Application of broken windows theory to identify flow disruptions in neurosurgery procedure
AbstractAddressing flow disruptions (FDs) in neurosurgery requires a multifaceted approach. Strategies like improved communication protocols, minimizing interruptions, improving coordination among team, optimizing operating room layout, and promoting user-centered design can help mitigate the challenges and enhance the overall flow and safety of neurosurgical procedures. Thirty neurosurgery cases were observed at two tertiary care facilities. The data collected were from wheels into the operating room to wheels out from the operating room. Data points were categorized using a human factors taxonomy known as RIPCHORD-TWA (R...
Source: Journal of Healthcare Risk Management - January 31, 2024 Category: Hospital Management Authors: Asfandyar Khan, Aimen Farooq, Wissam Elfallal, Ravi Gandhi, Federico Vinas, Albert J. Boquet Tags: CLINICAL/PATIENT SAFETY Source Type: research

Issue Information
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 25, 2024 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

Starting anew
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 25, 2024 Category: Hospital Management Authors: Robert F. Bunting Jr. Tags: EDITOR'S LETTER Source Type: research

Case law update
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - January 6, 2024 Category: Hospital Management Authors: Christopher J. Allman Tags: CASE LAW UPDATE Source Type: research

An analysis of medical malpractice claims against medical oncologists from a national database: Implications for safer practice
AbstractMalpractice claims data include valuable information about patient safety. We used mixed methods to analyze claims against medical oncologists (MO) from 2008 to 2019 using a national database. MO claims were compared to a group of other internal medicine subspecialties (OIMS). Logistic regression was used to examine correlates of closing with an indemnity payment. A subset of claims against MO were thematically analyzed using a validated safety incident taxonomy as a framework. 456 claims against MO were compared with 5771 claims against OIMS. MO claims closed with indemnity payments 29.8% of the time versus OIMS 3...
Source: Journal of Healthcare Risk Management - December 15, 2023 Category: Hospital Management Authors: Jim W. Doolin, Adam C. Schaffer, Roy B. Tishler, Joseph O. Jacobson Tags: LEGAL & REGULATORY Source Type: research

Medico ‐legal cases associated with older physicians’ cognitive ability to practice medicine
AbstractBackground: Dementia increases as individuals age. Aging physicians represent a growing population. Studies have demonstrated there are physicians with cognitive impairments practicing medicine. The medico-legal consequences of physicians with cognitive impairments have not been investigated.Methods: The Canadian Medical Protective Association (CMPA) is a national medical association with 108,000 members who advise and assist doctors with medico-legal matters. They maintain a national repository of legal actions and complaints to regulatory bodies and hospitals. We looked at civil-legal and regulatory college cases...
Source: Journal of Healthcare Risk Management - November 23, 2023 Category: Hospital Management Authors: Genevieve Casey, Karen Lemay, Jun Ji, Qian Yang, Anna MacIntyre, Dianne Heroux, Gary Garber Tags: LEGAL & REGULATORY Source Type: research

Issue Information
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - October 20, 2023 Category: Hospital Management Tags: ISSUE INFORMATION Source Type: research

A health system's journey to preventing workplace violence: Use of multidisciplinary teamwork to unify efforts across a health system
AbstractWorkplace violence (WPV) is known to threaten the safety of patients and staff. In 2018, a wellness survey showed many employees had not received training on WPV prevention and felt unprepared to manage aggression. The health network's leaders knew they needed to take action. From various multidisciplinary committees, the leaders were able to create a comprehensive WPV prevention program. Some of the highlights of this program include forming a centralized security department, codes of conduct, and crisis response process, adopting tools to predict violence, and providing a range of education. Data from WPV events ...
Source: Journal of Healthcare Risk Management - September 28, 2023 Category: Hospital Management Authors: Jamie E. Malone, Thomas P. Campbell, Ann M. Curtis Tags: OPERATIONAL Source Type: research

Natural disasters are you prepared?
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - September 21, 2023 Category: Hospital Management Authors: Rebecca Cady Tags: PRESIDENT'S MESSAGE Source Type: research

Transforming the transfer process: A quality improvement project to assess and improve transfer notes
AbstractTransfer notes (TNs) standardize handoffs from one inpatient unit to another to optimize patient safety. They are especially important when patients are downgraded from high acuity settings such as intensive care units (ICU). Despite this, there is a paucity of evidence around safe transfers. The study objective was to assess the impact of a quality improvement initiative on the completion rate and quality of TNs. A retrospective chart review of TNs was conducted at a single academic center in Baltimore, MD. We analyzed 76 MICU to floor transfers pre-intervention and 73 transfers during the intervention period. Not...
Source: Journal of Healthcare Risk Management - September 20, 2023 Category: Hospital Management Authors: Robert J. DeGrazia, Meher Kalkat, Leslie Miller, Timothy Niessen, Souvik Chatterjee, Scott Wright Tags: CLINICAL/PATIENT SAFETY Source Type: research

The power of mentoring: For mentors and mentees
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - September 3, 2023 Category: Hospital Management Authors: Robert F. Bunting Tags: EDITOR'S LETTER Source Type: research

Case law update
(Source: Journal of Healthcare Risk Management)
Source: Journal of Healthcare Risk Management - September 1, 2023 Category: Hospital Management Authors: Christopher J. Allman Tags: CASE LAW UPDATE Source Type: research

A tailored, interdisciplinary, multicomponent approach to decreasing workers ’ compensation claims and costs in a hospital system: A retrospective study
AbstractGoalHealthcare is the leading profession for risk of injury with workers face a number of potential risk factors leading to musculoskeletal disorders. One method to promote safety for healthcare workers is with body mechanics training and ergonomics. Evidence suggests multicomponent interventions are required for successful safe patient handling programs. While numerous studies have considered interventions for nurses and nursing programs, few have targeted both patient handling and non-patient handling employees simultaneously in a healthcare setting. Our main objective is to describe the implementation of a tailo...
Source: Journal of Healthcare Risk Management - August 29, 2023 Category: Hospital Management Authors: Jon Cinkay Tags: HUMAN CAPITAL Source Type: research