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Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献

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Issue Information - Board of Directors 发行信息-董事会
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-20 DOI: 10.1002/jhrm.21421
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引用次数: 0
Case Law Update 判例法更新
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-19 DOI: 10.1002/jhrm.21490
John C. West JD, MHA, DFASHRM, CPHRM, Christopher J. Allman JD, DFASHRM, CPHRM
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引用次数: 0
2021 in review and resiliency 2021年的审查和弹性
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-12 DOI: 10.1002/jhrm.21489
Margaret Garrett CPHRM, DFASHRM, BSN, MED, JD
{"title":"2021 in review and resiliency","authors":"Margaret Garrett CPHRM, DFASHRM, BSN, MED, JD","doi":"10.1002/jhrm.21489","DOIUrl":"10.1002/jhrm.21489","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 2","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2021-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508253","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}
引用次数: 0
Case Law Update 判例法更新
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-09-23 DOI: 10.1002/jhrm.21484
John C. West JD, MHA, DFASHRM, CPHRM, Christopher J. Allman JD, CPHRM, DFASHRM
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引用次数: 0
The “NUTS” statistic: Applying an EBM disease model to defensive medicine “NUTS”统计:EBM疾病模型在防御性医学中的应用
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-09-15 DOI: 10.1002/jhrm.21486
Robert Allen MD, Angela G. Cai MD, MBA, Peter Tepler MD, Ian S. deSouza MD
{"title":"The “NUTS” statistic: Applying an EBM disease model to defensive medicine","authors":"Robert Allen MD,&nbsp;Angela G. Cai MD, MBA,&nbsp;Peter Tepler MD,&nbsp;Ian S. deSouza MD","doi":"10.1002/jhrm.21486","DOIUrl":"10.1002/jhrm.21486","url":null,"abstract":"<p>Physicians believe that malpractice concerns result in unnecessary testing, and many emergency physicians state that avoiding malpractice is a contributing factor to ordering medically unnecessary tests. Unfortunately, defensive medicine does not come without possible harm to patients who may be subject to non-beneficial, downstream testing, procedures, and hospitalizations. We submit a novel statistic, “NUTS” or “Number of Unnecessary Tests to avoid one Suit. ” We calculated a NUTS of 4737 for troponin testing in ED patients with suspected myocardial infarction, meaning a clinician will need to order 4737 medically unnecessary troponin tests to avoid one missed myocardial infarction lawsuit. The NUTS framework offers us an evidence-based lens to examine defensive medicine less superstitiously and more based on currently available data.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 3","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/jhrm.21486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39422467","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}
引用次数: 2
Initial distribution of COVID-19 vaccines to front-line hospital workers and community first responders—A prospective descriptive study 向一线医院工作人员和社区第一响应者初始分发COVID-19疫苗:一项前瞻性描述性研究
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-08-27 DOI: 10.1002/jhrm.21485
Julie M. Stausmire MSN, APRN, CNS, Deidre J. Rohaley PharmD, MBA, BCPS, James A. Tita DO, FCCP, Nancy M. Buderer MS, Tamela Nuesmeyer DNP, RN, EBP-C, David L. Faulkner BS, ACSM CCEP, Matthew Sapara JD
{"title":"Initial distribution of COVID-19 vaccines to front-line hospital workers and community first responders—A prospective descriptive study","authors":"Julie M. Stausmire MSN, APRN, CNS,&nbsp;Deidre J. Rohaley PharmD, MBA, BCPS,&nbsp;James A. Tita DO, FCCP,&nbsp;Nancy M. Buderer MS,&nbsp;Tamela Nuesmeyer DNP, RN, EBP-C,&nbsp;David L. Faulkner BS, ACSM CCEP,&nbsp;Matthew Sapara JD","doi":"10.1002/jhrm.21485","DOIUrl":"10.1002/jhrm.21485","url":null,"abstract":"<p>As one of the initial ten sites in Ohio designated to receive and distribute the first COVID-19 vaccines in December 2020, we initiated a self-reported IRB-approved research survey to describe the demographics, side-effects, and missed work time experienced by front-line health care workers in an urban tertiary care center and a rural regional hospital. First responders from both the urban and rural surrounding communities were also included in the initial Tier 1A vaccine distribution. The primary outcome measure was to identify the most frequently experienced side effects from the Pfizer and Moderna vaccines, based on type of vaccine, first or second dose, age, gender, race and occupation. The secondary outcome measure was to document the total number of work shifts missed after receiving the vaccine. Of interest to health care risk managers, the survey identified the most common side effects and resulting missed time from work broken down by type of vaccine and first or second dose. This information will be helpful for those institutions who have not yet vaccinated a majority of their work force, employees who still need their second dose, and for strategic scheduling of employees when booster doses become available later in the year.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 2","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/jhrm.21485","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39361142","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}
引用次数: 0
Issue Information - Editorial Review Board 发行信息-编辑审查委员会
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-07-17 DOI: 10.1002/jhrm.21418
{"title":"Issue Information - Editorial Review Board","authors":"","doi":"10.1002/jhrm.21418","DOIUrl":"https://doi.org/10.1002/jhrm.21418","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2021-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/jhrm.21418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137850015","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}
引用次数: 0
Issue Information - Board of Directors 发行信息-董事会
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-07-17 DOI: 10.1002/jhrm.21417
{"title":"Issue Information - Board of Directors","authors":"","doi":"10.1002/jhrm.21417","DOIUrl":"https://doi.org/10.1002/jhrm.21417","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2021-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/jhrm.21417","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137850016","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}
引用次数: 0
Implementing a human factors approach to RCA2 : Tools, processes and strategies. 在 RCA 中采用人为因素方法2 ：工具、流程和战略。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-07-01 Epub Date: 2020-12-19 DOI: 10.1002/jhrm.21454
Douglas A Wiegmann, Laura J Wood, Demetrius B Solomon, Scott A Shappell
{"title":"Implementing a human factors approach to RCA<sup>2</sup> : Tools, processes and strategies.","authors":"Douglas A Wiegmann, Laura J Wood, Demetrius B Solomon, Scott A Shappell","doi":"10.1002/jhrm.21454","DOIUrl":"10.1002/jhrm.21454","url":null,"abstract":"<p><p>Root Cause Analysis and Action (RCA<sup>2</sup> ) guidelines offer fundamental improvements to traditional RCA. Yet, these guidelines lack robust methods to support a human factors analysis of patient harm events and development of systems-level interventions. We recently integrated a complement of human factors tools into the RCA<sup>2</sup> process to address this gap. These tools include the Human Factors Analysis and Classification System (HFACS), the Human Factors Intervention Matrix (HFIX), and a multiple-criterion decision tool called FACES, for selecting effective HFIX solutions. We describe each of these tools and illustrate how they can be integrated into RCA<sup>2</sup> to create a robust human factors RCA process called HFACS-RCA<sup>2</sup> . We also present qualitative results from an 18-month implementation study within a large academic health center. Results demonstrate how HFACS-RCA<sup>2</sup> can foster a more comprehensive, human factors analysis of serious patient harm events and the identification of broader system interventions. Following HFACS-RCA<sup>2</sup> implementation, RCA team members (risk managers and quality improvement advisors) also experienced greater satisfaction in their work, leadership gained more trust in RCA findings and recommendations, and the transparency of the RCA process increased. Effective strategies for overcoming implementation barriers, including changes in roles, responsibilities and workload will also be presented.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 1","pages":"31-46"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8213862/pdf/nihms-1647261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38727984","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}
引用次数: 0
Presidents letter. 总统的信。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-07-01 DOI: 10.1002/jhrm.21483
Margaret Garrett
{"title":"Presidents letter.","authors":"Margaret Garrett","doi":"10.1002/jhrm.21483","DOIUrl":"https://doi.org/10.1002/jhrm.21483","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/jhrm.21483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39194185","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}
引用次数: 0
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