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RISKMANAGEMENTII.docxRunning Head: RISK MANAGEMENT II 1
RISK MANAGEMENT II 5
Risk Management II
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RISK MANAGEMENT II
Patients tend to go for highly rated hospitals. By organizations such as the Agency for healthcare research and quality (AHQR) publicly reporting on information regarding patient safety indicators (PSIs), it can be of great assistance for patients looking for the best care. The information on the patient's safety rating would influence the patient's choice of healthcare facility (Varkevisser, van der Geest, and Schut, 2012). Every patient would go for a hospital with the highest rating. Reliable healthcare facilities have low infection rates, high standard measures to prevent mistakes, and has a robust and dependable communication line between all the involved persons in a hospital set up. Choosing a hospital with a good track record in the patient's safety is crucial. Just as good doctors, good hospitals invest in the quality they give to their patients. Effective outcomes depend on excellent communication and designed policies to improve patient care, among others.
The emergency department is different from other hospital departments. In the Emergency department, patients seek both primary and urgent care any time of the day or night when other sources of concern are unavailable. Physicians in this department care for multiple patients while at the same time give priority to patients with critical conditions (Sun et al. 2013). For most patients in emergency departments, diagnosis and treatment procedures can be complicated. Some of the patient's safety indicators to access the risk of an emergency room in a healthcare facility include; Accidental puncture. Most of the errors based in the emergency department are preventable. However, factors such as an unqualified specialist in the emergency department might cause errors to occur.
Healthcare facilities can reduce injuries among patients by improving their environmental safety. The implementation may be achieved by having changes in the technical department such as; medical record system and promoting awareness to staff on patient safety risk. Also, clinical interventions have been evident in reducing the risk associated with adverse events. This indicator is expected to raise complicated cases arising from technical difficulties (Mills, and Batchelor, 2011). Collapsing of the lung due to surgery around the chest is another indicator. Also, a transfusion reaction is another emergency room indicator. In 22% of the high-risk patients, 5-10% of the patients undergoing this surgery experience postoperative pulmonary complications (PPC) complications affect the respiratory tract. Atelectasis is the primary cause of PPC. Due to a lack of uniform in medical conditions related to PPCS, the incidence also varies. To a certain degree, the PPCS can be prevented using risk reduction strategies such as appropriate surgical and anesthetic techniques.
Lastly, I will explain about foreign body left in the patient's body after surgery. The indicator is intended to flag accidental international institutions left during procedures. External body events may occur in both surgical and medical processes. There has been widespread surgical count implementation; however, there should be more efforts on ways to eliminate the event from occurring (Vincent, Burnett, and Carthey, 2013). Currently, the game is considered preventable, and therefore healthcare facilities will be required to absorb the cost that comes along with that error. The strategy and result segment continue to be a big challenge. Setting a strategy for keeping the number of specific foreign objects at every surgical process can lead to paying close attention, thus creating a safety culture. However, issues such as system interruptions and distractions can give false results. Diligent practice by all surgical teams nay help avoid human oversight.
When all the four indicators are taken together, they can help reduce the risk experienced in the emergency room. All the four signs involve surgical procedures, and if the surgical team members adhere to the established procedures by being diligent in their practices, errors in the emergency room may be avoided. In conclusion, the Agency for healthcare research and quality (AHQR) represents quality measures that reflect on both patient's quality care and actions to prevent complications in surgical procedures. Healthcare facilities should use the patient safety indicators (PSIs) to understand adverse events and identify their weak areas within the care delivery system that needs improvement. Despite the limitation of the data collected, the PSIs accurately identify accidental injuries.
Reference
Varkevisser, M., van der Geest, S. A., & Schut, F. T. (2012). Do patients choose hospitals with high-quality ratings? Empirical evidence from the market for angioplasty in the Netherlands. Journal of Health Economics, 31(2), 371-378.
Cima, R. R., Lackore, K. A., Nehring, S. A., Cassivi, S. D., Donohue, J. H., Deschamps, C., ... & Naessens, J. M. (2011). How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. Surgery, 150(5), 943-949.
Sun, B. C., Hsia, R. Y., Weiss, R. E., Zingmond, D., Liang, L. J., Han, W., ... & Asch, S. M. (2013). Effect of emergency department crowding on outcomes of admitted patients. Annals of emergency medicine, 61(6), 605-611.
Mills, I., & Batchelor, P. (2011). Quality indicators: the rationale behind their use in NHS dentistry. British Dental Journal, 211(1), 11-15.
Vincent, C., Burnett, S., & Carthey, J. (2013). The measurement and monitoring of safety: drawing together academic evidence and practical experience to produce a framework for safety measurement and monitoring. The Health Foundation.
