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2/11/14%
1%
2/11/14%
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RISK%CONTROL%FOR%HOSPITALS%By%GIDEON%DAYAK,%Risk%Control%Specialist%
Ques8ons%&%Answers%
I%dont%know.% Do%we%have?% Are%programs%eecGve?% How%do%we%compare%with%others?%
2/11/14%
3%
Your%Hospital%
IdenGfy%problems% Frequency% Severity%
PrioriGze% Establish%acGon%plan% Program%change% Training% Repair% Other%
Design%
LocaGon%exposures% Hurricane%or%tropical%
wind%forces% Earthquakes% Cold%%
2/11/14%
4%
Design%
Wind% Securing%roong% Securing%siding%
Earthquake% Securing%roong% FoundaGon%
Screws%vs.%Nails% Design%vs.%retrot%($)%
Design% Life%Safety% Adequate%re%separaGon%
2/11/14%
5%
Design%
Security% Good%egress% Limited%access% Good%lighGng% Drugs%locked% Inventories%
Panic%alarms% Personal%items%safe%
Maintain%
PrevenGve%maintenance%vs.%replacement% Roong% Siding% FaciliGes% Equipment% Trees%
2/11/14%
6%
Maintain%
Maintain% Water%damage% Floods% Poor%maintenance% Damaged%roong% Drainage%problems% Plumbing%leaks%
Freezing% Insulate% Provide%heat%(12.78C.)%(55F.)% Seal%openings%
2/11/14%
7%
Maintain%
Life%Safety% Fire/smoke%%separaGon%
Maintain%
Loss%of%integrity% Poke%throughs%
2/11/14%
8%
Administrate%
AccreditaGon% Joint%Commission%InternaGonal%(JCI)*% Governmental% PaGent%Centered% Health%Care%OrganizaGon%Management%
Other%Resources%
*hep://www.jointcommissioninternaGonal.org/%
Surgical%Losses% Correct%site,%correct%procedure,%
correct%paGent%(IPSG.4)%% Recognizable%mark%%Involves%
paGent% Checklist% Time%out% Policies%and%Procedures%
Nothing%lej%behind% Pre%and%post%counts% Two%people% Detectable%sponges%
2/11/14%
9%
Surgical%Losses% Informed%Consent%(PFR.6%and%PFR.6.1)% Dened%by%organizaGon% Provided%by%trained%sta% Understandable%language%
PaGents%condiGon% Proposed%treatment% Individual%treaGng% Benets%and%drawbacks% Possible%AlternaGves% Likelihood%of%success% Possible%recovery%problems% Possible%results%%nonmtreatment%
Surgical%Losses%
MedicaGons% Preparing%and%Dispensing%
MedicaGon%% Reviewed%for%
appropriateness%(MMU.5.1)% Dispensed%properly%
Right%dose,%right%paGent,%right%Gme%(MMU.5.2)%
2/11/14%
10%
Infec8on%Control% Established%program%(PCI.5)% PaGents% Healthmcare%workers% Volunteers% Students% Visitors%
Oversight%(PCI.1)% Barrier%techniques/Hygiene%(PCI.9)% Integrated%program%(PCI.10)% EducaGon%(PCI.11)%
Disaster%Plans%and%drills%
Wrieen%for%all%potenGal%disasters%(FMS.6)%
All%sta% All%shijs%
2/11/14%
11%
I%dont%Know%
Review%incidents% Determine%weaknesses% Establish%or%modify%programs% Train% Reevaluate% Make%appropriate%changes%
A%CHALLENGE%
QUALITY%
CONTROL
%
UTILIZATION%MANAGEMENT%
INFECTION%CONTROL%
PATIENT%SAFETY%
EMPLOYEE%SAFETY%
SECURITY%DISASTER
%PLANNIN
G%
PREVENTIVE%MAINTENANCE%
TRANSPORTATION%LABOR%AND%DELIVERY%INTENSIVE%C
ARE%
RADIOLOGY%
2/11/14%
12%