Lecture Review

RISK MANAGEMENT: DEFINITIONS, TYPES, OBJECTIVES and FUNCTIONS

What is RISK?
A POSSIBILITY that something BAD or DANGEROUS MAY happen
(LONGMAN Active Study Dictionary, 2004)

What is Hospital Risk Management?

consists of clinical & hospital administration activities to identify, evaluate, & reduce the risk for patients, doctors, hospital employee, & visitors.
(JCAHO - Join Commission on Accreditation of Healthcare Organization)

activities to minimize potential harms to the patients, as well as providing a safe environment for patients, employees, and visitors.
(ASHRM - American Society for Healthcare Risk Management)

a framework for a systematic identification, assessment, manage, treatment and monitoring of risk. Its purpose is to prevent or minimize the possibility of the recurrence of risk and their associated consequences
(Liverpool Womens National Health System ( NHS ) Foundation Trust)

OUR DEFINITION
clinical & hospital administration activities to anticipate, minimize, prevent the recurrence of risk on both internal (patients, doctors, employee) and external (visitors) customers of a hospital by identifying, analyzing, managing, evaluating, & monitoring the potential risks.

HOW???

Preparing Context
Strategy Context, Organization Context, Risk Management Context, developing Criteria, and deciding structure

Risk Identification
What & How Risk can occur

Risk Analysis
Determining controlling, frequency or probability, impact or consequence of the Risk

Risk Evaluation
Comparing the risk degree & criteria and preparing risk priority

If accepted, followed by Managing the Risk

Identifying, Evaluating, List Options, Selecting & Preparing the Option

Plan Implementation

TYPES OF RISK
1. 2. 3. 4. 5. 6. 7. Medical Risk Non-medical Risk Risk on Resources Risk on Service Procedure Behavior & Financial Risk Clinical Risk Non-clinical Risk: Operational Risk Compliance Risk Legal Risk Risk on Image & Reputation Credential Risk

Classification of Hospital Risk

(Jacobalis, Samsi)

Corporate Risk Financial Behavior Under-skilled Assistant Unstandardized Procedure Clinical Risk Malpractice Mistreatment Post-Operative Cut Infection Phlebitis Insufficient Equipment & Facilities Instrument

8.

Objectives & Function

To reduce the incidence of preventable injuries & accidents To minimize the financial loss to the institution should an injury or an accident occur (Smith, Dean G.; Wheeler, John R.C.) Managing the Risk so it can give a high quality of service and safe environment for its patients and visitors (East Sussex) The ultimate output of Risk Management is an improvement in quality of service & patient safety, with the spirit of not zero defect but more towards no accident.

Conclusion
Risk can not be eliminated but it should be minimized, for that we have to manage the risk so the image and reputation of the hospital would not be damaged. Should that ever happen, it could diminish the trust of our consumer, which would decrease the amount of visit, in which would lead to the decrease of hospital income.