Summary Risk management is the process by which vulnerabilities are identified and changes are made to minimize the

consequences of adverse patient outcomes and liability. Related clinical initiatives to reduce risk and harm should be part of a larger organizational commitment to patient safety. In a true culture of safety, everyone in the organization is committed and driven to keep patients safe from harm. There are top ten challenges that have been listed and the corresponding ways to address it. 1. Patient identification. Risk management strategies revolve around the basic patient safety rule of using two patient identifiers to verify identity. Encouraging patient involvement in combination with active listening skills of staff is key. 2. Hospital-acquired infections (HAIs). The bundle checklist has become a relatively simple yet powerful strategy to standardize practice. When each critical step is identified, agreed on, observed at each procedure, and supported by hospital leadership, then you have the recipe for decreasing risk. Other strategies include gathering and using process and outcome data along with daily surveillance and intervention by both nurses and infection control practitioners. Enforcement of the golden rule of hand washing is an important facet on the road to reducing risk from HAI. 3. Communication/escalation. Remedies include an organizational code of conduct with zero tolerance of disruptive behavior, chain of command policies, multidisciplinary team training, and use of structured communication techniques. 4. Medication administration. Syringe labeling is a basic safety procedure. Computerized provider order entry features clinical alerts, standardized orders, clarity, immediate transmission to pharmacy, and decreased turnaround time for medication availability. Bar code medication administration eliminates transcription, manual documentation of medication administration, and many sources of error. 5. Clinical alarms. Strategies to reduce risk include layering of alarm systems such as monitor technicians, integratingalarms into nurse beepers or phones, improving audibility of high-priority alarms, and modifying equipment, so alarms can't be turned off. 6. Infusion pump safety. Successful strategies to improve infusion pump safety and reduce error include: * easy-to-use technology * standardized infusion ordering protocols * 100% compliance with dose mode * drug library that mirrors clinical practice * protocols to support override verification

8. Cost-benefit analysis would be expected following your organization's value analysis procedures. it also means matching staff competencies to patient needs 10. where sponges are tagged and a wand is swept over the surgical area to identity any retained sponges. Human errors as said in the article are often unavoidable. Retained foreign bodies. preferably with wireless. is radiofrequency identification. Hospital-acquired pressure ulcers. Several statewide associations have implemented collaboratives around fall safety. Technology in this arena. . concurrent data transmission * use of data to make appropriate library or practice changes * vendor support * partnership with biomedical engineering * random auditing 7. Clinical competency. This is one of many OR safety tools available to reduce risk of surgical error Reaction The article provided ways to defeat the harmful risk in the hospital. A "SAFE from FALLS" patient-care bundle was developed by the Maryland Patient Safety Center: F: falls risk screening A: assessment of risk factors L: linked interventions L: learn from events S: safe environment. which looks to hardwire success. unpredictable and unintentional that¶s why they provided some strategies to overcome it. 9. This may be seen in most of the departments but these are important in the coronary ward because the patients are vulnerable there. Bundled preventive measures such as "Skinsavers" pull it all together: S: suspend heels K: keep the head of bed at 30 degrees I: inspect skin daily and at every turn N: nutrition and hydration S: side-lying positioning 30-degree angle A: apply moisture barrier if incontinent V: vigilant skin care and moisture E: encourage mobility R: reposition at least every 2 hours S: support surfaces bed and chair.* staff education and involvement * data analysis. These are helpful to the nurses especially that they are the ones who handle the patient most the time. Falls. "Right staffing" as a management responsibility involves more than quantity.

Significance to nursing education A role of nursing managers and leaders includes education. Significance to nursing research Research may be done especially in the strategies that they provided to know its effectivity. educating and building ability through measurement. Other related researches may also use this article as a supplement. nurse leaders can also acquire a potential skills to reduce risk and harm for the patients. . The content of the article may also be tackled in lectures especially to the students so that they will have guidance especially when they go for their duties. With the three steps provided in the article. If the result has a high percentage of effectiveness the strategies may be used in the hospitals. Significance to the Philippine setting Providing strategies to avoid risk for the patients is important in the hospitals in the Philippines. leadership and coaching. Nurse Managers direct patient care and influence change. These steps can be followed by nurse leaders especially in the coronary ward to avoid harmful actions to the patients.Significance to nursing practice Safety is important in the hospital especially in the coronary ward because most of the patients are vulnerable. These are basic strategies in nursing management and leadership. feedback. The article provided safety measures to avoid the usual human errors. The article provided a three leadership steps to success in reducing risk and harm and improving patient safety. The article also listed the most common challenges in the hospitals and how they can be addressed. The strategies provided in the article may be educated to their staff to promote an effective and efficient nursing care. These include setting expectations. With proper nursing leadership a safe working environment can also be achieved. The strategies that the article also listed may be used especially by nursing managers and leaders to improve patient care safety and quality. This will help their staff in building a broader knowledge on patient s safety. Old issues were administration of wrong medication and this may be prevented through a safe working environment by following the guidelines set in the article. They may get some important data to add it in their research.

2011 . Bonifacio St. Baguio City JOURNAL Presented to the Faculty of the School of Nursing In Partial Fulfillment for Requirements of the Subject NCM105A RLE Submitted to: Mr. Raniel Al B. Joel Ibasco Clinical Instructor Submitted by: BOLLA.SAINT LOUIS UNIVERSITY A. SLU SN 4 C3 January 4.

Sign up to vote on this title
UsefulNot useful