lect 3 and 4 c Flashcards

1
Q

Incident Reporting

Why do it?

A

To inform relevant personnel, outside the immediate

clinical care team, of events of concern to enable …

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2
Q

INCIDENT REPORTING INCLUDES

A

RISK MANAGEMENT
NOTIFICATION
QUALITY IMPROVEMENT
DATA COLLECTION

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3
Q

Near miss:

A

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

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4
Q

Sentinel event

A

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

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5
Q

Risk

A

“the effect of uncertainty on objectives

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6
Q

effect

A

expected - positive and/or

negative

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7
Q

Objectives

A

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).

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8
Q

Creating a Risk Score

A

Risk = consequence x likelihood

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9
Q

consequence

A

outcome of an event

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10
Q

likelihood

A

probabilty of an event

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11
Q

LIKELIHOOD (Probability Categories)

A

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)

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12
Q

Types Of Risk

A
Mission
• Ethical
• Clinical
• Financial
• Operational
• Service
• Environmental
• Security
• Workforce /HR
• Reputation/Media
• Information Technology
• Legislative
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13
Q

Legislative risk

A

OH&S
• Nurses Act
• Private Health Facilities Act
• Privacy

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14
Q

BOARD RESPONSIBILITY

A

Risk Management Framework & Policy is approved regularly by the Board of
Directors

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15
Q

The Risk Framework

A
  • 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
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16
Q

Risk Strategies

A
  • Culture of Safety
  • Systems approach
  • Incident Reporting (Risk Identification)
  • Complaints handling (Risk Identification)
  • Risk Register (Risk Identification & Risk Control)
  • Specific Strategies (Risk Control)
  • Insurance (Risk Transfer)
  • Integrate risk
17
Q

PRIVACY

A

– Do you have the right to see that information

18
Q

CONFIDENTIALITY

A

Once I know the information I am bound to
keep that information confidential and only share with those who
need to know

19
Q

National Safety & Quality Standards

A
1 Clinical Governance
2 Partnering with Consumers
3 Preventing & Controlling Healthcare Associated Infection
4 Medication Safety
5 Comprehensive Care
6 Communicating for Safety
7 Blood Management
8 Recognising and Responding to Acute Deterioration
20
Q

linical Care Standards

Each Clinical Care Standard

A

Helps people to know what care to expect for a particular clinical
condition, helps them make informed decisions about treatment
in collaboration with their health professional
• Provides guidance to health professionals so they can deliver
quality care and have informed discussions about treatment
options with their patients
• Sets out the components of care that health services can use to
guide practice and monitor improvement in their hospitals and
other services where the Clinical Care Standard is applicable