1. RISK MANAGEMENT AND PATIENTSAFETYDr. Deborah
Vilegi-Peters
2. TWO SEPARATE CONCEPTS Risk Management Insurance Claims
management Adverse events Patient Safety IOMs initial report
Systematic mindfulness Transparency Adverse events are learning
experiences
3. MAJOR POST IOM CHANGES Shifts from post sentinel events to
continualassessment Focus on near miss events View of risk
Proactive vs. Punitive, education becomes a keyfactor
4. RISK INTELLIGENT ENTERPRISE Move beyond the clinical risk
Enlightened Approach which spans the organization Builds bridges
between risk silos Creates open communication and need to
shareinformation
5. WHAT IS THE FUNCTION OF RISKMANAGEMENT? Must meet regulatory
requirements Assist leaders in understanding risk Advising leaders
and their staffs on the bestapproach for the best outcome to manage
the newemerging risk for the organization Provide leadership to
maintain the understanding ofthe organizations: Mission Goals
Vision
6. VALUE PROTECTION Value Protection Unrewarded risks Meeting
regulatory requirements is insufficient, we needmore Baseline is
established by Joint Commission and CMS
7. VALUE CREATION Rewarded risks New Business Acquisitions New
models of clinical care to add value toservices No need to stay in
the status quo
8. RESPONSIBILITIES OF RISK MANAGER Responsible for determining
the potential severityof the loss from the identified risk, the
loss willhappen, and alternatives for dealing with risk.
Alternatives: Retain Transfer Attempt to Modify
9. PATIENT SAFETY GOALS Goals: Provide a safe environment for
the patient Explore and understand there is a possibility of
failure Create defenses that will change the current system
ofoperations to key in on reduction of failure
10. RISK MANAGEMENT VERSUS PATIENT SAFETY Identify risk
management goals, what is it all about? Identify patient safety ,
how is this different from therisk management goals?
11. THE HIGH RELIABILITY ORGANIZATION Track Small Failures
Resist oversimplification Understand and remain sensitive to the
operations Maintain capability for resilience
12. MAKING SENSE Question: In your Text, Principles of Risk
Management andPatient Safety, what are the seven properties ofSense
Making? Lets Discuss
13. SEVEN PROPERTIES OF MAKING SENSE Social context Identify
Retrospect Salient Cues Ongoing projects Plausibility
Enactment
14. CONCLUSION Safety an expectation in the healthcare industry
Consumer awareness Multi-media System addresses safety issues
Patient safety is the outcome
