The evolution from risk management to patient safety—case studies from the Harvard medical system

The Canadian Medical Protective Association (CMPA) is a not for profit mutual defence organization with a mandate to provide medico-legal assistance to physician members and to educate health professionals on managing risk and enhancing patient safety. To expand the outreach to its 72,000 member physicians, the CMPA built an online learning curriculum of risk management and patient safety materials in 2006. These activities are mapped to the real needs of members ensuring the activities are relevant. Eight major categories were developed containing both online courses and articles. Each course and article is mapped to the RCPSC's CanMEDS roles and the CFPC's Four Principles. This poster shares the CMPA’s experience in designing an online patient safety curriculum within the context of medico-legal risk management and provides an inventory of materials linked to the CanMEDS roles. Our formula for creation of an online curriculum included basing the educational content on real needs of member physicians; using case studies to teach concepts; and, monitoring and evaluating process and outcomes. The objectives are to explain the benefits of curricular approach for course planning across the continuum in medical education; outline the utility of the CanMEDS roles in organizing the risk management and patient safety medical education curriculum; describe the progress of CMPA's online learning system; and, outline the potential for moving the curriculum of online learning materials and resources into medical schools.

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Medicines management for nursing practice

10.1093/oso/9780199697878.001.0001 ◽

2013 ◽

Author(s):

Graham Brack ◽

Penny Franklin ◽

Jill Caldwell

Keyword(s):

Patient Safety ◽

Case Studies ◽

Nursing Practice ◽

Medicines Management ◽

Knowledge And Skills ◽

Practical Advice ◽

Patient Centred Care ◽

The Common ◽

Skills Learning ◽

Straightforward Approach

Medicines Management for Nursing Practice: Pharmacology, Patient Safety, and Procedures is a friendly guide designed to equip pre-registration and newly qualified nurses with the medicines management knowledge and skills to provide safe patient-centred care. Balancing theory with practical advice, this accessible text covers basic pharmacology, drug calculations, key legislation and standards, and patient safety. Drawing from the most up-to-date sources of evidence and advice, including NMC and BNF guidelines, Medicines Management for Nursing Practice prepares nurses to promote their patients' safety, concordance, understanding of medicines, and wellbeing. This book takes a lively and straightforward approach to a vital set of nursing skills. Learning features such as reflection points, exercises, and further reading help readers to develop and consolidate their knowledge. Chapters on pharmacology and drug calculations take a step-by-step approach and are supported by diagrams and examples to aid understanding. Case studies relate guidelines and theories to the common practical scenarios that nurses encounter on a day-to-day basis.

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Health Workforce Development in Health Emergency and Disaster Risk Management: The Need for Evidence-Based Recommendations

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073382 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3382

Author(s):

Kevin K. C. Hung ◽

Sonoe Mashino ◽

Emily Y. Y. Chan ◽

Makiko K. MacDermot ◽

Satchit Balsari ◽

...

Keyword(s):

Risk Management ◽

Risk Reduction ◽

Case Studies ◽

Workforce Development ◽

Health Workforce ◽

Disaster Risk Reduction ◽

Disaster Risk ◽

Disaster Risk Management ◽

Evidence Based ◽

Literature Reviews

The Sendai Framework for Disaster Risk Reduction 2015–2030 placed human health at the centre of disaster risk reduction, calling for the global community to enhance local and national health emergency and disaster risk management (Health EDRM). The Health EDRM Framework, published in 2019, describes the functions required for comprehensive disaster risk management across prevention, preparedness, readiness, response, and recovery to improve the resilience and health security of communities, countries, and health systems. Evidence-based Health EDRM workforce development is vital. However, there are still significant gaps in the evidence identifying common competencies for training and education programmes, and the clarification of strategies for workforce retention, motivation, deployment, and coordination. Initiated in June 2020, this project includes literature reviews, case studies, and an expert consensus (modified Delphi) study. Literature reviews in English, Japanese, and Chinese aim to identify research gaps and explore core competencies for Health EDRM workforce training. Thirteen Health EDRM related case studies from six WHO regions will illustrate best practices (and pitfalls) and inform the consensus study. Consensus will be sought from global experts in emergency and disaster medicine, nursing, public health and related disciplines. Recommendations for developing effective health workforce strategies for low- and middle-income countries and high-income countries will then be disseminated.

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Developing a Fatigue Risk Management System: Case Studies on Education and Mitigation Strategies

10.2118/170933-ms ◽

2014 ◽

Author(s):

Sarah A Acton

Keyword(s):

Risk Management ◽

Case Studies ◽

Management System ◽

Mitigation Strategies ◽

Risk Management System

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Optimising building performance through integrating risk management and building information modelling during the design process

Journal of Engineering Design and Technology ◽

10.1108/jedt-06-2020-0246 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Ayman Ahmed Ezzat Othman ◽

Fatma Othman Alamoudy

Keyword(s):

Risk Management ◽

Literature Review ◽

Case Studies ◽

Design Process ◽

Building Performance ◽

Building Information Modelling ◽

Content Type ◽

Information Modelling ◽

Building Information

Purpose This paper aims to develop a framework for optimising building performance through the integration between risk management (RM) and building information modelling (BIM) during the design process. Design/methodology/approach To achieve this aim, a research strategy consisting of literature review, case studies and survey questionnaire is designed to accomplish four objectives. First, to examine the concepts of design process, building performance, RM and BIM; second, to present three case studies to explain the role of using RM and BIM capabilities towards optimising building performance; third, to investigate the perception and application of architectural design firms in Egypt towards the role of RM and BIM for enhancing building performance during the design process; and finally, to develop a framework integrating RM and BIM during the design process as an approach for optimising building performance. Findings Through literature review, the research identified 18 risks that hamper optimising building performance during the design process. In addition, 11 building performance values and 20 BIM technologies were defined. Results of data analysis showed that “Design budget overrun”, “Lack of considering life cycle cost” and “Inefficient use of the design time” were ranked the highest risks that affect the optimisation of building performance. Respondents ranked “Risk avoid” or “Risk transfer” as the most risk responses adopted in the Egyptian context. In addition, “BIM As Built” was ranked the highest BIM technology used for overcoming risks during the design process. These findings necessitated taking action towards developing a framework to optimising building performance. Originality/value The research identified the risks that affect optimising building performance during the design process. It focuses on improving the design process through using the capabilities of BIM technologies towards overcoming these risks during the design process. The proposed framework which integrates RM and BIM represents a synthesis that is novel and creative in thought and adds value to the knowledge in a manner that has not previously occurred.

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