Health Law and Ethics
Conduct a systems level risk analysis:
Please use the following impact and probability framework to complete the risk table in part a.
Impact Framework
|
Impact Level
|
Criteria |
|
1 |
Minor: No or minor injury/adverse health outcomes
|
|
2 |
Moderate: Moderate injury/adverse health outcome (increased length of stay)
|
|
3 |
Serious: Major injury/adverse health outcome (e.g. possibility of permanent lessening of bodily functioning) |
|
4 |
Major: Possibility of death or major permanent loss of function (motor, sensory, physiologic, or intellectual) |
|
5 |
Catastrophic: Multiple deaths
|
Probability Framework
|
Probability Level |
Criteria
|
|
1
|
Very low |
|
2
|
Low |
|
3
|
Medium |
|
4
|
High |
|
5
|
Very High |
a. Identify at least 4 risks (at the systems level) and complete the risk table below.
*** At the health care system level (not patient level)
Risk Table (10 pts)
|
No. |
Risk Description |
Probability (1=low, 5=high) |
Impact (1=low, 5=high) |
Risk Category – Low/Med/High (Probability x Impact) |
Rank of Risks |
|
1 |
Miscommunication between OR personnel
|
3 |
3 |
3 x 3 = 9 |
2 |
|
2 |
Untrained personnel
|
2 |
4 |
2 x 4 = 8 |
3 |
|
3 |
Loss of patients/support from the community
|
3 |
5 |
3 x 5 = 15 |
1 |
|
|
|
|
|
|
|
b. Please describe the most impactful risk you found and what actions could be taken to minimize or mitigate the risk. (5 pts)
The most impactful risk is the risk that has the highest rank. The highest rank is the highest risk category (probability x impact).
Actions to minimize or mitigate risk include, but are not limited to: personnel cross training, labeling, changes in standard operating procedures (SOPs), personnel communications training, checklists, documentation of licensure, on the job training, accountability, checks and balances, mentoring