Quy trình 4 bước quản lý rủi ro lâm sàng giám sát sự cố các sự kiện trọng điểm vai trò của khiếu nại trong việc cải thiện chăm sóc khiếu nại và mối quan tâm nơi cá nhân chịu trách nhiệm điều tra tử thi sự cố bất ngờ liên quan đến cái chết hoặc thương tích nghiêm trọng về thể chất hoặc tâm lý và bao gồm bất kỳ biến thể quy trình nào mà nếu tái diễn sẽ có khả năng dẫn đến kết quả bất lợi nghiêm trọng
Trang 1Topic 6 Understanding and managing clinical risk
Trang 2Why clinical risk is relevant
to patient safety
o clinical risk management specifically is
concerned with improving the quality and
safety of health-care services by identifying the circumstances and opportunities that put patients at risk of harm and acting to prevent
or control those risks
Trang 34-step process to manage
clinical risks
o identify the risk
o assess the frequency and severity of the risk
o reduce or eliminate the risk
o cost the risk
Trang 4Learning objective
Know how to apply risk management
principles by identifying, assessing and
reporting hazards and potential risks in the workplace
Trang 5Knowledge requirements
o the activities used for gathering information about risk
o fitness to practise requirements
o personal accountability for managing clinical risk
Trang 6Performance requirements
o know how to report known risks or hazards in the
workplace
o keep accurate and complete medical records
o self-assess to reduce the risk of errors caused by
inadequate knowledge and skills
o participate in meetings that discuss risk management and patient safety
o respond appropriately to patients and families after
an adverse event
o respond appropriately to complaints
Trang 7Clinical risk
management activities
o incident monitoring
o sentinel events
o the role of complaints in improving care
o complaints and concerns where the individual
is responsible
o coronial Investigations
Trang 8Sentinel events
o unexpected occurrence involving death or
serious physical or psychological injury and
includes any process variation for which a
recurrence would carry a significant chance of serious adverse outcome
JCAHO, 1999
Trang 9o assist in maintaining standards
o reduce the frequency of litigation
o help maintain trust in the profession
o encourage self-assessment
o protect the public
Trang 10Fitness to practise
requirements
Trang 11Professional development and self-assessment
o role of fatigue and fitness to practise
o stress and mental health problems
o work environment and organization
o supervision
o communication
Trang 12Performance requirements
o know how to report known risks or hazards in the
workplace
o keep accurate and complete medical records
o self-assess to reduce the risk of errors caused by
inadequate knowledge and skills
o participate in meetings that discuss risk management and patient safety
o respond appropriately to patients and families after
an adverse event
o respond appropriately to complaints