Materi 4 - Introduction to Hospital Risk Management

A to Z Manajemen Risiko di RS

Manajemen Risiko RS Lecture # 4

by: HafizurrachmanFakultas Kesehatan Masyarakat

Universitas Indonesia2008

Lecture ReviewRISK MANAGEMENT:

DEFINITIONS, TYPES, OBJECTIVES and FUNCTIONS

What is RISK?

A POSSIBILITYthat something

BAD or DANGEROUSMAY happen

(LONGMAN Active Study Dictionary, 2004)

What is Hospital Risk Management?… consists of clinical & hospital administration

activities to identify, evaluate, & reduce the ris k for patients, doctors, hospital employee, & visitors.

(JCAHO - Join Commission on Accreditation of Healthc are Organization)

… activities to minimize potential harms to the patients, as well as providing a safe environment f or patients, employees, and visitors.

(ASHRM - American Society for Healthcare Risk Managem ent)

… a framework for a systematic identification, assessment, manage, treatment and monitoring of risk. Its purpose is to prevent or minimize the possibility of the recurrence of risk and their associated consequences

(Liverpool Women’s National Health System ( NHS ) F oundation Trust)

OUR DEFINITION…

… clinical & hospital administration activities to anticipate, minimize, prevent the recurrence of risk on both internal (patients, doctors, employee) and external (visitors) customers of a hospital by identifying, analyzing, managing, evaluating, & monitoring the potential risks.

HOW???• Preparing Context

– Strategy Context, Organization Context, Risk Management Context, developing Criteria, and deciding structure

• Risk Identification– What & How Risk can occur

• Risk Analysis– Determining controlling, frequency or probability,

impact or consequence of the Risk• Risk Evaluation

– Comparing the risk degree & criteria and preparing risk priority

• If accepted, followed by Managing the Risk– Identifying, Evaluating, List Options, Selecting &

Preparing the Option • Plan Implementation

TYPES OF RISK

1. Medical Risk2. Non-medical Risk3. Risk on Resources4. Risk on Service

Procedure5. Behavior & Financial

Risk 6. Clinical Risk7. Non-clinical Risk:

• Operational Risk• Compliance Risk • Legal Risk• Risk on Image &

Reputation 8. Credential Risk

Corporate Risk• Financial• Behavior• Under-skilled Assistant• Unstandardized Procedure

Clinical Risk• Malpractice• Mistreatment• Post-Operative Cut Infection• Phlebitis• Insufficient Equipment &

Facilities• Instrument

Classification of Hospital Risk(Jacobalis, Samsi)

Objectives & Function

• To reduce the incidence of preventable injuries & accidents

• To minimize the financial loss to the institution should an injury or an accident occur

(Smith, Dean G.; Wheeler, John R.C.)• Managing the Risk so it can give a high quality of

service and safe environment for its patients and visitors (East Sussex)

• The ultimate output of Risk Management is an improvement in quality of service & patient safety, with the spirit of not “zero defect” but more towards“no accident”.

ConclusionRisk can not be eliminated but it should be minimized, for that we have to manage the risk so the image and reputation of the hospital would not be damaged.Should that ever happen, it could diminish the trust of our consumer, which would decrease the amount of visit, in which would lead to the decrease of hospital income.