Risk management plan in hospital.docx

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1、Risk management plan in hospitalFor modern administration, the most critical part is to manage risk. Under the new situation, taking reliable measures to effectively control risks, ensuring future development trends, and ultimately ensuring the long-term and orderly improvement of hospital medical q

2、uality is a content that must be carefully studied and analyzed by management personnel at all levels.In recent years, the contradiction between doctors and patients in domestic medical institutions and the safety accidents in the medical industry have frequently appeared, which has made the relatio

3、nship between patients and doctors more tense, and the management costs of medical institutions have been increasing, thus, the procedures for running hospitals have become more and more serious. On the one hand,the above problems has caused a relatively bad impact on the medical sector itself, and

4、on the other hand, it has also harmed the interests of patients. Based on the analysis of new risk management anz standards, we can better understand medical risks, integrate hospital management practices, and propose new strategies for risk management in medical institutions.1.Overview of hospital

5、risk management1.1 Organization managementFor medical institutions, an organizational structure of different levels of risk management can be established.From top to bottom, it is the dean, the vice president who has the responsibility for risk management, the person in charge of the management risk

6、 department, and the departments and teams under other relevant functional organizations.And set up the risk management department of the medical institution, formulate the policy of the risk management system, and coordinate and solve major problems of the hospital.1.2 The range and goal of hospita

7、l risk managementFor medical institutions, the key to the operation of risk management behavior is to prevent medical risks, and must take into account the risks of medical institutions in terms of social image, patients, business philosophy, and corporate culture. The main task is to improve the op

8、erational level of medical institutions and ease the operational risks of medical institutions.Troubleshoot risk opportunities and medical insecurity in the medical process to minimize the loss of medical institutions. Risk management measures include the identification, identification, analysis, ev

9、aluation, monitoring, and information exchange of risk backgrounds, and assessment of residual risks and continuous improvement.Medical institutions must prevent the following risks as much as possible:Serious medical accidents cause disability and death, and medical compensation is not less than RM

10、B 100,000.Medical institution infection outbreak.Violent acts of violence by medical institutions and related personnel.Major industrial accidents such as building collapse and fire.Financial problems leading to an impact on income of staff salaries.The impact of news media exposure on the image of

11、medical institutions.2Risk-assessment2.1Referring to anz standardsThe risk analysis matrix - the degree of risk - is assessed according to the likelihood and consequences of the risk. See Table 1 for details. “Extreme risk” in the table indicates that immediate action is required; “high risk” indica

12、tes that senior management is required; “medium risk” indicates that management responsibility must be specified; “low risk” indicates that it is handled by routine procedures.Table 1 Evaluation Risk Analysis Matrix - Risk ScalePossibilityConsequenceInsignificancySmallMediumHighCatastrophic12345A（Al

13、most certainly）High riskHigh riskUtmost riskUtmost riskUtmost riskB（Possible）Medium riskHigh riskHigh riskUtmost riskUtmost riskC（Medium）Low riskMedium riskHigh riskUtmost riskUtmost riskD（Not too possible）Low riskLow riskMedium riskHigh riskUtmost riskE（Rare）Low riskLow riskMedium riskHigh riskHigh

14、 risk2.2 Referring to Hong Kong Medical Authority StandardThe risk standards of the Hong Kong Medicines Authority are shown in Table 2.Table 2 Hong Kong Medical Authority Risk Level StandardPossibilityConsequenceInsignificancySmallMediumHighCatastrophic12345Almost certainly-5510152025Possible -44812

15、1620 Medium -33691215Not too possible-2246810Rare-112345Note: 1-5 in the table indicates low risk, 6-15 indicates medium risk, and 16-25 indicates high risk.2.3Risk assessment and sequencingThe qualitative measures of patient outcomes are shown in Table 3. The qualitative measures of likelihood are

16、shown in Table 4. The quantification of the treatment of consequences is shown in Table 5.Table 3 The qualitative measures of patient outcomes.LevelDescriptive wordDetailed description5MaximumPatient death, huge financial loss for both doctors and patients4LargeCauses severe disability, loss of labo

17、r, and large financial losses3MediumMild disability or complications2SmallAggravate patient disease and prolong treatment time1MinimalMinor impact on the patientTable 4 The qualitative measures of likelihoodLevelDescriptive wordDetailed description5Almost certainlyHappen in most cases4ProbablyHappen

18、 in many cases3PossibleHappen frequently in some cases2Not too possibleHappen in some cases1RareHappen in certain casesTable 5 The quantification of the treatment of consequencesLevelDescriptive wordDetailed description5MaximumDifficult to solve, property losses above 100,000 yuan4Large Take a long

19、time to solve, and the property loss is between 50,000 and 100,000 yuan.3MediumTake time to solve, and the property loss is between 10,000 yuan and 50,000 yuan.2SmallCan be quickly resolved, property losses between 0.3 to 10,000 yuan1minimalVery easy to solve, property losses above 3000 yuan3 Analys

20、is of existing risks in hospitalsThe types and consequences of the top ten risks common in our hospital are shown in Table 6.Table 6 risk types and consequences analysis table of our hospitalIdentification numberType of riskRisk descriptionConsequencepossibilityDegree of riskRisk ranking1Hospital ma

21、nagement decision riskThe hospitals high-level decision-making mistakes, hospital size, comprehensive medical level and logistical support ability can not keep up with the societys demand for hospital development, can not form a strong brand of hospitals, hospitals can not establish medical services

22、 suitable for changes in social needs, thus losing the medical market.552512Hospital policy riskThe urban employee medical insurance system is a fixed payment system. If the medical expenses are not well controlled, the hospital will lose money.341223Hospital legal riskAt present, the concept of leg

23、al system in the whole society is not strong, especially in medical disputes, there is a medical trouble, violent tendencies, and even the involvement of the underworld, affecting the normal order of medical care.33934Medical staff occupational exposure riskDue to incomplete occupational exposure an

24、d protective measures, various infections and injuries of medical personnel are caused.33935Hospital infection epidemic and outbreak riskThe medical staff did not know enough about the hospital infection, and the personnel, equipment and other inputs were insufficient. The hospital did not form an o

25、verall standardized hospital infection control process. The prevalence and outbreak of hospital infections would have serious adverse consequences for the hospital.531526Hospital emergency riskHalf of the hospitals medical staff on duty are low-income personnel. In the face of sudden emergencies suc

26、h as emergency response, the knowledge, skills and comprehensive response are insufficient, resulting in improper handling and accidents.542017Logistics power supply riskThe hospital does not have multiple power supply lines, and it relies on its own generator when power is off. If the generator can

27、t work normally in time, it may affect the inspection, surgery, rescue, etc., but it will cause harm to the patient, but it will be life-threatening.33938Medical riskThe complexity of the disease, the limitations of medical science and technology, and the difference in the level of technical ability

28、 of the medical staff and the gradual improvement of the degree of misdiagnosis and misjudgment exist objectively, thereby generating medical risks.542019Drug safety riskThere are many kinds of medical drugs, and sometimes the medical staff can not fully grasp the drug compatibility, contraindicatio

29、ns and indications, and the injury occurs.4416210Medical new technology application riskThe use of medical technology requires clinical experience, and it faces more medical risks when it starts to be applied.33934 TreatmentThe following are some measures for the risk management of our hospital.1. I

30、n response to the risk of business decision-making that may occur in hospitals, the measures taken include: improving the quality of senior leaders and participating in hospital management training. Brainstorming, brainstorming and other collective decisions. Fully collect social market information,

31、 research, and research, and play a role as a think tank. Fully consult with social professional management information agencies. Research borrows the history of development experience in the same industry.2. In response to hospital policy risks, the treatment measures taken are: clinicians understa

32、nd the medical insurance quota payment system, and reasonable diagnosis and treatment. The Medical Insurance Management Division regularly reviews the management of medical insurance cases, especially the standard medication. Reasonable reward and punishment measures. Communicate with the government

33、 health insurance management department and seek support.3. In response to the legal risks of the hospital, the measures taken are: actively contact with the public security department for support. Liaise with the local administration to coordinate the handling of medical disputes. Strict hospital m

34、anagement to reduce medical risks. Establish the image of the hospital and win the support and sympathy of the society.4. For the occupational exposure risks of medical staff, the treatment measures taken are: pre-job occupational protection training. Develop emergency plans after occupational expos

35、ure. Introduce improved technologies to reduce occupational exposure risks.5. In response to the prevalence of hospital infections and outbreaks, the treatment measures have been trained for medical staff to carry out hospital infection knowledge. According to the standard, the key departments and k

36、ey links shall be rectified according to the standard procedures. Improve the reporting system.6. In response to the emergency emergency risks of hospitals, the measures taken include: formulating emergency response plans. The hospitals first aid emergency knowledge and skills training. Improve the

37、emergency response workflow.7. For the logistics power supply risks, the measures taken are: formulate emergency plans for power outages. The maintenance of the generator set is regularly organized and recorded. Two-way power supply.8. In response to the risk of diagnosis and treatment, the treatmen

38、t measures adopted include: improving the professional quality of medical staff through regular education and training. Implement the core system of the hospital. Regular operation and study of medical treatment should be in place.9. In response to drug safety risks, the treatment measures adopted i

39、nclude: setting up a clinical pharmacy department and establishing a pharmacist work system. Organize the examination and examination of clinical medications. Regularly organize the study and assessment of physicians safe medication knowledge. Establish a drug adverse reaction reporting system.10. I

40、n response to the application risks of new medical technologies, the treatment measures adopted are: strict implementation of the access system for new technologies and new projects in the hospital core system. Staged monitoring by experts. Regularly summarize and discuss problems in the application

41、 of new technologies and actively improve them.5.Analysis and discussionRisk management requires continuous improvement, but it cannot be run in a separate part. It is necessary to take the senior management of the entire medical institution seriously, take measures, and mobilize all personnel to pa

42、rticipate. Integrate the medical institutions own development needs, business processes, management plans and risk management, and involve the medical institution as much as possible in the risk management process. In the business stage of the medical institution, the senior management of the medica

43、l institution should analyze and study the more critical issues. Pay attention to less clear health policies, inadequate social systems, poorly implemented social systems, and legal awareness that require further improvement, and establish more sophisticated risk management institutions, operational

44、 systems, and work steps. For the management of the ever-changing medical market, the field has not received sufficient attention and must be studied in depth.For the several risks that are common in our hospital, I think it is important to strengthen risk monitoring and review of risks. The risk ma

45、nagement department of a medical institution shall conduct monitoring during a specific period. The main contents of the monitoring include risks, effects of risk management measures, measures, and control processes established for the specific implementation of management. The risk and the effectiv

46、eness of the control measures must be monitored to ensure that the risk priorities do not change when the surrounding environment changes. Through continuous review to ensure that the working environment of the medical institution is compatible with the risk management plan, the risk management cycl

47、e operation is carried out for a long time, and a more scientific and reasonable risk management method is determined. The use of review and monitoring has led to continuous changes in the risk management measures of medical institutions and the maintenance of medical institutions in normal operatio

48、n.All processes in the risk management phase of a medical institution must be actively discussed and researched with institutional staff and other risk takers. The key part is the risk itself and the problems that arise during the processing of the risk process.Therefore, I personally think that the exchange