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Epeolatry
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - April 7, 2022 Category: Hospital Management Authors: Sue Boisvert Tags: EDITOR'S LETTER Source Type: research

Patient falls in the operating room setting: An analysis of reported safety events
Conclusions: Our safety data reporting system identified falls as a safety event that causes patient harm in the perioperative setting that could be preventable with a multifaceted interdisciplinary approach. Risk managers can use these data to implement strategies to reduce falls such as creating screening protocols to identify high-risk patients, educating and training healthcare personnel, and optimizing operating room, hospital, and equipment design. (Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - April 3, 2022 Category: Hospital Management Authors: Joy Tan, Sindhu Krishnan, Joshua C. Vacanti, Kimberly K. Wheeler, Sheila T. Giovannini, Marc P. Pimentel, Richard D. Urman Tags: CLINICAL/PATIENT SAFETY Source Type: research

President's message
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - March 27, 2022 Category: Hospital Management Authors: Barbara McCarthy Tags: PRESIDENT's MESSAGE Source Type: research

The necessary leadership skillsets for the high ‐reliability organization framework adoption within acute healthcare organizations
AbstractThis research explores the necessary leadership skills for the successful adoption of the High-Reliability Organization (HRO) framework within acute healthcare organizations. Using a qualitative research design, organization leaders and experts at the executive, mid-level, and front-line levels were interviewed. The results were analyzed to correlate specific leadership skillsets and components to the most successful adoption strategies. In total, 20  skillsets were identified with seven representing data saturation. The seven vital skillsets include non-hierarchical leadership, transparent and continuous communic...
Source: Journal of Healthcare Risk Management - March 1, 2022 Category: Hospital Management Authors: Amanda L. Logan ‐Athmer Tags: OPERATIONAL Source Type: research

Qualitative content analysis: A framework for the substantive review of hospital incident reports
AbstractFor decades, incident reports have been utilized as a part of comprehensive healthcare risk management and patient safety programs. As the roles of healthcare risk managers and patient safety professionals become more complex, it is essential that standard tools and strategies used by these professionals, like incident report analysis, be standardized to improve efficiency and effectiveness. Qualitative content analysis provides a structured framework that can be successfully used to describe the categories and themes of incidents, so that, they can be used to develop individual and organizational learning. (Source...
Source: Journal of Healthcare Risk Management - February 27, 2022 Category: Hospital Management Authors: Seth Stephens Tags: CLINICAL/PATIENT SAFETY Source Type: research

The assessment of a growing mobile anesthesia practice from 2016 to 2019: A retrospective observational cohort study of 89,999 cases comparing ambulatory surgery (ASC) and office ‐based surgery (OBS) centers using a high‐fidelity, anesthesia‐specific electronic medical record (EMR)
We examined retrospective data from a large mobile anesthesia practice for 89,999 procedures from 2016 to 2019. Data was abstracted from billing and an anesthesia-specific electronic medical record, segregating procedures performed in ASCs versus OBS. The number and breadth of procedures increased substantially. Compared to ASCs, OBS patients were more likely male (52% vs. 48%), older (61 years vs. 55 years), and to have a higher American Society of Anesthesiologists (ASAs) status (33% vs. 20% ASA 3 or higher). The procedure mix varied substantially between the two settings. The major complication rate was 0.07% for the AS...
Source: Journal of Healthcare Risk Management - February 21, 2022 Category: Hospital Management Authors: Fred E. Shapiro, Brian H. Park, Tal S. Levy, Brian M. Osman Tags: CLINICAL/PATIENT SAFETY Source Type: research

Quantification of the impact of factors affecting the technical performance of operating room personnel: Expert judgment approach
AbstractIncorrect assessment of the performance shaping factors (PSFs), especially in health care systems, may lead to irreversible consequences such as death. The current study aimed to adapt PSFs taxonomy given in standardized plant analysis risk human reliability analysis (SPAR-H) technique to surgical context. PSFs taxonomy of the SPAR-H technique was revised, and more contextspecific definitions to surgical context were suggested. Step-wise weight assessment ratio analysis (SWARA) and eleven-digit numerical scale were used for quantification of the weight and negative influence rate of the PSFs during surgical process...
Source: Journal of Healthcare Risk Management - February 20, 2022 Category: Hospital Management Authors: Reza Jafari Nodoushan, Khalil Taherzadeh Chenani, Mehdi Jahangiri, Farzan Madadizadeh, Hossein Fallah Tags: CLINICAL/PATIENT SAFETY Source Type: research

Issue Information ‐ Editorial Review Board
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

Issue Information ‐ Advisory Board
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

Issue Information ‐ About ASHRM
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

Issue Information ‐ TOC
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

What can we learn from medical journals?
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Authors: Sue Boisvert Tags: EDITOR'S LETTER Source Type: research

President's message
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 29, 2022 Category: Hospital Management Authors: Barbara McCarthy Tags: PRESIDENT'S MESSAGE Source Type: research

Airway management in the operating room setting: An analysis of reported safety events
AbstractAdverse event reporting systems are important tools for identifying areas of risk and opportunities quality improvement. Perioperative airway management (PAM) carries patient risk. We examine the nature of PAM incident reports at an academic tertiary care center. In this retrospective data review, perioperative safety reports filed under “Airway Management” between 2015 and 2020 were analyzed. Data analyzed included severity level (patient harm) and specific event type. There was a total of 7827 safety reports filed from January 2015 to July 2020, with 67 reports related to “Airway Management” (0.85%). The ...
Source: Journal of Healthcare Risk Management - January 21, 2022 Category: Hospital Management Authors: Kevin B. Osgood, Sindhu Krishnan, Kimberly K. Wheeler, Marc P. Pimentel, Joshua C. Vacanti, Richard D. Urman Tags: CLINICAL/PATIENT SAFETY Source Type: research

Case law update
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 11, 2022 Category: Hospital Management Authors: John C. West, Christopher J. Allman Tags: CASE LAW UPDATE Source Type: research