. Violations are actions that intentionally depart from established standards or operating procedures. On the other hand, errors can be related to slips, lapses, or mistakes. Slips and lapses are errors of execution. An observable error, or slip, is when you push the wrong button on a medication-dispensing machine. A lapse occurs when you forget to do something, such as not remembering to administer a medication; they are not observable. Mistakes are related to wrong actions that are failures in decision making or planning; they stem from rules or knowledge. They are not intentional. Mistakes can occur when you have the knowledge but apply it incorrectly. You think your action should be x and it is y - you make a mistake. Mistakes also occur when you do not have the knowledge, such as a new nurse or doctor, and need to make a decision.

the definition and types of medication error. It is a failure in the treatment process that leads to harm the client. There is nine types of errors that a physician, nurse or pharmacists may committed during give the health care. First, prescribing error for example: the caregiver do not read the instruction for using the drug or do not chick the quantity, dose, rote several time. Second, Omission error and that occur when the nurse forget to give the drug that request for the patients. Third, wrong time error for example: the caregiver do not give the drug in the specific time. Forth, unauthorized drug error. Fifth, improper dose error, for example, administrate more or less of pills that ordered to the patients. Sixth, wrong dosage-form error.

Human error is defined by an unintended action by the experimenter that causes a deviation from the data which would have occurred. This can be very detrimental to the project

The National Patient Safety Agency (NPSA 2010), defines a drug error as ‘any preventable event that may cause or lead to inappropriate use of patient harm. Although not all drug errors have lead to patient harm it is important to recognise that if a mistakes has been

Risk management is the term applied to a logical and systematic method of establishing the context, identifying, analyzing, evaluating, treating, monitoring and communicating risks associated with any activity, function or process in a way that will enable organizations to minimize losses and maximize opportunities. (Lecture notes)Risk Management is also described as 'all the things you need to do to make the future sufficiently certain'. (The NZ Society for Risk Management, 2001)