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Risk Management, and Safety

Preface

Quotable Quotes

Introduction and definitions; JCAHO sentinel events

Medical error rates

Practices to improve patient safety – examples

JCAHO Home Care Patient Safety Goals

JCAHO Ambulatory Care Patient Safety Goals

Risk defined

Risks related to “managed care”

Risk Management, Safety and Infection Control: Master Policy

Common problem examples with solutions

Smart Cards

JCAHO Standards; Patient Safety Rules

Health Care Provider Errors; Types of Errors

Facilities and Environment – Policy

Clinical Indicators to Monitor

Needle Sticks – ‘Sharps’

CPR Training Policy example

Malpractice avoidance

Avoiding Back Injuries

Tracking Significant Abnormal Diagnostic Results

Telephone Communications

Facility Disaster Plans

Bomb Threat Emergency

Earthquake Safety

Electrical Emergency

Fires

ØFire Emergencies

ØFire Safety Procedures

ØFire Prevention

Patient Identification

Color Codes - Charts, Wristbands

Disruptive physicians and other providers

Medication management - error prevention

Medication reconciliation

Laboratory Reports – failure to review and act on results

Hazardous Materials

Radiation Safety

Mass Casualty Management (OSHA)

Office Emergency Equipment, Medications, Supplies

Risk Manager/Patient Relations

Incident Reports

State reports required for adverse events

Incident Report Severity Codes

Patient complaints (unsolicited) – relationship to malpractice risk

Patient Concern Form

Safety Standards, PacifiCare of California

Risk Management/Patient Compliance

Suspicious Packages - Response Guide (CDC)

Staff Safety

Credentials for Safety Officers

Letters confirming employment history - omissions lead to lawsuits

Consents for Care and Treatment

Capacity to consent

Informed consent policy

Development process for consent forms

Brochure for patients

Procedures requiring informed consent

Making Health Care Safer. A Critical Analysis of Patient Safety Practices. Evidence Report/Technology Assessment, No. 43. AHRQ, July 2001. Chapter 48. Procedures For

Obtaining Informed Consent

Refusal of treatment form

Procedure consent form

AMA Policy and Procedure, Release Form

Interpreter’s Statement

HIV testing - consent and payment procedures

Consent for immunizations

Consent for photography during a surgical procedure

General Consent for surgery, anesthetics and other services

Hysterectomy consent

Acknowledgement for Hysterectomy Information (Medicaid requirement)

Consent for sterilization form

Prostate Needle Biopsy consent form

Rubber band ligation, hemorrhoids

Telemedicine consent form

DNR/withholding of treatment order form

Gastroscopy – information sheet and consent

Placement of Percutaneous Endoscopic Gastrostomy Tubes (PEGs)

Phase I Oncology Treatment Trial Consents

Report of Occurrence - Form

References and resources

AHRQ Evidence report/technology assessment #43: Making Health Care Safer . A Critical Analysis of Patient Safety Practices. excerpts

References
Resources
10+ Most Underutilized ‘Best Practices’
ASC safety checklists - links
Wrong Site Surgery

Wrong Patient Surgery

New York State Health Dept. - Pre-Operative Protocols to Enhance Safe Surgical Care

AHRQ Patient Fact Sheet: 20 Tips to Help Prevent Medical Errors

Home safety inspections

Personal Protective Equipment

Web sites