Part A: Risk Management Concepts
Complete the table below.
Be clear and concise, use complete sentences, and use your own words. Follow standard grammar rules and provide examples where appropriate to support your answers.
| Risk Management Concepts | Definition | Give an example of how the concept is used within risk management in health care. |
| Conditions of participation | Every health practitioner who works in a healthcare facility is required to follow all health and safety regulations. | Suppose a youngster with HIV is put in the same chamber as another youngster who was injured in a vehicle crash and does not contain Aids. In that case, the medical care provider must safeguard the safety of both youngsters by separating them. |
| Accident (medical) | Accidents (medical) are instances that have resulted in client injury, whether as a result of professional misconduct, medical carelessness, the unforeseen, or the unintentional. | If a healthcare practitioner inadvertently administers the incorrect sort of prescription to a client, the patient suffers injury consequences. |
| Complaint | If a client or customer is dissatisfied with the service they obtained from a healthcare center, they have the freedom to make a complaint. | If a client was upset since a healthcare practitioner seemed to handle them otherwise than every other client based on their nationality, they could file a complaint. |
| EMTALA | The Emergency Medical Treatment and Labor Act (EMTALA) is a governmental statute that mandates everyone who enters an emergency room to be assessed and addressed, irrespective of their coverage condition or capacity to pay. | Suppose a person visits a medical center owing to wounds but does not have the necessary coverage or payments. In that case, the medical center is nevertheless required to assess the client and address the client’s wounds. |
| HIPAA | Health Insurance Portability and Accountability Act (HIPAA) is a federal law designed to give patients the right over their health information by allowing them to set rules and limits on who gets to view/receive their health information. | A patient’s ex-husband calls to obtain personal health information for a patient. He states his ex-wife asked him to call to obtain her results because she is unable to call. The health care employee reviews the patient’s preferred method of communication and disclosure and verified the patient approved the facility to provide personal health information to her ex-husband over the phone. |
| Incident reporting system | They can offer crucial views into how and why clients are injured in organizations (Girard, Pham, & Pronovost, 2013). This is a critical system for preventing patient injury. | This system is utilized in health facilities to aid in the elimination of potential client injury. If a client was severely injured in an event, this system uses the details from that event to assist healthcare workers in avoiding making the same errors in the future. |
| Informed consent | This is an authorization document that a client should agree on before a healthcare practitioner can see them or conduct any form of clinical operation on them. | If a client refuses to grant a healthcare practitioner permission to conduct an operation on them, that healthcare practitioner is not required to execute the surgery. For instance, the healthcare practitioner may proceed if a client provides authorization declaring that they comprehend the surgery. |
| Malpractice | When a healthcare practitioner lacks the necessary accreditation to fulfill a clinical responsibility, this is referred to as medical malpractice. It is also seen as careless, unethical, and unlawful therapy. | Medical malpractice would occur if a healthcare practitioner’s state licensure was revoked, but they continued to undertake medical operations. |
| Legal health record | The documenting of medical services given to a client throughout any aspect of medical provision in any form of medical institution is the legal health record (“Fundamentals of The Legal Health Record and Designated Record Set,” 2018). When clients demand it, this kind of documentation is made available to them. | Suppose a person was involved in a crash and reported the accident to the authorities. In that case, the client must demand their legal medical records to be shown to the authorities for lawful grounds. |
| National patient safety goals | The National Patient Safety Goals (NPSGs) are one of the primary techniques used by The Joint Commission to define guidelines for maintaining client safety in all medical care environments. To promote client safety, NPSGs look for strategies to prevent significant risks to clients. | NPSGs are utilized in risk administration by ensuring that all clinical practitioners address the appropriate client, that prescription drugs are being utilized correctly, that all employees are interacting with one another, and many other things. |
Part B: Factors that Influence Risk Management
Complete the table below.
Be clear and concise, use complete sentences, and use your own words. Follow standard grammar rules and provide examples where appropriate to support your answers.
| Identify 3 to 5 factors that influence risk management in health care. | How does the selected factor influence risk management in health care? |
| Patient safety | Patient safety influences risk management in that risk managers must monitor the safety of the patients by mitigating the potential or actual risks to their safety, such as medication errors, etc. |
| Practitioner related factors | Risk management is influenced by the degree of practitioner proficiency and educational level. Furthermore, ambition, desire, and job contentment all have an impact on risk management in medical care. |
| Provider related factors | Various variables affect risk management in medical care, but patient-related variables, including sorts of diseases, degree of compliance, and a client’s social demographic factors, all have a role in risk management. |
| Environmental factors | In order to minimize the level of risks and sicknesses, medical care institutions must ensure a hygienic and healthy setting both within and outside of the institution. |
| Compliance lapse factors | Medical institutions and practitioners must be completely informed of all applicable rules and guidelines. HIPAA, HITECH, client management, licensing, and so on are examples. Several of these regulations and procedures will overlap with hazards and suggest fundamental measures for mitigating them (Top five risks in healthcare, 2021). |
References
Top five risks in healthcare. (2021). RiskWatch. https://riskwatch.com/2019/06/19/top-five-risks-in-healthcare/
Fundamentals of the legal health record and designated record set. (2018). HIM Body of Knowledge. https://library.ahima.org/doc?oid=104008#.YZ9mMdBBzIV
Julius Cuong Pham, Peter J Pronovost, & Thierry Girard. (2013). What to do with healthcare incident reporting systems. PubMed. DOI: 10.4081/jphr.2013.e27
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