Outcomes of Effective Integration of Clinical Risk Management Into Health Care From Nurses’ Viewpoints: A Qualitative Study

2020 ◽  
Vol 41 (2) ◽  
pp. 189-197
Author(s):  
Jamileh Farokhzadian ◽  
Amirreza Sabzi ◽  
Nahid Dehghan Nayeri
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Quantitative And Qualitative Research ◽  
Starting Point ◽  
Medical University ◽  
Effective Integration

The aim of this study was to explore nurses’ experiences and viewpoints about the outcomes of effective integration of clinical risk management (CRM) into health care. This qualitative study was conducted using purposive sampling and semistructured interviews with 19 nurses from three hospitals affiliated with a large medical university. Data were analyzed by the conventional qualitative content analysis method proposed by Lundman and Graneheim. Data analysis reflected the following concepts: improving the quality of services and promoting health, preserving and protecting patient safety, increasing satisfaction, improving staff morale, and improving organizational awareness and vigilance. According to the results, CRM with its positive outcomes can help the development of a patient-oriented culture. The results can be a starting point for further quantitative and qualitative research to explore other strategies, potentials, and capacities of quality improvement activities such as CRM in other contexts and cultures.

scholarly journals Presumed adverse events in health care are a frequent indication for medico-legal autopsy in Finland

2019 ◽  
Vol 16 (1) ◽  
pp. 65-70
Author(s):  
Lasse Pakanen ◽  
Noora Keinänen ◽  
Paula Kuvaja
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Adverse Event ◽  
Adverse Events ◽  
Gastrointestinal Surgery ◽  
Legal Protection ◽  
Clinical Risk Management ◽  
Data Set ◽  
Manner Of Death ◽  
Clinical Risk

AbstractThe medico-legal autopsy is an essential tool in investigating deaths caused by an adverse event in health care, for both clinical risk management and for professional liability issues. However, there are no statistics available regarding the frequency of autopsies performed due to suspected adverse events. This study aimed to determine the number of medico-legal autopsies done because of presumed adverse events, whether these events were unintentional, medical errors or cases in which malpractice was suspected. Furthermore, differences in treatment types, causes and manner of death were analyzed. The data was obtained from all medico-legal autopsies performed in Northern Finland and Lapland during 2014–2015 (n = 2027). Adverse events were suspected in 181 (8.9%) cases. The suspicions of an adverse event occurring were most often related to medication, gastrointestinal surgery and orthopedic surgery. The manner of death was classified as medical (or surgical) treatment or investigative procedure in 22 (12.2%) cases. The causes of death were completely unrelated to the suspected adverse event in 41 (22.7%) cases. In conclusion, the frequency of presumed adverse events was quite high in this data set, but in the majority of the cases, the suspicion of an adverse event causing death was disproved by an autopsy. Nonetheless, proper investigation of these cases is essential to ensure legal protection of the deceased, next of kin and health care personnel, as well as to support clinical risk management.

scholarly journals Incident Reporting System in an Italian University Hospital: A New Tool for Improving Patient Safety

2020 ◽  
Vol 17 (17) ◽  
pp. 6267
Author(s):  
Davide Ferorelli ◽  
Biagio Solarino ◽  
Silvia Trotta ◽  
Gabriele Mandarelli ◽  
Lucia Tattoli ◽  
...  
Keyword(s):  
Risk Management ◽  
Reporting System ◽  
Central Element ◽  
Incident Reporting ◽  
Learning System ◽  
University Hospital ◽  
Clinical Risk Management ◽  
Incident Reporting System ◽  
Clinical Risk ◽  
Starting Point

Clinical risk management constitutes a central element in the healthcare systems in relation to the reverberation that it establishes, and as regards the optimization of clinical outcomes for the patient. The starting point for a right clinical risk management is represented by the identification of non-conforming results. The aim of the study is to carry out a systematic analysis of all data received in the first three years of adoption of a reporting system, revealing the strengths and weaknesses. The results emerged showed an increasing trend in the number of total records. Notably, 86.0% of the records came from the medical category. Moreover, 41.0% of the records reported the possible preventive measures that could have averted the event and in 30% of the reports are hints to be put in place to avoid the repetition of the events. The second experimental phase is categorizing the events reported. Implementing the reporting system, it would guarantee a virtuous cycle of learning, training and reallocation of resources. By sensitizing health workers to a correct use of the incident reporting system, it could become a virtuous error learning system. All this would lead to a reduction in litigation and an implementation of the therapeutic doctor–patient alliance.

Does Clinical Risk Management Improve the Quality of Health Care?

Clinical Risk ◽  
1995 ◽  
Vol 1 (5) ◽  
pp. 171-174
Author(s):  
Don Harper Mills ◽  
G. E. von Bolschwing
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Quality Of Health Care ◽  
Clinical Risk Management ◽  
Clinical Risk

scholarly journals Clinical Risk Management: As Modern Tool for Prevention and Management of Care and Prevention Occupational Risk

2022 ◽  
Vol 19 (2) ◽  
pp. 831
Author(s):  
Raffaele La Russa ◽  
Stefano Ferracuti
Keyword(s):  
Risk Management ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Personnel ◽  
Clinical Risk Management ◽  
Clinical Risk ◽  
Performance Quality ◽  
Management Of Care ◽  
Modern Tool

Clinical Risk Management aims to improve the performance quality of healthcare services through procedures that identify and prevent circumstances that could expose both the patient and the healthcare personnel to risk of an adverse event [...]

Review of Clinical Risk Management

BMJ ◽  
1996 ◽  
Vol 313 (7060) ◽  
pp. 827-827
Author(s):  
J. Leaning
Keyword(s):  
Risk Management ◽  
Clinical Risk Management ◽  
Clinical Risk
Sign in / Sign up

Export Citation Format

Share Document