Risk Analysis In Home Care

Patient safety is number one in hospitals. Every staff member that comes into contact with a patient should always have the question, “Will the patient be safe?” in the back of

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

One problem which may arise from incorrect lifting techniques is the development of pressure ulcers. Effective moving and handling has a great role to play in the prevention of pressure ulcers and this is why training is so important (Hall, 2001). Inappropriate moving and handling techniques may result in skin damage. Pressure ulcers can be caused by pressure, friction and shear (NICE, 2003). For example, if a patient is dragged rather than lifted when using a slide sheet, this could cause friction and could potentially lead to skin damage. Consequently this could result in the Patient having to stay in hospital longer which could impact on a Patients psychological state.

2. Working according to the agreed ways means following the organisation’s policy and procedures in relation to pressure areas. It also means following the individual care plans and respecting the instructions in place. For example making sure a resident is turned every two hours, applying Cavilon cream on areas; fill in turning charts, prompt fluid intake. Under the duty of care a care assistant must always be aware of and raise concerns regarding possible pressure areas. Always record information in care plans accurately and in confidentiality.

Pressure ulcers continue to be a prevalent issue in the health care system and causes “pain, slow recovery from morbid conditions, infection and death” (Kwong, Pang, Aboo, & Law, 2009, p. 2609). In the field of nursing turning and repositioning patients is a well-known nursing intervention to prevent development of pressure ulcers. However, many hospitals and facilities still neglect to apply this as a standard policy. This gives room for nurses and nursing aides to overlook the importance of this intervention resulting in increased pressure ulcer development. The purpose of turning and repositioning patients is to prevent oxygen

The CQC guidance about compliance Essential standards of quality and safety covers pressure care in-

| * Coach from a reputable supplier. DCC approved supplier * Coaches have seat belts that staff ensure a re used. * Buses without seatbelts are avoided if possible and never used on high speed roads. * Sufficient supervision * Suitable embarkation points used (for example, coach park, onto wide pavement). * Close supervision and head counts during any breaks in journey and getting on and off coach.

All patients are at risk of pressure injuries. This risk is exacerbated when immobility and limited access to the surgically draped patient are a part of

In my experience as student nurse during clinical placements and as a PCA, I engaged, selected and prioritized patient safety. I can clearly communicate the evidence base (strength and type) for the patient safety practice topic(s) and the conditions or setting to which it applies. I am aware that being engaged in adopting patient safety initiatives when I understand the evidence base of the practice, in contrast to administrators saying, “We must do this because it is an external regulatory requirement.” However busy the my work may be, I clearly know the importance of the evidence-based rationale for doing fall-risk assessment and I understand that fall-risk assessment is an external regulatory agency expectation because the strength of the evidence supports this patient safety practice.

Most patients who end up in intensive care unit are most of the time so unstable that any little movement will put them at risk for further complications which can lead to death. However, finding a way to prevent pressure ulcer in the most critical ills patients in the healthcare system is very crucial.

Within in my own setting one of my roles is to promote individuals’ independence but in the same time we have to protect them from harm and danger. Everybody takes risks in everyday living therefore people living in care homes should be able to that, too. When we look after our residents, we make sure that they are aware of any risks involved, e.g. before they go out. Risk assessment is completed. Risk assessment covers many areas like showering themselves, going out on their own. We do them with our residents to identify what they want, what risks it involves, and how they can be avoided or minimized.

Today in clinical I experienced how to properly position a patient to prevent the risk of further damage, such as pressure ulcers.

Ascension Health is a large nonprofit healthcare system which has realized the system may not deliver the safest possible care to its patients (“Case Study,” 2006). They identified several areas where their processes could be improved including adverse drug events, preventable deaths, falls and fall injuries, perioperative complications, perinatal safety, nosocomial infections, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) core measures and pressure ulcers. Stakeholders in this healthcare system include leadership and staff at 67 acute care facilities around the country.

Pressure injuries are staged to indicate the extent of tissue damage and or the level of improvement.

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