Risk Management Flashcards
Focuses on limiting a healthcare agency’s financial & legal risk associate with deliver of care, particularly in terms of lawsuits.
Risk management
Typical areas for high risk of incidents:
- medication administration
- falls
- overall client safety
- use of technology & equipment (IV pumps)
- Assessment & communication of allergies
- Any action/intervention that may harm patient.
Strategies healthcare organizations use to minimize risk:
- purchase own malpractice insurance.
- Identify exposure types, where occur, frequency, level of risk.
- Implement practices to protect against undue risk
- Implement programs to prevent events that may increase financial risk.
- Investigate incidents that may result in lawsuit ASAP.
- Monitor strategies for prevention of risk.
Physician orders that a nurse should question:
- Any order a client questions
- Any order if clients condition has changed
- Question & record verbal orders
- Any order that is illegible, unclear or incomplete.
Reasons for increased pediatric medical errors:
- Medication dosage calculations (complex, liquid equivalency)
- Misplacement of decimal during dosage calculation
- Dilution problems
- Lack of pediatric dosage standard on some meds
- Reaction to meds cant be conveyed by child.
- Language barriers.
An agency record of an accident or incident occurring within the agency.
Incident report
What else are incident reports called?
Variance reports
Why are incident reports filled out?
To collect info that will help prevent future incidents from occurring.
The legal process of obtaining information before a trial.
Discovery
A nurse should always fill out an incident report as if it is…
Discoverable.
What would a nurse NOT put in an incident report?
-language regarding liability
What should an incident report include?
- Names & identifying client info.
- Identify healthcare employees involved
- Witnesses
- location, time, date of incident
- Equipment or medication if involved. (state med name & dosage)
A nurse should never chart what…
that an incident report was completed.
