Evaluation, Final
Running Head: RISK MANAGEMENT 1
RISK MANAGEMENT 2
Risk Management
Maria Estevez
HCM4002
June 27, 2017
Introduction
Anytime a surgery has taken place, the person in charge should go back and reassess the procedure and write a recommendation on its performance. The risks and the impact of the surgery in the institution should be assessed, and the solutions developed actually. The clients of a company also feel the effect of the surgery because the techniques may not be favorable to all of them. Therefore, the institution should develop a strategy that the business and the clients will use in responding to the surgery. Once in a while, however, individuals may not notice it but have a tendency to fear surgery (Clemmer, 2016). Surgery has very many uncertainties and also various negative effects which should be monitored closely to avoid adverse consequences. For a heath care institution to be successful in implementing and acceptance surgical procedures, they need to understand the crucial aspects related to surgery and conduct an effective risk management process.
During surgery, there are two people who are at risk and the surgeon and the patient who is going through a surgical procedure. The risks in the surgery room take many forms and some of the incidents will be discussed in this paper. However, some of this incidents result from ignorance by the practitioners, others developed from an avoidable circumstance whereas the rest develop from technical know-how that the institution use. All the above factors subject the risk the doctor or the patients who are undergoing the surgery procedure. Poor risk management has some adverse effect on the reputation of the institution (Montalescot et al. 2013). The image of the institution is important in determining the effectiveness of the company as well as the number of the attendant in that institution. This means that it is very important to ensure that risk management is taken seriously in the institution especially relating to the surgery and all the procedures.
Case of risk in surgery
Over the years whenever one goes to surgery regardless of the risk associated with the procedure, people are asked to pray for the patients especially due to the risks associated with the procedures. However, it is important to note that the risks are not one sided but unexpected can happen to both the patient and the doctor. This paper will discuss some of the incidences that have happened in the past, the implications and ways of avoiding such circumstance in future (Kolh et al 2014). The first incident is a case where a doctor during surgery cut himself with the scalpel. The same scalpel would have been used to cut the patient during surgery. If the patient has a contagious infection it can be easily transferred to the doctor through drug transfusion. Such cases are purely accidental but the implications of such case are very adverse. Although such cases are very rare they should always be noted to avoid the serious problem in the line of duty. The same problem would also result from technological malfunction causing accidents which may make the doctors cut themselves.
Another incident which has happened to the clients is a case where the doctor forgets to remove some of the equipment from the body of the patient. If metallic equipment or any other material is left inside the body of patients, they are likely to cause serious complication on the health of the clients. Noticing such problems take a long time and the damage that result from such cases may be very adverse (Karkouti et al. 2015). The complication may be too serious to be reversed causing the death of an individual. With such cases, the doctor who was involved in the surgery tarnishes his or her reputation and the reputation of the health institution. In other cases, the doctor may be denied the permission to practice the medical profession and snatched his license.
Last but not least in the case of surgical wound take too long to heal or fail to heal even after surgery. Due to improper management of the wound especially after surgery, the patients may end up having complication especially related to the healing of the wound. Doctors should monitor and evaluate the progress of the wound after surgery and ensure that the healing process is taking place as expected (Kolh et al 2014). Failure to do this may result in discharging a patient who ends up going home with serious problems which when discovered later could be very fatal.
Recommendation
To prevent such cases it is important that the doctors discuss the procedures to be taken before undertaking the procedure. The discussion would help to evaluate all the benefit and risk and determine ways of preventing them. The equipments have been the main cause of deadly problems during surgery; therefore, they should occasionally monitor to ensure that they are in good working condition. The alarm function in the surgery room should be working appropriately to ensure that the alert the practitioners on any problem. Monitoring the progress of the patient after surgery would help to prevent unnoticed complication (Kristensen, 2017). Last but not least, it is important to keep all the medical records for future reference. In conclusion, risk management is very important and if done properly can help to avoid complication during surgery.
References
Clemmer, J. (2016). “Growing with Change” Retrieved from: http://www.managerwise.com/article.phtml?id=261
Karkouti, K., Grocott, H. P., Hall, R., Jessen, M. E., Kruger, C., Lerner, A. B., ... & Ralley, F. (2015). Interrelationship of preoperative anemia, intraoperative anemia, and red blood cell transfusion as potentially modifiable risk factors for acute kidney injury in cardiac surgery: a historical multicentre cohort study. Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 62(4), 377-384.
Kolh, P., Windecker, S., Alfonso, F., Collet, J. P., Cremer, J., Falk, V., ... & Kappetein, A. P. (2014). 2014 ESC/EACTS guidelines on myocardial revascularization: the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). European journal of cardio-thoracic surgery, 46(4), 517-592.
Kristensen, S. D. (2017). 2014 ESC/ESA guidelines on noncardiac surgery: cardiovascular assessment and management. Journal of Nuclear Cardiology, 24(1), 162-164.
Montalescot, G., Sechtem, U., Achenbach, S., Andreotti, F., Arden, C., Budaj, A., ... & Ferreira, J. R. (2013). 2013 ESC guidelines on the management of stable coronary artery disease. European heart journal, 34(38), 2949-3003.