Risk Management Interview
QUESTION
Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.
In your interview, address the following:
1-Risk management strategies used in the organization’s risk control program, along with specific examples.
2-How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3-Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4-Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5-Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.
After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:
1-An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2-Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.
Cite appropriate references as needed to support your statements and rationale.
ANSWER
Risk Management Interview
Student’s Name
Institutional Affiliation
Course Name and Number
Instructor’s Name
Date
Risk Management Interview
Introduction
A lot of risks are involved in the nursing field due to its complexity, therefore necessitating the development of risk management plans in healthcare setups to manage them. A risk management senior nurse was the subject of my most recent interview for this project. I enquired about her views on risk management plans and how they are used in the healthcare facility he works for. This gave me a better understanding of how risk management initiatives are implemented in healthcare institutions.
Risk Management Strategies
Medication screening is one of the organization’s most significant risk management strategies. Anyone dispensing medicine must complete training and have a grade of 98 percent or above. As a result, the safety of the hospital’s medication is ensured. A medication screening method is also incorporated as part of this training. Each drug and patient is given a unique barcode, which may be retrieved from electronic data. The patient’s barcode and the drug’s barcode must be verified before any medication may be administered. They may then verify and record every medicine in their system to ensure the correct drug is provided to the right individual (Rogers et al.,2017). Employees who administer medication are only allowed to access the containment boxes if they have their fingerprints on them. When doing this, they must adhere to a facility risk policy known as the “5 rights”. The right drug, dose, person, timing and route are all part of this. An example of the latter is given through intravenous (IV) vs shot. The “5 rights” are a psychological checklist that aids in pharmaceutical risk management.
How the program addresses key professional, legal and ethical issues
Workers in this organization have to log in to the educational risk program database daily and complete certain timely elements to work. Precautionary measures to avoid a particular incident are one example of a module in this category. For instance, the program will describe the discrepancy between two pharmaceutical bottles that seem identical so that no medication is accidentally mixed together. This software is also useful when dealing with ethical dilemmas, such as communication barriers. To avoid offending people, modules exist to help in using the correct terminology or words, although the computer software supports different languages. In addition, there is an in-person evaluation component, which is separate from the computer (Albolino et al., 2019). Root Cause Analysis is the name given by the company to this process, wherein in the case of a liability claim, those engaged in an issue are brought together as quickly as feasible in a single place. They are then told to think back to what went wrong. They look for any information that could be omitted and attempt to determine what might be causing the problem. Once they’ve gathered all of the relevant data, they conduct an investigation and compile reports detailing how a problem may have been avoided.
Policies on how to address emergency triage in high-risk areas of service delivery
Nurse Andrew and I discussed the facility’s rules for dealing with management in greater-risk sectors of medical services during our interview. One way was to have the management team meet for a system analysis and prepare a written program to enlighten the whole workforce. Workers’ safety is prioritized, yet patient care is not compromised as a result of this method. Managers meet again after implementing their new strategy to discuss their findings and make any required changes (Stewart, Smith &Boland, 2017). For instance, the opioids are kept in a big dispensing machine. A certain drug may only be provided to a nurse using their fingerprint. In the event of a medical emergency, a patient-practitioner would seek out another staff who has access to the drug and present that employee as evidence of use for the medication in that particular scenario. Every morning, the health care institution checks to see if any drugs are missing, and on a weekly basis, a comprehensive inventory of each medication is carried out.
Challenges faced in management and control of high-risk healthcare
Healthcare organizations confront several problems when managing and regulating high-risk patient care, but the largest one is retaining qualified employees. In the end, it doesn’t matter how many regulations are in place, how many checkboxes are checked, or how many devices are used (Bell &Wade, 2021). An employee’s attitude toward “SIMS LAB,” practical learning, training, and testing procedure, will be different if they are knowledgeable and wish to be taught about it. Managing a high-risk company like a hospital requires careful attention to the well-being of patients. Each month, the team meets individually to discuss new initiatives and ways to improve the patient’s prognosis.
Strategies to monitor, evaluate and maintain compliance within risk management program
Monitoring, evaluating, and ensuring compliance with the facility’s risk management program is done by medication and wrist screening. The computer identifies a medication, its dose, and to whom it is prescribed. A meeting would be held to find out what went wrong, how the issue was formed, and how to prevent it from happening again if someone were to mix up a drug. Every action they do is monitored and evaluated, so if something doesn’t work, they make modifications until they are pleased with the outcomes (Abdallah et al., 2019). This is similar to how compliance tactics function.
Conclusion
I would not undertake any effort to enhance an area since there is already a solid system in place. If I had to tinker with anything, it would be the fingerprint medicine machine. In the case of an emergency and an individual has to receive a certain drug from a person with an approved fingerprint, they’ll have no choice but to go for someone who does. If it were a serious issue, I’d expect there to be cameras installed within the system that a unique code could only access.
References
Abdallah, S. A., Shabaan, F. M., Ghadery, S. H., & Shokier, M. E. (2019). Effect of management program on nursing staff leading role and compliance to follow safety measures at intensive care units. Tanta Scientific Nursing Journal, 17(2), 8-32.
Albolino, S., Bellandi, T., Cappelletti, S., Di Paolo, M., Fineschi, V., Frati, P., … & Turillazzi, E. (2019). New rules on patient’s safety and professional liability for the Italian Health Service. Current Pharmaceutical Biotechnology, 20(8), 615-624.
Bell, V., & Wade, D. (2021). Mental health of clinical staff working in high-risk epidemic and pandemic health emergencies a rapid review of the evidence and living meta-analysis. Social psychiatry and psychiatric epidemiology, 56(1), 1-11.
Rogers, E., Griffin, E., Carnie, W., Melucci, J., & Weber, R. J. (2017). A just culture approach to managing medication errors. Hospital pharmacy, 52(4), 308-315.
Stewart, M. J., Smith, J., & Boland, R. A. (2017). Optimizing outcomes in regionalized perinatal care: integrating maternal and neonatal emergency referral, triage, and transport. Current Treatment Options in Pediatrics, 3(4), 313-326.