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At least 19 recordsLinked to original sources
PubMed1992

Prevention through health risk management.

Risk can lead to catastrophe. Risk-management systems are highly effective in preventing the catastrophes of fire, earthquakes, and work-site injuries. No such effective systems are present to prevent health and social problems. A practical, cost-effective system to manage risk in children is being developed by the nonprofit Arizona Health Evaluation and Longevity Planning (HELP) Foundation. Information regarding such risk is collected in the school setting. This voluntary information comes from the administration, the school nurse, physical fitness testing, blood testing by the local hospital, self-esteem instruments, and parent, teacher, and child questionnaires. The HELP Foundation then develops an individual child and class risk profile that is presented to the teacher, school nurse, principal, and parent. Those involved with each child then prioritize, plan, and implement programs and activities to manage the identified risk(s). Risks is tracked throughout the child's school career by periodic reassessment. Evaluation of change in problem outcome will be a natural extension of the process.

Arizona↗
PubMed1991

Objective measures prove value of risk management.

Risk managers now have data to prove the value of what they do: A new study shows that certain risk-management activities are associated with a lower number of claims against hospitals. And this year, risk managers' agendas are more crowded than ever before. They must comply with a host of new regulations mandated by the Patient Self-Determination Act, the Americans with Disabilities Act, and the Safe Medical Devices Act.

Databases, Bibliographic↗
PubMedDate not supplied

Risk management strategies.

Risk management is defined in the Intravenous Nursing Standards of Practice as a "process that centers on identification, analysis, treatment and evaluation of renal and potential hazards." Just what type of risk do these hazards pose and what types of "real and potential hazards" are there? The first question is the easiest to answer.

Fluid Therapy↗
PubMed1991

Risk management in dentistry.

Risk management continues to define itself as an integral element in quality dental care. Issues reviewed range from periodontal record keeping to assessment of temporomandibular joint dysfunction and from cosmetic patients to after-hours emergency care. Two common denominators emerge throughout the articles reviewed. First, thorough and accurate documentation of all phases of patient contact and treatment remains at the heart of risk management. Communication, as a system of relationships between physician, staff, and patients, ensures understanding and agreement toward a common goal. Risk management remains a unifying principle that joins legal responsibilities with sound clinical practice.

Dental Records↗
PubMed1992

The quality assurance-risk management interface.

Involvement with both risk management and quality assurance programs has led many authors to the conclusion that the fundamental differences between these activities are, in fact, very small. "At the point of overlap, it is almost impossible to distinguish the purposes and methods of both functions from one another." "Good risk management includes real improvement in patient care through organized quality assurance activities." The interface between a proactive risk management program and a quality assurance program is dynamic and can serve the legitimate interests of both. There is little to be gained by thinking of them as separate entities and much to be gained by sharing the lessons of both. If one thinks of risk management in terms of "risk" to quality patient care, and that "assuring quality" is the most productive type of risk management, then there is no practical reason to separate one from the other.

Emergency Service, Hospital↗
PubMed1990

The emerging role of risk management.

This article discusses the emerging role of risk management for the PACU nurse. The risk management process is described in detail and compared with the nursing process in terms of assessment, planning, implementation, and evaluation. Tools that aid in assessment include incident reports, generic screening, patient complaints, and other factors. Specific examples relating to the PACU are used throughout the article. The article further describes skills needed in the field of risk management. Finally, implications for nursing are discussed including involvement in risk management, documentation, continuing education, and the position of risk manager.

Humans↗
PubMed1992

The role of scientific research in risk assessment and risk management decisions.

Risk-based decisions are an integral part of societal efforts to protect the public from the harmful health effects of environmental pollution. Scientific information about the magnitude and extent of risks experienced by people and about the causes of those risks is a critical factor in setting priorities and choosing cost-effective mitigation strategies. To be effective in strengthening risk assessment and risk management decisions, research must focus on developing four types of predictive tools: (1) methods to screen and characterize toxicity; (2) biologically based dose-response models; (3) physiologically based pharmacokinetic models; and (4) integrated human exposure models. This approach is the key to reducing the uncertainties currently associated with many environmental health problems.

Decision Support Techniques↗
PubMed1990

Risk management in pathology and laboratory medicine.

An effective risk-management program focuses attention on and minimizes events that ideally should not occur. In the laboratory, risk-management issues can be divided along two major lines: (1) patient-care-related issues and (2) employee-related issues (safety). The Joint Commission on Accreditation of Healthcare Organizations, Chicago, Ill, has established formal requirements for risk-management programs for hospitals and clinical departments. These requirements include patient-care-related activities and management functions related to the safety-management functions. The concept of a formal risk-management program may be new to pathologists and laboratory professionals; the components of the program are traditional elements of laboratory policies and procedures. Key items identified as building blocks for risk management are these: (1) risk prevention, (2) risk identification, (3) risk assessment, (4) corrective actions, and (5) loss control. Through the systematic implementation of a comprehensive risk-management program, laboratories have the opportunity to reduce liability exposure and improve the quality of care and services.

Humans↗
PubMedDate not supplied

Risk management concepts and strategies.

A variety of risk management strategies, concepts, and techniques not only enhance the quality of care, but also represent a significant contribution to the organization's efforts to reduce the frequency and severity of liability loss. The success of the risk management program depends on the participation of all members of the health care team, and the collaboration of the nursing staff and the risk management office creates a critical team in ensuring the effectiveness of the risk management program.

Communication↗
PubMed1991

Risk management: a proactive process.

Successful risk management is a proactive process designed to prevent litigation and possible loss of assets. Some examples of standards of care and legal implications for nurses in ambulatory and PACU units are discussed. Suggestions are made regarding specific risk management issues.

Humans↗
PubMed1992

The risk management of infections.

Unfortunately, risk management, that is avoiding lawsuits, is a retro-active pastime instead of being pro-active. What this means is that we often take action only after a problem has manifested itself, rather than identifying potential problems and correcting them. This is, however, only human nature and occurs in most other walks of life. In dental malpractice, what appears to have been happening during the past few years in California is that plaintiff's lawyers have identified a problem and then started to sue dentists for it (and even run courses on how to sue dentists for it!), after which the profession has tried to take steps to identify the cause of the problem, and has then attempted to reduce it or eliminate it altogether. In the past, the dental malpractice companies (the equivalent of the Medical Protection Society and Medical Defense Union) were merely bystanders who paid out on claims and subsequently raised premiums accordingly. Now that most of the malpractice companies in California are actually run by (and often owned by) members of the profession, they are much more interested in getting involved at a very early stage, as soon as a potential problem is identified, in order to take action so that premiums do not rise unnecessarily.

Anti-Bacterial Agents↗
PubMed1992

Hospitals find ways to integrate risk-management functions.

Hospitals that have successfully integrated the risk-management function with other hospital departments say that the process requires both education and teamwork. Among the major challenges: overcoming physician reluctance to participate in risk-management activities, and linking risk management to quality assurance.

Credentialing↗
PubMed1979

Risk management and quality assurance: integration for optimal effectiveness.

The following is the second article in a two-part series examining the relationship between quality assurance and risk management functions. In part one, "Risk Management and Medical Malpractice: An Overview of the Issues," published in the April 1979 QRB, Dr. Fifer reviewed the problem of medical malpractice--the primary motivation for the present interest in risk management--and discussed the characteristics of current efforts in risk management, particularly their limitations in light of the facts about malpractice. In part two, Dr. Fifer first reviews the major quality assurance functions of the medical staff. He then focuses on methods for coordinating these quality assurance functions with the risk management function in a way that will utilize the expertise of the medical staff and create a unified, hospital-wide system intended to detect and prevent deviations from expected patient outcomes.

Education, Medical, Continuing↗