HNN320 Lecture Notes - Lecture 2: Dennis Quaid, Registered Nurse, Therapeutic Relationship
8 Jun 2018
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WEEK TWO: CLINICAL RISK MANAGEMENT
• Define the term clinical risk management, adverse events and near misses;
• Clinical risk management: an approach to improving quality in healthcare which places
special emphasis on identifying certain circumstances which place patients at harm, and
then acting to prevent and control those risks.
• Adverse event: any untoward medical occurrence in a patient or clinical investigation subject
administered a pharmaceutical product and which does not necessarily have a causal
relationship with this treatment.
• Near misses: narrowly avoided adverse events which has the potential to cause drastic
aifiatios o a patiets health ad elleig. ?.
• Identify the structural supports of clinical risk management and explain how their use
facilitates patient safety;
- Processes within healthcare to make difficult to do wrong thing.
- Avoids name, blame, shame.
- Equipment modifications, multidisciplinary handover, do not disturb medication
rounds.
• Risk management process
- Communicate and respond> establish context > ID risks > analyse risks > evaluate
risk >treat risks> monitor and review.
• Explain what makes a situation high risk;
- Human errors: poor communication, poor assessment/doc/team work, drug error,
etc.
- Organisational factors ie culture; complicated or absent policies; lack transfer
knowledge new staff
• Discuss the role of clinical risk management in the delivery of high quality and safe patient
care;
- Offers a structure and process for minimising risks by using clinical risk management
committees, policies, procedures, standard assessment tools (risk Man), reporting,
auditing, surveys. Patient safety, patient centredness, effectiveness, efficiency,
timeliness, equity.
• Achieved thru coord efforts staff to prevent harm
• Identify facilitators and barriers to effective clinical risk management;
find more resources at oneclass.com
find more resources at oneclass.com
- Barriers: time, pt workload, lack training, limit resources, complicated papers, lack
support.
- Facilitators: work place culture, policies, procedures, support, knowledge and
training, available resources.
• Discuss the role of the registered nurse in relation to clinical risk management;
• Create a safety culture, participating communication that is open [disclosure] and
transparent, assist communication flow and processes, recognise human fallibility,
and acting to minimising risk (ID, reporting and learning from errors) and maintain
accountability and responsibility for risks and mistakes.
• Responsibility and accountability: involve auditing, risk reporting, bench marking,
committees. Increasing nurse knowledge, management and empowerment to
prevent harm and take responsibility.
• Identify the role of informatics (data and storage info) in clinical risk management.
- Used to prevent a name, blame and shame culture post mistake and allows for
healthae pofs to lea fo othes istakes. Udestads hua eo
possibilities and works to continuously improve quality and safety.
ERROR AND RISK MANAGEMENT.
• Result of single act; human and organisational factors in complex healthcare environments.
• Systems approach that is an overall strategy to improve healthcare management:
- Processes within healthcare to make difficult to do wrong thing.
- Avoids name, blame, shame.
- Equipment modifications, multidisciplinary handover, do not disturb medication
rounds.
• Clinical risk management: an approach to improving quality in healthcare which places
special emphasis on identifying certain circumstances which place patients at harm, and
then acting to prevent and control those risks.
- Aims to improve safety and reduce costs.
- Prevent, monitor, early id, early management of adverse events, near misses.
- Human errors: poor communication, poor assessment/doc/team work, drug error,
etc.
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Identify the structural supports of clinical risk management and explain how their use facilitates patient safety; Equipment modifications, multidisciplinary handover, do not disturb medication rounds: risk management process. Communicate and respond> establish context > id risks > analyse risks > evaluate risk >treat risks> monitor and review: explain what makes a situation high risk; Organisational factors ie culture; complicated or absent policies; lack transfer knowledge new staff: discuss the role of clinical risk management in the delivery of high quality and safe patient care; Offers a structure and process for minimising risks by using clinical risk management committees, policies, procedures, standard assessment tools (risk man), reporting, auditing, surveys. Patient safety, patient centredness, effectiveness, efficiency, timeliness, equity: achieved thru coord efforts staff to prevent harm. Identify facilitators and barriers to effective clinical risk management; Identify the role of informatics (data and storage info) in clinical risk management.
