Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.70008","DOIUrl":"10.1002/jhrm.70008","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 1","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editor's Letter: From apprentice to architect: Designing your path in risk","authors":"Josh Hyatt DHS, MHL, CPHRM, DFASHRM","doi":"10.1002/jhrm.70007","DOIUrl":"10.1002/jhrm.70007","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca O. Bailey MSN, RN, CPHRM, ERM-Cert, Shannon L. Delchamps BSN, RN, CPHRM, CPPS, ERM-Cert
{"title":"Reducing the cost of inpatient falls: An ERM perspective","authors":"Rebecca O. Bailey MSN, RN, CPHRM, ERM-Cert, Shannon L. Delchamps BSN, RN, CPHRM, CPPS, ERM-Cert","doi":"10.1002/jhrm.70003","DOIUrl":"10.1002/jhrm.70003","url":null,"abstract":"<p>Traditional fall prevention activities are not effective in preventing inpatient falls or injuries from falls. A knowledge of the five steps of Enterprise Risk Management (ERM) provides risk professionals with opportunities to apply them on an organization-wide basis to existing risks. The authors demonstrate how to apply the five steps of ERM to the common risk/patient safety issue of fall injury prevention. The authors completed a comprehensive literature review and identified predictors of injuries from falls. A comprehensive framework emerged which assists in predicting and preventing falls with injury in the inpatient setting. In combination of two or more, the following have been shown to predict injuries after falls: the use of oral anticoagulants, being born female, dementia, polypharmacy, the use of Fall Risk Increasing Drugs, urologic co-morbidities, and HIV positive status. When the ERM Process is applied to injury from falls, a Strategic Risk Response is created which assists the risk professional with application of the ERM process. Shifting focus from fall prevention to fall injury prevention, with the application of the ERM Process, creates value for the patient and the organization, and contributes to program success and sustainability.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 1","pages":"5-16"},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lessons in leadership: Developing a longitudinal evidence-based teaching curriculum on professionalism in healthcare","authors":"Allen M. Chen MD, MBA","doi":"10.1002/jhrm.70005","DOIUrl":"10.1002/jhrm.70005","url":null,"abstract":"<p>Given the responsibility of healthcare organizations to promote positive workplace cultures, the development of appropriate teaching material focused on professionalism is of relevance. A longitudinal evidence-based educational curriculum was thus constructed to equip participants with tools to enhance team-based care and to create an inclusive, respectful environment. Core themes on which to center the curriculum were identified based on the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) statement. A MEDLINE search was undertaken to identify original peer-reviewed works using terms associated with professionalism in healthcare with the goal of building a foundational basis. Articles published from January 2014 to January 2024 and restricted to the English language were included. Based on the search results, a 12-month curriculum designed to promote workforce engagement and discussion was established. The 537 peer-reviewed publications selected to develop this thematic framework were broadly categorized as follows: ethics/accountability (<i>N</i> = 131); conflict resolution (<i>N</i> = 120); collaboration (<i>N</i> = 107); interpersonal communication (<i>N</i> = 70); empathy (<i>N</i> = 57); and wellness (<i>N</i> = 52). Between November 2023 and November 2024, a total of 12 sessions were scheduled. The feasibility of developing a standardized, evidence-based curriculum on workplace professionalism was demonstrated. The practical implications are discussed.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.70005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.70004","DOIUrl":"https://doi.org/10.1002/jhrm.70004","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 4","pages":"34-39"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editor's Letter: From lion to lamb—The risk professional's journey","authors":"Josh Hyatt DHS, MBE, MHL, DFASHRM","doi":"10.1002/jhrm.70006","DOIUrl":"https://doi.org/10.1002/jhrm.70006","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 4","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing legal risks in health information exchanges: A comprehensive approach to privacy, consent, and liability","authors":"Tariq K. Alhasan LLB, LLM","doi":"10.1002/jhrm.70002","DOIUrl":"10.1002/jhrm.70002","url":null,"abstract":"<p>Health Information Exchanges (HIEs) are revolutionizing healthcare by facilitating secure and timely patient data sharing across diverse organizations. However, their rapid expansion has introduced significant legal and ethical challenges, particularly regarding privacy, informed consent, and liability risks. This paper critically assesses the effectiveness of existing legal frameworks, including Health Insurance Portability and Accountability Act (HIPAA) and General Data Protection Regulation (GDPR), in addressing these challenges, revealing gaps in their application within HIEs. It argues that current consent models fail to provide meaningful control for patients, while privacy protections are weakened by issues such as re-identification and jurisdictional inconsistencies. Moreover, liability in data breaches remains complex due to ambiguous responsibility among stakeholders. The study concludes that reforms are needed, including dynamic consent models, standardized liability frameworks, and enhanced data governance structures, to ensure secure, ethical, and effective data sharing. These changes are essential to fostering patient trust, improving healthcare delivery, and aligning with Sustainable Development Goal (SDG) 3—ensuring healthy lives and promoting well-being for all.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 4","pages":"12-24"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kyosuke Kamijo MD, Yoshimitsu Wada MD, Kentaro Ishida MD, Steven L. Warsof MD, George Saade MD, Tetsuya Kawakita MD, MS
{"title":"Medical-legal claims in obstetrics and gynecology: Japan versus the United States","authors":"Kyosuke Kamijo MD, Yoshimitsu Wada MD, Kentaro Ishida MD, Steven L. Warsof MD, George Saade MD, Tetsuya Kawakita MD, MS","doi":"10.1002/jhrm.70001","DOIUrl":"10.1002/jhrm.70001","url":null,"abstract":"<p>This study investigates the factors contributing to the decline in obstetrics and gynecology (OB/GYN) malpractice claims in Japan and highlights professional attitudes, institutional support systems, clinical practices, and policies that can further reduce such claims, while comparing these findings with malpractice data from the United States. We analyzed OB/GYN closed malpractice claims from the Supreme Court of Japan, along with data on maternal and neonatal mortality rates from the Ministry of Health, Labour and Welfare. We used Jonckheere-Terpstra tests to evaluate trends, considering <i>p</i>-values < 0.05 as statistically significant. In Japan, the proportion of medical malpractice claims in OB/GYN dropped significantly from 15.1% in 2004 to 5.2% in 2022 (<i>p</i> < 0.001). The number of claims per 100 OB/GYN physicians also significantly decreased from 0.9 in 2007 to 0.4 in 2016 (<i>p</i> < 0.001). Despite an increase in the cesarean delivery rate, both maternal and neonatal mortality rates have significantly decreased (<i>p</i> < 0.001 and <i>p</i> < 0.05, respectively). Japan's OB/GYN field saw a dramatic reduction in claims due to heightened awareness after a wrongful criminally charge, the establishment of financial compensation for cerebral palsy, standardized clinical guidelines, and adverse event investigation system.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 4","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gianmarco Di Palma MD, Roberto Scendoni MD, PhD, Vittoradolfo Tambone MD, PhD, Rossana Alloni MD, Francesco De Micco MD, PhD
{"title":"Integrating enterprise risk management to address AI-related risks in healthcare: Strategies for effective risk mitigation and implementation","authors":"Gianmarco Di Palma MD, Roberto Scendoni MD, PhD, Vittoradolfo Tambone MD, PhD, Rossana Alloni MD, Francesco De Micco MD, PhD","doi":"10.1002/jhrm.70000","DOIUrl":"10.1002/jhrm.70000","url":null,"abstract":"<p>The incorporation of artificial intelligence (AI) in health care offers revolutionary enhancements in patient diagnostics, clinical processes, and overall access to services. Nevertheless, this technological transition brings forth various new, intricate risks that pose challenges to current safety and ethical norms. This research explores the ability of enterprise risk management as an all-encompassing framework to tackle these arising risks, providing both a forward-looking and responsive strategy designed for the health care industry. At the core of this method are instruments that together seek to proactively uncover and address AI-related weaknesses like algorithmic bias, system failures, and data privacy issues. On the reactive side, it incorporates incident reporting systems and root cause analysis, tools that enable health care providers to quickly address unexpected events and consistently improve AI implementation procedures. However, some application difficulties still exist. The unclear, “black box” characteristics of numerous AI models hinder transparency and responsibility, prompting inquiries about the clarity of AI-generated choices and their adherence to ethical benchmarks in patient treatment. The research highlights that with the progress of AI technologies, the enterprise risk management framework also needs to evolve, addressing these new complexities while promoting a culture focused on safety in health care settings.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 4","pages":"25-33"},"PeriodicalIF":0.0,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Humbled and honored","authors":"Josh Hyatt DFASHRM, CPHRM, CPPS, HEC-C","doi":"10.1002/jhrm.21590","DOIUrl":"10.1002/jhrm.21590","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 3","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}