A structured approach to analyse logistics risks in the blood transfusion process
AbstractBlood transfusion is a critical health care process due to the nature of the products handled and the complexity driven by the strong interdependence among the sub ‐processes involved. Most of the errors causing adverse events originate during the blood logistics activities. Several literature contributions apply risk management to the transfusion process but often in a fragmented and reactive way. Moreover, few of them focus on logistics risks and assess th e effectiveness of risk responses through operational key performance indicators (KPIs). The present paper applies a comprehensive and structured approach to...
Source: Journal of Healthcare Risk Management - January 12, 2021 Category: Hospital Management Authors: Anna Corinna Cagliano, Sabrina Grimaldi, Carlo Rafele Tags: Clinical/Patient Safety Source Type: research

Analysis of patient safety risk management call data during the COVID ‐19 pandemic
This article presents an overview of the questions, concerns, and requests physicians and dentists shared with patient safety risk management consultants (PSRMs) at a large medical professional liability company. During the first 5 months of the pandemic, PSRMs handled more than 1200 calls related to COVID ‐19. Analysis of call data provides insight into front line provider concerns as the pandemic evolved. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 7, 2021 Category: Hospital Management Authors: Robin Wessels, Lisa M. McCorkle Tags: Clinical/Patient Safety Source Type: research

Implementing a human factors approach to RCA2: Tools, processes and strategies
We describe each of these tools and illustrate how they can be integrated into RCA2 to create a robust human factors RCA process called HFACS ‐RCA2. We also present qualitative results from an 18 ‐month implementation study within a large academic health center. Results demonstrate how HFACS‐RCA2 can foster a more comprehensive, human factors analysis of serious patient harm events and the identification of broader system interventions. Following HFACS ‐RCA2 implementation, RCA team members (risk managers and quality improvement advisors) also experienced greater satisfaction in their work, leadership gained more t...
Source: Journal of Healthcare Risk Management - December 19, 2020 Category: Hospital Management Authors: Douglas A. Wiegmann, Laura J. Wood, Demetrius B. Solomon, Scott A. Shappell Tags: Operations Source Type: research

TRIAD XI: Utilizing simulation to evaluate the living will and POLST ability to achieve goal concordant care when critically ill or at end ‐of‐life—The Realistic Interpretation of Advance Directives
ConclusionGCC was not always achieved with a LW or POLST. This conclusion supports prior research identifying problems with the interpretation and discordance with LW's and POLST. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - December 10, 2020 Category: Hospital Management Authors: Ferdinando Mirarchi, Kristin Juhasz, Timothy Cooney, Daniel Desiderio Tags: Clinical/Patient Safety Source Type: research

The influence of medical insurance on obstetrical care
We report the impact of health care insurance on obstetrical and maternal outcomes in a tertiary care health care system. Our maternal quality care database (n = 4199) was queried comparing commercial insurance to government sponsored insurance from July 1, 2015 through June 30, 2018. Parturients with commercial insurance were older, weighed more, presented with less gravidity and parity, had more advanced gestation, and had a higher neonatal 5 ‐minute Apgar score than government insured parturients. Additionally, government insured parturients were less likely to be admitted for induction with oxytocin, receive labor ep...
Source: Journal of Healthcare Risk Management - October 23, 2020 Category: Hospital Management Authors: Manuel C. Vallejo, Robert E. Shapiro, Christa L. Lilly, Linda S. Nield, Norman D. Ferrari Tags: Operational Source Type: research

Characteristics of medical malpractice claims involving emergency medicine physicians
ConclusionMalpractice claims in EM are often diagnosis ‐ or procedure related. Our findings suggest that diagnostic accuracy and procedural competency should shape future quality improvement work. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - October 20, 2020 Category: Hospital Management Authors: Laura C. Myers, Jonathan Einbinder, Carlos A. Camargo, Emily L. Aaronson Tags: Claims and Litigation Source Type: research

Issue Information ‐ Editorial Review Board
Journal of Healthcare Risk Management, Volume 40, Issue 2, Page 56-56, 2020. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - October 15, 2020 Category: Hospital Management Tags: Issue Information Source Type: research

Issue Information ‐ Board of Directors
Journal of Healthcare Risk Management, Volume 40, Issue 2, Page 55-55, 2020. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - October 15, 2020 Category: Hospital Management Tags: Issue Information Source Type: research

Issue Information ‐ About ASHRM
Journal of Healthcare Risk Management, Volume 40, Issue 2, Page 2-2, 2020. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - October 15, 2020 Category: Hospital Management Tags: Issue Information Source Type: research