Risk Management Flashcards
Risk management includes processes in place to?
- Help identify potential harms to patients
- Create ways to decrease the identified potential harm from occurring to pt.
- Respond effectively when patient is harmed or might have been harmed
- Educate the health care team so they learn from events that can or have harm pt
- Implement changes when warranted
What is the goal of risk management?
Is to identify and manage risks that could result in pt. harm
What is a near miss event?
An event that could have resulted in an accident, injury, or illness but did not occur due to chance or timely intervention.
What is an adverse event?
According to the FDA adverse event means any untoward medical occurrence associated with the use of drugs in humans whether or not considered drug related.
An adverse event is an event that has occurred.
What is a Serious adverse events?
An adverse event that may significantly compromise clinical outcomes or adverse event for which a facility fails to take appropriate corrective action in a timely manner.
What is a Sentinel Event?
Patient safety event (not primarily related to natural course of pt illness and underlying condition) that reaches the pt. and results in
1. death
2. Permanent Harm
3. Severe Temporary Harm
A sentinel event is an event that has occurred
What is a proactive risk assessment?
A method that can be used by health care professionals
to identify and analyze possible hazards and high risk processes that are present in the environment before untoward pt events occur.
What are two common proactive risk assessments use in healthcare facilities to obtain information related to patient safety?
- Healthcare failure mode effective analysis(HFMEA)
2. Failure mode effective analysis (FMEA)
What is a failure mode effective analysis( FMEA)?
A systemic proactive method for teams to evaluate processes for possible failures and failures from occurring by preventing and correcting the process proactively.
What is healthcare failure mode effective analysis ( HFMEA)
A model developed by the department of veterans affair national center for pt safety and to help teams conduct a proactive risk assessment.
What are the five steps of HFMEA?
- Define the topic
- Assemble the team
- Graphically describe the process
- Conduct the analysis
- Identify actions and outcome measures
What are the process steps for FMEA?
- What could go wrong?
- Why would a failure happen?
- What is the consequence of each failure?
What is route cause analysis?
A retrospective approach or method for healthcare organizations to follow when conducting a critical investigation of adverse events
What are four patient protection laws?
- Safe Medical Device Act of 1990
- Health Insurance Probability and Accountability Act 1996 (Hippa)
- Patient safety and quality improvement Act 2005
- Pt protection and affordable care act 2010
What is the safe medical device act of 1990?
Authorizes food and drug administration to regulate medical devices so FDA can learn in a timely manner when it causes adverse pt event and to ensure hazardous devices are removed from health care organizations in a timely manner
