Risk management help

Standards

Severity of Risk

Performance Indicator

Level of Performance / Threshold

Compliance in Percent

Status

Plan of Correction

Qtr 1

Qtr 2

Qtr 3

Qtr 4

Provision of Care, Treatment, and Services

High Risk

Provision of care, treatment and service is the core accountability of health care institutions and precisely the surgical department. Proper care means that doctors should take great care while operating on patients and be sure of all the procedures before conducting them. A performance indicator here will be having more patients claiming that they have received proper care and they are satisfied with the services.

The level of performance threshold should be 52%. This is the average and performance should not go below this point.

33%

43%

52%

80%

Josephine has been experiencing a lot of pain while taking short calls. She has been to many hospital facilities and has not received any ultimate solutions. She visited a personal doctor who recommended an examination of her kidneys. The results of the examination revealed that all of her kidneys was spoiled and needed to be removed. This required a surgical operation. The doctors in removing the damaged kidneys damaged the joint between the urethra and the bladder. Consequently after one month from the time of the transplant of the new kidney she experienced urine leakage through the surgical incision that was made in her abdomen.This delayed the healing of the wound and had to go back for further surgery to seal the leak. This illustrates the risk of damaging the nearby organs while carrying out an operation on the adjacent organ. It is a common risk associated with the surgical operation of organs.

The plan for correction in this case involves increment of better services. The doctors should be more careful in their provision of services sot that they do a good job. When doctors offer poor services on surgeries and make mistakes, complications are more likely to develop which may make situation even worse.

Ethics, Rights, and Responsibilities

High Risk

Ethics, Rights and Responsibilities are what guide what the doctors do. When the doctors do not fulfill their responsibilities mistakes are more likely to be made. For the case of Josephine, the doctors did not fulfill their responsibilities and that resulted to some serious problems. A performance indicator for this standard would be having majority of the patients coming for surgery and their problems are solved once and for all without complication developing later.

The level of performance threshold should be 52%. This is the average and performance should not go below this point.

33%

43%

52%

80%

On ethics, doctors should not go to the operation rooms when they are not sure of what will be the outcome of the surgery. It is ethical that they be sure of what will happen and inform the patient and the people concerned. On responsibility, doctors should be more responsible and conduct surgeries with full attention so as to avoid mistakes

Medication Management

Low Risk

Medication management involves prescribing the right medicine for the patients. A performance indicator for this would be having the medicine available at the hospital and the patients be issued these medications by qualified physicians and chemists who understand how the medications work.

The level of performance threshold should be 52%. This is the average and performance should not go below this point.

33%

43%

52%

80%

A proper plan to correct this involves providing all medications at the hospital. Sending patients to go and buy medicine in chemists increases the chances of them receiving poor medication management. If this services will be offered within the hospital premises there are higher chances that patients will receive a higher medication management.

National Patient Safety Goals

Medium High Risk

National Patient Safety Goals has its performance indicators as handling patient with more care and avoiding as much as possible the possible risks associated with surgery. This will involve informing the patients and their relatives well on the aftermaths of the procedures.

The level of performance threshold should be 52%. This is the average and performance should not go below this point.

33%

43%

52%

80%

Awareness of the National Patient Safety Goals should be increased so that doctors are aware of their responsibilities and the patients are aware of their rights.

The Environment of Care

Medium High Risk

The environment of care has its performance indicators as the care given to patients after surgery. They should be cared for until they are fit to leave and the doctors are sure that there are no complications that will develop later. When more patients will be observed having successful surgeries and all the problems dealt with and they go back better than they came in then the standard will have been achieved.

The level of performance threshold should be 52%. This is the average and performance should not go below this point.

33%

43%

52%

80%

Awareness of the Environment of Care should be increased so that doctors are aware of their responsibilities and the patients are aware of their rights.