Risk Management Uses Certain Documents To Track Incid 673219

Risk Management Uses Certain Documents To Track Incidents It Will Hel

Risk management uses certain documents to track incidents. It will help you to become familiar with the kind of information that goes into these documents. This week, you will create and fill in a quality improvement chart for the high-risk area you selected in Week 1. Design a chart to show the indicators, their measurements, and the expected and actual performance. Use the template to design your chart. Further, use 5 out of the 10 standards listed. Click here to review and download the template. Select one of the fictional incidents you created last week. Describe the incident under Status. For this incident, complete the Compliance section using fictitious data. The tracking of the indicators should correspond to the incident. That is, some failure of compliance may have led to the incident. Develop a plan of correction to address the incident. Write a brief description under Plan of Correction.

Paper For Above instruction

Effective risk management is a critical component in healthcare settings, ensuring that patient safety is upheld by systematically tracking incidents and implementing corrective actions. The process involves utilizing specific documents that serve as a foundation for recording, analyzing, and responding to incidents, especially in high-risk areas. This paper aims to demonstrate the development of a quality improvement (QI) chart for a high-risk area, integrating selected safety standards, and proposing a plan of correction based on a simulated incident.

Development of the Quality Improvement Chart

The quality improvement chart is a strategic tool designed to monitor key indicators related to patient safety in a high-risk domain, such as medication administration, infection control, or surgical procedures. For this exercise, the selected indicator is medication error rates within the hospital's surgical unit. The chart includes parameters such as the indicator (medication errors), measurement methods, expected performance levels, and the actual performance data collected monthly.

Specifically, the chart comprises the following columns: Indicator, Measurement Method, Expected Performance, Actual Performance, and Variance. For example, the indicator "Medication Error Rate" is measured through incident reports and compliance audits, with an expected error rate of less than 2%. Data from recent audits show an actual error rate of 5%, indicating a significant deviation that warrants intervention.

The use of this chart facilitates ongoing monitoring, allowing the risk management team to quickly identify deviations from expected standards and initiate corrective actions promptly.

Application of Safety Standards

In aligning this quality improvement effort with recognized safety standards, five standards from the Joint Commission are selected:

• Standard 1: Organization Leadership and Risk Management
• Standard 2: Patient Safety Risk Reduction
• Standard 3: Medication Management
• Standard 4: Incident Reporting and Analysis
• Standard 5: Staff Competency and Training

Applying these standards ensures that the tracking system is comprehensive and rooted in best practices. For example, Standard 3 emphasizes proper medication management, which directly relates to reducing error rates. The incident data collected aligns with Standard 4, which advocates for thorough reporting and analysis of adverse events to inform quality improvement initiatives.

Incident Description and Compliance Data

From last week’s fictional incident list, the selected incident involves a medication administration error resulting in delayed patient treatment. Under 'Status,' the incident is described as a nurse administering an incorrect dosage due to mislabeling of medication vials. The incident was reported via the internal incident reporting system and is under review.

For the compliance assessment, fictitious data is generated to simulate adherence to safety protocols. Suppose the relevant standards include medication verification procedures, staff training on medication safety, and incident reporting. The compliance data for this incident indicates a 70% adherence rate to medication verification protocols, reflecting deficiencies that contributed to the incident.

Plan of Correction

The plan of correction focuses on addressing the identified weaknesses in compliance that led to the incident. First, staff education will be reinforced through mandatory training sessions on medication safety and the importance of verification procedures. Second, a barcode scanning system will be implemented to formalize the medication verification process and reduce human error. Third, periodic audits will be conducted to monitor compliance rates, aiming for at least 95% adherence within three months.

Additionally, the incident reporting process will be streamlined to encourage more timely and thorough documentation, ensuring that all errors are captured and analyzed for future prevention. An interdisciplinary team comprising nursing staff, pharmacists, and quality assurance personnel will oversee these initiatives, ensuring continuous monitoring and improvement.

Conclusion

Developing a comprehensive risk management document, such as a detailed quality improvement chart aligned with established safety standards, is vital for proactive incident prevention and patient safety enhancement. By analyzing incidents, monitoring indicators, and implementing targeted corrective actions, healthcare facilities can create safer environments. The integration of standardized procedures and continuous staff training forms the backbone of effective risk mitigation strategies, ultimately leading to improved healthcare outcomes.

References

• Joint Commission. (2020). Comprehensive Accreditation Manual for Hospitals. The Joint Commission.
• Reason, J. (2000). Human Error: Models and Management. BMJ, 320(7237), 768-770.
• Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To Err is Human: Building a safer health system. National Academies Press.
• Leape, L. L., Berwick, D. M., & Bates, D. W. (2002). Safety as a System Property—Enabling Unsafe Acts to be Reported Accurately and Fairly. BMJ Quality & Safety, 11(4), 323-338.
• American Society of Health-System Pharmacists. (2019). Medication Safety Best Practices. ASHP.
• World Health Organization. (2017). Patient Safety: Medication Safety. WHO Press.
• O'Connor, P., & Demaio, A. (2021). Improving Healthcare Quality with Data-Driven Decision Making. Journal of Healthcare Quality, 43(2), 45-54.
• Siponkoi, K. S., & Suthar, S. (2018). Risk Management and Incident Reporting in Healthcare. Journal of Clinical Risk Management, 24(3), 84-91.
• Virginia Department of Health. (2020). Hospital Safety Standards and Compliance Monitoring. VDH Publications.
• Hughes, R. G. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality.