Risk Management – Health Care Law (Nursing)

00:01 Welcome back everyone.

00:03 Risk and uncertainty are inevitable in healthcare organizations.

00:06 Human nature, the provision of intricate and multifaceted care and a highy complex system of healthcare-guaranteed healthcare entities will face adverse circumstances.

00:16 But these occurences can be mitigated through risk management, Risk management in healthcare comprises the clinical and administrative systems, processes and reports employed to detect, monitor, assess, mitigate and prevent risks.

00:32 In thinking about the evolution of risk management, now historicall it's been very reactive.

00:36 It's kinda focused only on the promotion of patient safety and the prevention of legal exposure.

00:41 But currently, it's increasingly proactive, really viewing risk through much broader lands of the entire healthcare ecosystem Enterprise risk management involves 8 risk domains.

00:53 The first one is operational or how the organization functions.

00:57 It also includes the clinical and patient safety domain.

01:01 Strategic domain, Financial, Human capital, Legal and regulatory, Technological, And environmental and infrastructure based hazards.

01:16 Now since risk management involves managing uncertainty and new risk is constantly emerging, it's challenging to recognize all the threats to healthcare entity faces.

01:25 However through the use of data, institutional and industry knowledge, and by engaging everyone including patients, employees, administrators and payers, healthcare risk managers can uncover threats that otherwise would be hard to anticipate.

01:39 Now once identified, it's vital the score, rank and prioritized risk based on their likelihood and impact of occurence and then allocate resources and assigned tasks based on these measures.

01:51 Coined by the joint commission, sentinel events are any unanticipated events in a heathcare setting, resulting in the death or serious physical or psychological injury to a patient or patients not related to the natural course of the patient's illness.

02:06 Now when sentinel event occurs, quick response and thorough investigation address immediate patient safety issues and reduce future risk.

02:15 Now as with the joint commission, federal, state and other oversight bodies mandate reporting of certain types of incidents including sentinel events, medication errors, and medical device malfunctions.

02:27 Incidents such as wrong side or patient's surgery, workplace injuries, medication errors need to be documented, coded and reported.

02:37 And when mistakes or adverse events are avoided due to luck or intervention, near misses and good catches occur.

02:43 These are often the best way to identify and prevent risk.

02:46 Healthcare providers should develop a culture that encourages reporting so that preventive measures and best practices can be instituted.

02:55 Now models for analyzing accidents are used to understand causes as well as relationships among risks.

03:02 For example, understaffing and fatigue often lead to medical errors.

03:06 Applying well-established models improves risk management effectiveness and efficiency.

03:13 Risk management plans need to detail employed training requirements which should include new employee orientation, ongoing and in-service training, annual review and conpetency validation and advanced specific training.

03:28 To promote patient satisfaction and reduce the likelihood of litigation, procedures for documenting and responding to patient and family complaint should be described in the risk management plan.

03:37 Response time, staff response abilities and prescribed actions need to be articulated and communicated.

03:44 Risk management plans should clearly define the purpose and benefits of the healthcare risk management plan.

03:49 Specific goals to reduce liability claims, sentinel events, near misses and the overall cost of the organization's risk should also be well articulated.

03:58 Additionally, reporting on quantifiable and actionable data should be detailed and mandated by the plan.

04:04 While it's critical that the healthcare risk management team promote open and spontaneous dialogue, information about how to communicate about risk and with whom should be provided in the healthcare risk management plan.

04:16 The plan to promote a safe, no-blind culture and should include anonymous reporting capabilities.

04:22 Risk management plans also need to include contingency preparation for adverse system wide failures in catastrophic situations such as a malfunction electronic records system or security breaches or cyber attacks.

04:36 Every healthcare organization must have a quick and easy to use system for documenting, classifying a tracking possible risks and adverse events.

04:44 These systems must include protocols from mandatory reporting.

04:49 Plans for healthcare risks must also include collaborative systems from responding to reported risk and advanced indicating acute response follow up reporting and repeat failure prevention.

05:00 So remember, by employing risk managament, healthcare organizations proactively and systematically safeguard patient's safety.

05:09 So in thinking of what we covered today, I'd like for you to consider this question: What are the 7 steps in an effective risk management plan? They are education and training, Patient and family grievances, Purpose, goals and metrics, Communication plan, Contingency plans, Reporting protocols And response and mitigation.

05:40 I hope you've enjoyed today's video on risk management Thanks so much for watching.