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 [...]

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.

Mapping lean experiences and emerging connections with clinical risk management in Italian context

2015 ◽  
Vol 21 (5) ◽  
pp. 1091-1116 ◽  
Author(s):  
Maria Crema ◽  
Chiara Verbano
Keyword(s):  
Risk Management ◽  
Web Sites ◽  
Clinical Risk Management ◽  
Content Type ◽  
Clinical Risk ◽  
Multiple Challenges ◽  
Italian Context ◽  
Almost All ◽  
First Time

Purpose – The purpose of this paper is to describe the Italian state of art of Health Lean Management (HLM) and to analyze the Italian projects that connect this approach with clinical risk management (CRM). Design/methodology/approach – After introducing Italian healthcare system and its main challenges, relevant Italian experiences have been searched investigating regional health plans (RHPs), managerial reports, books, workshops, conference proceedings and hospital web sites. The degree of experience of each Italian region has been first studied. Further, field of applicability, objectives, tools, practices and results of the projects with first signs of HLM and CRM integration have been analyzed. Findings – Although interest in new managerial approaches is spreading in almost all the territory and new managerial solutions are fostered in many RHPs, HLM projects are implemented patchy in Italy. For what regards HLM projects with CRM connections, the Italian context seems aligned with the international one, apart from few features. First indications for the implementation of HLM projects with CRM connections emerged. Originality/value – Healthcare systems are facing multiple challenges in a context where public funds decrease but quality of care must be guaranteed. Combining different managerial approaches could solve these issues. In this research, for the first time, a map about Italian HLM adoption has been drawn, and Italian HLM projects with CRM connections have been analyzed. The results constitute one of the first contributions useful to develop guidelines for the implementation of projects pursuing efficiency, quality and safety objectives.

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.

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