Managers Risk in Healthcare Industry

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Risk managers are skilled professionals who develop and deliver instruction on patient safety for physicians. They comprehend the quality-improvement codes that support patient safety programs. They have finely sharpened skills in identifying risks that cause medical errors, and they work with and control system based issues daily. Additionally, they are familiar with the principles of medical malpractice.

To successfully understand and deal with medical errors and promote the improvement of healthcare delivery systems, a patient safety program for physicians should incorporate:

Outline of a Patient Safety Curriculum for Physicians

Subjects Outline of Topics
  1. Patient Safety (Systems-based-practice)
History: a synopsis of the present patient safety movement and recognizing severe safety
Culture of Medicine: an assessment of the physicians role in patient safety and quality improvement and the culture of medicine with a focus on custom, medical education, and medical-practice structures.
Definitions and study of patient safety
Government and Private-sector reaction
  1. Systems Practice-based Learning and Improvement
Errors: analysis of the different types of errors and how to tackle it for enhanced health care
Blunt-End and Sharp-End Model: the system model by David Wood that considers how the decisions made at the administrative level impact the delivery of patient care (Woods, 2010, p.8)
Hindsight-bias theory
Root-Cause Analysis (RCA): the analytical method for identifying causative factors that lead to an error or potential harm.
Failure-Mode and Effect Analysis: the prospective analysis of design processes to identify the potential for error.
Just Culture: the theory by David Marx that encourages organizations to implement a non-punitive philosophy while simultaneously adjusting the theory of personal responsibility for careless or unruly misconduct (Marx, 2001).
Human Factors Engineering: the study of the interface between humans and machines or work-flow designs to prevent or minimize the potential for medical errors and patient injury (Carayon, 2011, p.133).
  1. Professionalism (Patient-Care Medical Knowledge)
Physician-Patient Communication: the foundation of the relationship with the patients that bears in mind the patients level of health literacy.
Informed Consent: the method of updating patients about their health condition and anticipated plans of cure in order that they be aware of the associated risks, benefits of treatment, and other treatment preference.
Disclosure: the conversation with patients about unexpected effects as the result of care and treatment.
Handoffs: the reciprocal process of communicating patient information from one caregiver to another to guarantee the continuity of care and the safety of patient
Team Training: the training required to guarantee efficient communication and progress among all healthcare team of personnel to develop safe delivery of care.
  1. Quality Improvement (Practice-Based Learning and Improvement)
Measurement of quality: the measurement of structure, practice, and result to successfully assess quality in health care as explained by Avedis Donabedian (Donabedian, 2002).
Identifying and defining Quality Issues: the use of quality-improvement principles to identify and define problems.
Quality-Improvement Tools: the use of quality-improvement tools to identify sources of unnecessary variation in a process and the use of tools to introduce and evaluate interventions
Understanding and using data effectively
Leading a team to advance quality
  1. Risk Management Systems-based Practice
Incident Reporting
Examination of adverse event
Patient complaints
standard of care
medical malpractice and documentation
  1. Clinical Patient Safety Initiative (Medical Knowledge System-based Practice)
Patient safety goals
surgical care improvement project
infection-control practices
Medication Safety and evidence-based practice

Summary and conclusion

In conclusion, the six different subjects a risk manager should include in a curriculum designed for physicians to engage them in patient safety practices are: history and background of patient safety, culture of medicine, system-based theories, quality improvement, communication and application of patient safety and quality-improvement theory, tools, and initiatives in clinical practice.

Reference List

Carayon, P. (2011). Handbook of Human Factors and Ergonomics in Health Care and Patient Safety, Second Edition. Boca Raton, FL: CRC Press.

Woods, D. D. (2010). Behind Human Error. Surrey, England: Ashgate Publishing, Ltd.

Donabedian, A. (2002). An Introduction to Quality Assurance in Health Care. New York, NY: Oxford University Press.

Marx, D. (2001). Patient Safety and the Just Culture: A Primer for Health Care Executives. New York, NY: Columbia University.

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