Risk Management Handbook for Health Care Organizations, 3 Volume Set E-Book

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 4409

Veröffentlichungsjahr: 2011

Beschreibung

Continuing its superiority in the health care risk management field, this sixth edition of The Risk Management Handbook for Health Care Organizations is written by the key practitioners and consultant in the field. It contains more practical chapters and health care examples and additional material on methods and techniques of risk reduction and management. It also revises the structure of the previous edition, and focuses on operational and organizational structure rather than risk areas and functions. The three volumes are written using a practical and user-friendly approach.

Leseprobe

Table of Contents

Cover

Title

Copyright

Cover

Volume 1

List of Exhibits, Figures, Tables, Boxes, and Appendices

The Contributors

Preface

About This Book

Chapter 1: Basics of Enterprise Risk Management in Healthcare

RISK DOMAINS

SHORTCOMINGS OF TRADITIONAL RISK MANAGEMENT

HEALTHCARE ENTERPRISE RISK MANAGEMENT

RELATIONSHIP OF OBJECTIVES AND COMPONENTS

INFORMATION AND COMMUNICATION

CONCLUSION

Chapter 2: Healthcare Legal Concepts

LEGAL ISSUES COMMON TO ALL HEALTHCARE PROVIDERS

LEGAL ISSUES RELATED TO SPECIFIC HEALTHCARE PROVIDERS

CONCLUSION

Appendix 2.1: ESSENTIALS OF AMERICAN LAW

Chapter 3: Governance of the Healthcare Organization

CORPORATE STRUCTURE

BOARD COMPOSITION

LEGAL DUTIES OF BOARD MEMBERS

BOARD ACTIVITIES AND OVERSIGHT

THE MEDICAL STAFF

LEGAL PROTECTIONS FOR BOARD MEMBERS

EDUCATION

CONCLUSION

Chapter 4: Development of a Risk Management Program

RISK MANAGEMENT PROGRAM DEVELOPMENT

KEY STRUCTURAL ELEMENTS

SCOPE OF THE RISK MANAGEMENT PROGRAM

THE RISK MANAGEMENT PROCESS

EVOLUTION OF THE RISK MANAGEMENT PROGRAM

ASSESSING RISK MANAGEMENT AREAS

KEY COMPONENTS FOR GETTING STARTED

WRITING A RISK MANAGEMENT PROGRAM PLAN

ACHIEVING PROGRAM ACCEPTANCE

CONCLUSION

Chapter 5: The Healthcare Risk Management Professional

THE RISK MANAGER’S FUNCTIONAL AREAS OF RESPONSIBILITY

RISK MANAGEMENT ACROSS A SPECTRUM OF SETTINGS

A PROFILE OF THE RISK MANAGEMENT PROFESSIONAL

EDUCATION AND PROFESSIONAL RECOGNITION PROGRAMS

REQUISITE SKILLS FOR SUCCESS

RISK MANAGEMENT ETHICS

CONCLUSION

Chapter 6: Early Warning Systems for the Identification of Organizational Risks

EARLY IDENTIFICATION OF EXPOSURE TO LOSS

FOOD AND DRUG ADMINISTRATION

INSTITUTE FOR SAFE MEDICATION PRACTICES, UNITED STATES PHARMACOPEIA, AND NATIONAL COORDINATING COUNCIL FOR MEDICATION ERROR REPORTING AND PREVENTION

MEDICAL EVENT REPORTING SYSTEM—TRANSFUSION MEDICINE

NATIONAL ALERT NETWORK FOR SERIOUS MEDICATION ERRORS

PITTSBURGH REGIONAL HEALTHCARE INITIATIVE

OTHER VOLUNTARY PROGRAMS

STANDARDIZING A PATIENT SAFETY TAXONOMY

CONCLUSION

Chapter 7: Basic Claims Administration

THE CLAIMS ENVIRONMENT

THE CLAIMS PROCESS

THE RISK MANAGEMENT PROFESSIONAL’S RESPONSIBILITIES

REGULATORY REPORTING OF CLAIMS

CONCLUSION

Chapter 8: Introduction to Risk Financing

RISK FINANCING IN THE CONTEXT OF THE RISK MANAGEMENT PROCESS

RISK RETENTION

CONCLUSION

Chapter 9: Insurance: Basic Principles and Coverages

DEFINITION OF INSURANCE

SPECIFIC TYPES OF INSURANCE

CONCLUSION

Chapter 10: Patient Safety Organizations

THE AHRQ’S COMMON FORMATS

OVERVIEW OF THE PATIENT SAFETY ACT AND REGULATIONS

PSO BEST PRACTICES

CONCLUSION

Appendix 10.1: KEY DEFINITIONS

Chapter 11: Risk Management’s Role in Performance Improvement

THE EVOLUTION OF PERFORMANCE IMPROVEMENT

PERFORMANCE IMPROVEMENT

MANAGING PERFORMANCE IMPROVEMENT

CONCLUSION

Chapter 12: Using Data as a Risk Management Tool

THE USE OF DATA

CONCLUSION

Additional Resources

Chapter 13: The Clinical Record

PERSONAL HEALTH RECORDS, ELECTRONIC HEALTH RECORDS, AND ELECTRONIC MEDICAL RECORDS

MANAGEMENT OF THE CLINICAL RECORD

DOCUMENTATION PRINCIPLES TO SUPPORT PATIENT SAFETY

EMERGING RISK TRENDS IN ELECTRONIC RECORDS

CONCLUSION

Chapter 14: Physician and Allied Health Professional Credentialing

CREDENTIALING OF PHYSICIANS

DOCUMENTATION OF CREDENTIALING CRITERIA

POTENTIAL LIABILITIES

INFORMATION SHARING AND ALLOCATION OF RISK

CREDENTIALING OF ALLIED HEALTH PROFESSIONALS

SCOPE OF AUTHORITY

MINIMIZING POTENTIAL LIABILITY IN CREDENTIALING

CONCLUSION

Chapter 15: Interpersonal Communication Skills

GENERAL PRINCIPLES OF EFFECTIVE COMMUNICATION

PATIENT- AND FAMILY-CENTERED SYSTEMS

COMMUNICATING WITH PATIENTS AND FAMILIES

CLINICAL COMMUNICATION AMONG THE HEALTHCARE TEAM

OTHER INTERNAL COMMUNICATION

COMMUNICATION WITH OTHER KEY CUSTOMERS

CONCLUSION

Chapter 16: Ethics in Patient Care

ETHICAL PRINCIPLES AND MORAL OBLIGATIONS

RESEARCH

INSTITUTIONAL REVIEW BOARDS

REGISTRATION OF CLINICAL TRIALS

PATIENT SELF-DETERMINATION ACT

WITHHOLDING OR WITHDRAWING TREATMENT

CONCLUSION

Chapter 17: A Contract Review Primer for Risk Management Professionals

CONTRACT STRUCTURE

CRITICAL CONTRACT PROVISIONS

CONTRACTUAL RISK TRANSFER

HIPAA: BUSINESS ASSOCIATE REQUIREMENTS

HEALTHCARE CONTRACTING RELATIONSHIPS

CONTRACT FILE MANAGEMENT

CONCLUSION

Chapter 18: Information Technologies and Risk Management

RISK MANAGEMENT INFORMATION NEEDS

RISK MANAGEMENT INFORMATION SYSTEMS

ELECTRONIC HEALTH RECORDS

PERSONAL HEALTH RECORD

CLINICAL INFORMATION TECHNOLOGIES

POINT OF CARE TECHNOLOGY

TELEMEDICINE

CONCLUSION

Appendix 18.1: SOCIAL NETWORKING GLOSSARY

Appendix 18.2: IT GLOSSARY

Chapter 19: Emergency Management

THE STEPS OF EMERGENCY MANAGEMENT

PREVENTION

PLANNING AND PREPARATION

IMPLEMENTATION AND RESPONSE

RECOVERY

CONCLUSION

Chapter 20: Occupational Safety, Health, and Environmental Impairment

ADMINISTRATIVE PROCEDURE ACT

ADMINISTRATIVE ENFORCEMENT

SPECIFIC OCCUPATIONAL SAFETY AND HEALTH ISSUES

CONCLUSION

Appendix: A Guide to Medical Terminology

HISTORY

STRUCTURE OF MEDICAL TERMS

SUFFIXES

PREFIXES

ROOT WORDS

SINGULAR AND PLURAL FORMS

ABBREVIATIONS AND ACRONYMS

CONCLUSION

Glossary

Index

Cover

Volume 2

List of Boxes, Exhibits, Figures, Tables, and Appendices

The Contributors

Preface

About This Book

Chapter 1: Patient Safety and the Risk Management Professional: New Challenges and Opportunities

THE SCOPE OF MEDICAL ERRORS

CAUSES OF MEDICAL ERRORS

CONCLUSION

Chapter 2: The Risk Management Professional and Medication Safety

LATENT AND ACTIVE FAILURES

SYSTEMS THINKING

A PRIORITIZING APPROACH

CONCLUSION

Chapter 3: The Risk Management Professional and Biomedical Technology

STRATEGIC CONSIDERATIONS

RISK MANAGEMENT INPUT

FINANCIAL CONSIDERATIONS

CONTRACTS WITH VENDORS

BULK PURCHASING ARRANGEMENTS

STAFF TRAINING

TRAINING NONMEDICAL USERS

OPERATIONAL FACTORS

REALITIES OF IMPLEMENTATION

REPORTING AND FOLLOW-UP OF ADVERSE EVENTS AND NEAR MISSES

TRACKING BIOMEDICAL DEVICES

RECALLS OF BIOMEDICAL DEVICES

REPROCESSING OF SINGLE-USE MEDICAL DEVICES

DISPOSAL OF BIOMEDICAL TECHNOLOGY-RELATED DEVICES

THE FUTURE OF PATIENT SAFETY AND BIOMEDICAL TECHNOLOGY

Chapter 4: Informed Consent as a Loss Control Process

INFLUENCE OF LEGAL DECISIONS ON THE CONSENT PROCESS

ELEMENTS OF CONSENT TO TREATMENT

EXCEPTIONS TO THE GENERAL RULES OF CONSENT

IMPRACTICALITY OF CONSENT

EFFECTIVE COMMUNICATION IN THE CONSENT PROCESS

RIGHT TO WITHDRAW CONSENT

SPECIAL NEEDS PATIENTS AND THE CONSENT PROCESS

CONSENT REQUIREMENTS ALONG THE CONTINUUM OF CARE

BREAKDOWN IN THE CONSENT PROCESS

RISK MANAGEMENT AND CONSENT TO TREATMENT

CONCLUSION

Chapter 5: Clinical Research: Institutional Review Boards

ETHICAL PRINCIPLES

REGISTRATION OF CLINICAL TRIALS

CONCLUSIONS

Chapter 6: Patient Safety in Surgery: The Essential Continuum

SAFETY LEADERSHIP

PATIENT EDUCATION

PREOPERATIVE PREPARATION

OUTPATIENT SURGERY

IN THE OPERATING ROOM

POSTANESTHESIA CARE UNIT

OPERATING ROOM ENVIRONMENT

ORGANIZATIONAL STRUCTURE

PERIOPERATIVE SCORECARD

CONCLUSION

Chapter 7: Managing Risks and Improving Safety in the Intensive Care Unit

ICU CULTURE AND PATIENT SAFETY

COMMUNICATION AND TEAMWORK

ICU STRUCTURE, STAFFING, AND TRAINING

INITIATIVES REQUIRE INTEGRATED SYSTEMS

EVENT, ERROR, AND NEAR-MISS REPORTING

TECHNOLOGY AND SAFETY IN THE ICU

MEDICATION ERRORS IN THE ICU

HIGH-ALERT MEDICATIONS IN THE ICU

INFECTIONS IN THE ICU

CLINICAL CARE BUNDLES

INFORMATION TECHNOLOGY AND THE ICU

QUALITY IMPROVEMENT IN THE ICU

ICU TELEMEDICINE

TRANSPARENCY, DISCLOSURE, AND THE PATIENT-CENTERED ICU

END-OF-LIFE CARE IN THE ICU

CONCLUSION

Chapter 8: Management of Risk: Promoting Perinatal Patient Safety

SCOPE OF PROBLEM

AN EMERGING SOLUTION?

ATTEMPTS TO MANAGE OBSTETRICAL RISK

STEPWISE STRATEGY FOR MANAGING PERINATAL RISK

CLINICAL PRACTICES THAT INCREASE RISK OF INJURY AND HARM

CONCLUSION

Chapter 9: Pediatric Risk Management

CLINICAL ISSUES

SLEEPING POSITION

MEDICATION MANAGEMENT

OFF-LABEL USE OF MEDICATIONS

ENVIRONMENTAL SAFETY

PERSONNEL ISSUES

SPECIAL ISSUES

CHILD ABUSE AND NEGLECT

CONCLUSION

Chapter 10: Risk Management in the Laboratory

REGULATORY ENVIRONMENT

KEY INFRASTRUCTURE

RISK REDUCTION STRATEGIES IN THE PREANALYTICAL PHASE

RISK MANAGEMENT STRATEGIES IN THE ANALYTIC PHASE

RISK MANAGEMENT STRATEGIES IN THE POSTANALYTIC PHASE

RISK MANAGEMENT STRATEGIES IN LAB SPECIALTIES

BILLING COMPLIANCE

CONCLUSION

Chapter 11: Managing Clinical Risk and Enhancing Patient Safety in Radiology

TECHNOLOGY

INTERFACE WITH OTHER CLINICAL AREAS

TRADITIONAL RISK MANAGEMENT PRINCIPLES

CONCLUSION

Chapter 12: Emergency Department Risk Management: Promoting Quality and Safety in a Chaotic Environment