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Risk Management
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Risk Management in Healthcare Organizations
The term Risk Valuation or Risk management carries great importance in every single organization. It does not matter what the nature or arena of the organization is, handling the potential risk is essential. This helps to recover from misfortunes that can be faced by a firm. In healthcare organizations, it is crucial that a set department is present which manages the fluidity of the operations being run.
When a person talks about a hospital or any other medical facility, it is inevitable that there are going to be patients, who will be carrying various diseases and infections. It is the responsibility of the risk management departments to make sure that the diseases and viruses stay contained and there is no chance of transmission. The risk management department is divided into two parts one part handles standard precautions, and the other deals with transmission founded precautions. These precautions are essential as they help set the foundation for healthcare providers in case of an emergency. The emergency can be of any kind the idea is to stop it from further deterioration and keep the hospital running.
Challenges faced in Controlling Contagious Diseases
I got the opportunity to interview a high ranked doctor in the hospital situated near my house. He shed light on how the hospital functions. When the main trigger of the disease is not known, an approach based on function can be used. This will help shrink the contagiousness level to other patients and the caregiver. For example, if a patient has diarrhea or is vomiting non-stop, the better protection from it should be given to the surrounding people, rather than waiting for what the diagnosis has to say.
The Doctor helped to understand that the hospitals put to use both the types of precautionary measures to avoid the transmission of contagious diseases. They put their utmost effort in trying to contain the disease, but the insecurity of the caregivers and inpatients serves to be a great challenge. The caregivers and inpatients believe that if they are in the same vicinity as someone caring a contagious virus, they will get sick too.
Risk Management Strategies
An additional thing that should be kept in mind is that not all diseases are contagious. People should have basic awareness regarding certain diseases, for example, AIDs cannot be transmitted via touch. It takes blood transfer or a certain level of physicality to catch it. To help contain this issue, the hospital will be using the standard set of precautionary measures to ease the caregivers and inpatients. However, regardless of the diagnosis, the application of the precautions is a must. The consistent use of these precautionary measures are becoming crucial in the reduction of the transmittance of Multi-drug Resistance Organisms is all health facilities and generally in society.
Another strategy that is being used by the hospital falls under the transmittance based precautionary measures. The precaution is used paired with the standard preventive measures in cases where the patient has been diagnosed with being infected by an organism of high risk. This also requires to have other precautions to be used for the containment of the infection. This can vary based on the type of transmittance. An example of a patient who has been diagnosed with an airborne disease can be used. Airborne diseases are those which can be transmitted even by breathing the same air as the infected person. Chickenpox, influenza, measles, and mumps are examples of such diseases. In such a case, the hospital keeps the patient in complete quarantine. There is a separate room for such patients so no other inpatients can be impacted ADDIN ZOTERO_ITEM CSL_CITATION citationIDau4mgignu,propertiesformattedCitation(Ginter, Duncan, Swayne, 2018),plainCitation(Ginter, Duncan, Swayne, 2018),citationItemsid170,urishttp//zotero.org/users/local/zTPHp9Do/items/LJI7TM77,urihttp//zotero.org/users/local/zTPHp9Do/items/LJI7TM77,itemDataid170,typebook,titleThe strategic management of health care organizations,publisherJohn Wiley Sons,ISBN1-119-34970-2,authorfamilyGinter,givenPeter M.,familyDuncan,givenW. Jack,familySwayne,givenLinda E.,issueddate-parts2018,schemahttps//github.com/citation-style-language/schema/raw/master/csl-citation.json (Ginter, Duncan, Swayne, 2018). As far as the caregivers are concerned, they are to take extra measures when dealing with a patient in quarantine. Usually, covering of mouth and hands are done, no body part is to be exposed.
Educational Risk Management Program
The doctor stated that we have a vision for the healthcare that we provide. We want fair and adequate healthcare to be accessible to all the diverse population residing within and outside the city premises. This hospital is open to anyone who is out there in this country. The actions against malpractice Litigation, prevention of negligence, and vicarious liability are part of that vision and are against the standard SOP of our Hospital.
Medical malpractice litigation in this hospital is taken very seriously. That is why we keep our patients under close observation. There is a specific staff that is trained and assigned to unambiguously check if the care provided to the patients is sufficient. Medical malpractice can come forth if the patient is not treated adequately, or because of the improper diagnosis of the condition. This issue is dealt very critically. For starters, it is avoided, to begin with, due to close inspection of each inpatient. However, if such an issue ever arises the doctor or intern behind, is immediately dismissed. The vicarious liability or the superior doctor behind that intern or junior doctor is also held accountable they also face charges. There is not a single window left for any negligence. Like mentioned above, it is avoided altogether by meticulous inspection ADDIN ZOTERO_ITEM CSL_CITATION citationIDa235j4l8ojb,propertiesformattedCitation(Frakes Jena, 2016),plainCitation(Frakes Jena, 2016),citationItemsid171,urishttp//zotero.org/users/local/zTPHp9Do/items/JU6GE8I2,urihttp//zotero.org/users/local/zTPHp9Do/items/JU6GE8I2,itemDataid171,typearticle-journal,titleDoes medical malpractice law improve health care quality,container-titleJournal of public economics,page142-158,volume143,authorfamilyFrakes,givenMichael,familyJena,givenAnupam B.,issueddate-parts2016,schemahttps//github.com/citation-style-language/schema/raw/master/csl-citation.json (Frakes Jena, 2016).
Policies Implemented for Emergency Triage in High-Risk Areas
To explain the emergency triage in high-risk areas, the doctor used the example of a catastrophe. When there are high risk and a disaster, the healthcare delivery will be managed in regards with the patients who most need it. A lot of strategies can be used to manage the quality of care and set standards ADDIN ZOTERO_ITEM CSL_CITATION citationIDa2qtc817env,propertiesformattedCitation(Glazer McGuire, 2017),plainCitation(Glazer McGuire, 2017),citationItemsid169,urishttp//zotero.org/users/local/zTPHp9Do/items/YNHR5CUN,urihttp//zotero.org/users/local/zTPHp9Do/items/YNHR5CUN,itemDataid169,typechapter,titleSetting health plan premiums to ensure efficient quality in health care minimum variance optimal risk adjustment,container-titleModels of Health Plan Payment and Quality Reporting,publisherWorld Scientific,page59-82,authorfamilyGlazer,givenJacob,familyMcGuire,givenThomas G.,issueddate-parts2017,schemahttps//github.com/citation-style-language/schema/raw/master/csl-citation.json (Glazer McGuire, 2017). The standards will not be changing in the case of disaster either the primary goal is to facilitate, carry out the diagnosis, and care for the patients. It does not matter how those standards are achieved, as long as they are attained, one way or the other. The steps of adaptation, substituting, reusing the critical resources, and also how the staff can help in attaining all, will be used. Every staff member will have to multitask to meet the needs of the high-risk area. If the incidents are ongoing, it is significant that the heads of the hospital stay in touch with the relevant authorities to keep themselves prepared.
Strategies to Maintain Risk Management
In this Hospital it is important that the research in regards to risk management is ongoing. The risk managers need to stay up to date when it comes to certain relevant data. The chances are that research results can change over time. A small example the residents were allowed longer sleeping times, it was thought that this step would help with how they took care of the patient. Instead, after another research was conducted, it was found that the patient security was being compromised because of long nap times.
Further, certain training given to staff members can reduce patient risk management. Other than that, there are certain strategies implemented to ensure that the risk management stays maintained from the patients side as well. Expired prescriptions are never filled, it should always be communicated to the physician when a patient returns for a refill. The follow-up on missing test results, which are essential for the diagnosis is also done religiously. Track down of missed appointments, retaining records and communicating with the patients are one of the few ways risk management can be maintained.
Summary Analysis
In my opinion, the risk management plan of the hospital is sufficient enough to function well on a day to day basis. The organizational risk management is meticulously done. I think it should be appreciated that apart from other patients, the hospital tries to keep a balance for its employees as well. The maintenance of risk management is done both internally as well as externally this will help lower down the chances of any misfortune, to begin with. It is also a good step that they keep tabs on their patients even after they have been discharged. This helps maintain a record and ensures the quality of healthcare that is being provided.
When it comes to the illegality of certain actions like malpractice and negligence, I believe that the hospital should also have connections with a reliable lawyer who deals with such issues. While avoiding it altogether is the best step, precaution is key, but at times a certain turn of events can cause issues. In such a case the patient can file a lawsuit. A hospital should always be prepared for such a thing a strong lawyer can aid in maintaining the name and position of the hospital, and avoid any bad reputation of the medical organization.
The hospital is following pretty standard steps when it comes to subsiding risk. However, I think the control of contagious diseases can be made better. The strategies that they are using are pretty standard. Such strategies are more adequate for a small clinic. When it comes to a hospital, it is important that there is no certainty left. Instead of just using quarantine for airborne diseases, I believe that this step should be taken for every other patient who may show symptoms of an infectious disease. This will also increase the quality of healthcare that is being provided by the hospital.
Other than that, I believe that emergency triage in high risk can also be improved. That can be handled if the hospital has a set plan during a crisis. What I noticed was there was no such plan nor strategy when it came to crises or high risk, it was more like a go with the flow situation. I think the hospital should devise a set plan for such issues. They should work on how they use their resources and what pattern is to be followed. They should also keep in mind that when it comes to a plague, it cannot be determined that which patient is to be treated first. In such an issue every patient carries high importance. All these steps can aid in making this hospital top-notch and help bring out the best possible healthcare.
References
Glazer, J., McGuire, T. G. (2017). Setting health plan premiums to ensure efficient quality in health care minimum variance optimal risk adjustment. InModels of Health Plan Payment and Quality Reporting(pp. 59-82).
Ginter, P. M., Duncan, W. J., Swayne, L. E. (2018).The strategic management of health care organizations. John Wiley Sons.
Frakes, M., Jena, A. B. (2016). Does medical malpractice law improve health care quality.Journal of public economics,143, 142-158.
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