lect 3 and 4 c Flashcards
Incident Reporting
Why do it?
To inform relevant personnel, outside the immediate
clinical care team, of events of concern to enable …
INCIDENT REPORTING INCLUDES
RISK MANAGEMENT
NOTIFICATION
QUALITY IMPROVEMENT
DATA COLLECTION
Near miss:
an unsafe situation that is
indistinguishable from a preventable adverse
event except for the outcome. A patient is
exposed to a hazardous situation, but does not
experience harm either through luck or early
detection
Sentinel event
A sentinel event is defined in the as an
unintended and unexpected event, related to the
quality of care and having caused death or
serious harm to the patient. All healthcare
organisations are mandated to report sentinel
events to the Healthcare
Risk
“the effect of uncertainty on objectives
effect
expected - positive and/or
negative
Objectives
an have different aspects (such as financial, health
and safety, and environmental goals) and can apply at different
levels (such as strategic, organisation-wide, project, product,
and process level).
Creating a Risk Score
Risk = consequence x likelihood
consequence
outcome of an event
likelihood
probabilty of an event
LIKELIHOOD (Probability Categories)
Frequent (almost certain)
Is expected to occur again either immediately or within a short
period of time (likely to occur most weeks or months)
Probable (likely)
Will probably occur in most circumstances (several times a year)
Occasional (possible)
Probably will recur, might occur at some time (may happen
every 1 to 2 years)
Uncommon (unlikely)
Possibly will recur – could occur at some time in 2 to 5 years
Remote (rare)
Unlikely to recur – may occur only in exceptional circumstances
(may happen every 5 to 30 years)
Types Of Risk
Mission • Ethical • Clinical • Financial • Operational • Service • Environmental • Security • Workforce /HR • Reputation/Media • Information Technology • Legislative
Legislative risk
OH&S
• Nurses Act
• Private Health Facilities Act
• Privacy
BOARD RESPONSIBILITY
Risk Management Framework & Policy is approved regularly by the Board of
Directors
The Risk Framework
- Understanding the Organisation & its context (Enterprise Risk Management)
- Risk Management Policy
- Risk Appetite
- Accountability / Governance of Risk Management
- Culture of Safety
- Integration into organisational processes (Integrated Risk Management)
- Resources
- Internal communication & reporting systems
- External communication & reporting systems