2/11/14%

1%

2/11/14%

2%

RISK%CONTROL%FOR%HOSPITALS%By%GIDEON%DAYAK,%Risk%Control%Specialist%

Ques8ons%&%Answers%

I%dont%know.% Do%we%have?% Are%programs%eecGve?% How%do%we%compare%with%others?%

2/11/14%

3%

Your%Hospital%

IdenGfy%problems% Frequency% Severity%

PrioriGze% Establish%acGon%plan% Program%change% Training% Repair% Other%

Design%

LocaGon%exposures% Hurricane%or%tropical%

wind%forces% Earthquakes% Cold%%

2/11/14%

4%

Design%

Wind% Securing%roong% Securing%siding%

Earthquake% Securing%roong% FoundaGon%

Screws%vs.%Nails% Design%vs.%retrot%($)%

Design% Life%Safety% Adequate%re%separaGon%

2/11/14%

5%

Design%

Security% Good%egress% Limited%access% Good%lighGng% Drugs%locked% Inventories%

Panic%alarms% Personal%items%safe%

Maintain%

PrevenGve%maintenance%vs.%replacement% Roong% Siding% FaciliGes% Equipment% Trees%

2/11/14%

6%

Maintain%

Maintain% Water%damage% Floods% Poor%maintenance% Damaged%roong% Drainage%problems% Plumbing%leaks%

Freezing% Insulate% Provide%heat%(12.78C.)%(55F.)% Seal%openings%

2/11/14%

7%

Maintain%

Life%Safety% Fire/smoke%%separaGon%

Maintain%

Loss%of%integrity% Poke%throughs%

2/11/14%

8%

Administrate%

AccreditaGon% Joint%Commission%InternaGonal%(JCI)*% Governmental% PaGent%Centered% Health%Care%OrganizaGon%Management%

Other%Resources%

*hep://www.jointcommissioninternaGonal.org/%

Surgical%Losses% Correct%site,%correct%procedure,%

correct%paGent%(IPSG.4)%% Recognizable%mark%%Involves%

paGent% Checklist% Time%out% Policies%and%Procedures%

Nothing%lej%behind% Pre%and%post%counts% Two%people% Detectable%sponges%

2/11/14%

9%

Surgical%Losses% Informed%Consent%(PFR.6%and%PFR.6.1)% Dened%by%organizaGon% Provided%by%trained%sta% Understandable%language%

PaGents%condiGon% Proposed%treatment% Individual%treaGng% Benets%and%drawbacks% Possible%AlternaGves% Likelihood%of%success% Possible%recovery%problems% Possible%results%%nonmtreatment%

Surgical%Losses%

MedicaGons% Preparing%and%Dispensing%

MedicaGon%% Reviewed%for%

appropriateness%(MMU.5.1)% Dispensed%properly%

Right%dose,%right%paGent,%right%Gme%(MMU.5.2)%

2/11/14%

10%

Infec8on%Control% Established%program%(PCI.5)% PaGents% Healthmcare%workers% Volunteers% Students% Visitors%

Oversight%(PCI.1)% Barrier%techniques/Hygiene%(PCI.9)% Integrated%program%(PCI.10)% EducaGon%(PCI.11)%

Disaster%Plans%and%drills%

Wrieen%for%all%potenGal%disasters%(FMS.6)%

All%sta% All%shijs%

2/11/14%

11%

I%dont%Know%

Review%incidents% Determine%weaknesses% Establish%or%modify%programs% Train% Reevaluate% Make%appropriate%changes%

A%CHALLENGE%

QUALITY%

CONTROL

%

UTILIZATION%MANAGEMENT%

INFECTION%CONTROL%

PATIENT%SAFETY%

EMPLOYEE%SAFETY%

SECURITY%DISASTER

%PLANNIN

G%

PREVENTIVE%MAINTENANCE%

TRANSPORTATION%LABOR%AND%DELIVERY%INTENSIVE%C

ARE%

RADIOLOGY%

2/11/14%

12%