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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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Leadership and the high reliability transformation: A qualitative study at Truman VA medical center 领导力与高可靠性转型：杜鲁门退伍军人医疗中心的定性研究。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-07-24 DOI: 10.1002/jhrm.21580
Chelsea Leonard PhD, Heather Gilmartin NP, PhD, Leigh Starr MHA, FACHE, Timothy Anderson RN, BS
{"title":"Leadership and the high reliability transformation: A qualitative study at Truman VA medical center","authors":"Chelsea Leonard PhD,&nbsp;Heather Gilmartin NP, PhD,&nbsp;Leigh Starr MHA, FACHE,&nbsp;Timothy Anderson RN, BS","doi":"10.1002/jhrm.21580","DOIUrl":"10.1002/jhrm.21580","url":null,"abstract":"<p>The Department of Veterans Affairs (VA) has committed to becoming a High Reliability Organization (HRO). The Truman VA Medical Center (VAMC) successfully implemented and sustained foundational HRO elements over a period with several changes in facility executive leadership. We interviewed current and past leaders at Truman to understand how they retained fidelity to the HRO transformation. We conducted 16 interviews with 14 leaders involved in the HRO transformation and identified three themes related to the Truman HRO transformation: (1) Leadership visibly drove culture change through intentional communication and modeling HRO principles; (2) Leadership deferred to frontline expertise and empowered staff to make changes and to fail; (3) Hiring the right team members for the organizational culture and investing in training can support HRO principles and values. Our findings highlight key actions for leaders in the context of HROs: regularly communicate the significance of HRO, demonstrate behavior consistent with what they hope to see from staff, celebrate failure, allocate time and resources to the creation of hiring frameworks that identify employee skillsets conducive to HRO principles, and substantial and recurring investments in employee development. Importantly, successive executive leaders at Truman VAMC modeled these skills to promote and sustain the HRO transformation.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761577","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
Social inflation and health care risk management 社会通货膨胀与医疗风险管理。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-07-23 DOI: 10.1002/jhrm.21578
Sue Boisvert BSN, MHSA, CPPS, CPHRM, DFASHRM, Jim Lynch FCAS, MAAA, David Moore FCAS, MAAA, CERA
{"title":"Social inflation and health care risk management","authors":"Sue Boisvert BSN, MHSA, CPPS, CPHRM, DFASHRM,&nbsp;Jim Lynch FCAS, MAAA,&nbsp;David Moore FCAS, MAAA, CERA","doi":"10.1002/jhrm.21578","DOIUrl":"10.1002/jhrm.21578","url":null,"abstract":"<p>This paper examines the concept of social inflation as it affects medical malpractice insurance claims, a phenomenon that warrants monitoring by risk managers in health care. The authors define social inflation as the growth in the cost of insurance claims that exceeds general inflation. The authors use data aggregated from insurance company Annual Statements and from a national database of malpractice reports to estimate that social inflation added $2.4 billion to $3.5 billion to booked losses over the 10 years ending in 2021, which is between 8% and 11% of total losses. The authors’ approach is to show growth in loss development factors, a metric that property/casualty actuaries use to estimate claim costs. This approach is explained in detail. The paper concludes with commentary on how risk managers can incorporate consideration of social inflation in their overall assessment of risk.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 1","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752975","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
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 : 2024-07-15 DOI: 10.1002/jhrm.21579
Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, FASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM,&nbsp;Maggie Neustadt JD, CPHRM, FASHRM","doi":"10.1002/jhrm.21579","DOIUrl":"10.1002/jhrm.21579","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 1","pages":"34-40"},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621157","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
Because I knew you 因为我了解你
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-07-01 DOI: 10.1002/jhrm.21577
Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA
{"title":"Because I knew you","authors":"Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA","doi":"10.1002/jhrm.21577","DOIUrl":"10.1002/jhrm.21577","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"44 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477627","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 : 2024-05-07 DOI: 10.1002/jhrm.21568
Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM,&nbsp;Maggie Neustadt JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.21568","DOIUrl":"10.1002/jhrm.21568","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"26-33"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865365","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
Exploring the dynamics of physician-patient relationships: Factors affecting patient satisfaction and complaints 探索医患关系的动态：影响患者满意度和投诉的因素。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-05-05 DOI: 10.1002/jhrm.21567
Mehrnaz Mostafapour PhD, Jacqueline H. Fortier MSc, Gary Garber MD, FRCPC, FACP, FIDSA, CCPE
{"title":"Exploring the dynamics of physician-patient relationships: Factors affecting patient satisfaction and complaints","authors":"Mehrnaz Mostafapour PhD,&nbsp;Jacqueline H. Fortier MSc,&nbsp;Gary Garber MD, FRCPC, FACP, FIDSA, CCPE","doi":"10.1002/jhrm.21567","DOIUrl":"10.1002/jhrm.21567","url":null,"abstract":"<p>This review identifes the factors influencing the relationship between physicians and patients that can lead to patients' dissatisfaction and medical complaints. Utilizing a systemic approach 92 studies were retrieved which included quantitative, qualitative, and mixed method studies. Through a thematic analysis of the literature, we identified three interrelated main themes that can influence the relationship between physicians and patients, patients' satisfaction, and the decision to file a medico-legal complaint. The main themes include patient and physician characteristics; the interpersonal relationship between physicians and patients; and the health care system and policies, with relevant subthemes. These themes are demonstrated in a descriptive model. The review suggests areas of focus for physicians who may wish to increase their awareness around the potential sources of relational problems with their patients. Identifying these issues may assist in improvements in the therapeutic relationship with patients, can reduce their medico-legal risk, and enhance the quality of their clinical practice. The findings can also be utilized to support andragogical principles for medical learners. The article can serve as a structured framework to identify potential problems and gaps to design and test effective interventions to mitigate these potential relational problems between physician-patient.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871752","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
The evolution of healthcare risk management 医疗风险管理的演变。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-03-20 DOI: 10.1002/jhrm.21566
Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA
{"title":"The evolution of healthcare risk management","authors":"Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA","doi":"10.1002/jhrm.21566","DOIUrl":"10.1002/jhrm.21566","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176973","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
Application of broken windows theory to identify flow disruptions in neurosurgery procedure 应用破窗理论识别神经外科手术过程中的流程中断。
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-01-30 DOI: 10.1002/jhrm.21565
Asfandyar Khan MSc, Aimen Farooq MD, Wissam Elfallal DO, Ravi Gandhi MD, Federico Vinas MD, Albert J. Boquet PhD
{"title":"Application of broken windows theory to identify flow disruptions in neurosurgery procedure","authors":"Asfandyar Khan MSc,&nbsp;Aimen Farooq MD,&nbsp;Wissam Elfallal DO,&nbsp;Ravi Gandhi MD,&nbsp;Federico Vinas MD,&nbsp;Albert J. Boquet PhD","doi":"10.1002/jhrm.21565","DOIUrl":"10.1002/jhrm.21565","url":null,"abstract":"<p>Addressing flow disruptions (FDs) in neurosurgery requires a multifaceted approach. Strategies like improved communication protocols, minimizing interruptions, improving coordination among team, optimizing operating room layout, and promoting user-centered design can help mitigate the challenges and enhance the overall flow and safety of neurosurgical procedures. Thirty neurosurgery cases were observed at two tertiary care facilities. The data collected were from wheels into the operating room to wheels out from the operating room. Data points were categorized using a human factors taxonomy known as RIPCHORD-TWA (Realizing Improved Patient Care Through Human-Centered Operating Room Design for Threat Window Analysis). Of the 541 total disruptions observed, coordination issues were the most prevalent (26.25%), followed by layout issues (26.06%), issues related to interruption (22.55%), communication (22.37%), equipment issues (2.40%) and usability issues (0.37%) comprised the remainder of the observations. This translated into one disruption every 2.7 min. Instead of focusing exclusively on errors and adverse events, we propose conceptualizing the accumulation of disruptions as “threat windows” to analyze potential threats to the integrity of the care system. This perspective allows for the improved identification of system weaknesses or threats, affording us the ability to address these inefficiencies and intervene before errors and adverse events may occur.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"7-15"},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643100","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
Starting anew 重新开始
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-01-25 DOI: 10.1002/jhrm.21561
Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA
{"title":"Starting anew","authors":"Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA","doi":"10.1002/jhrm.21561","DOIUrl":"10.1002/jhrm.21561","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 3","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547140","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 : 2024-01-05 DOI: 10.1002/jhrm.21564
Christopher J. Allman JD, CPHRM, DFASHRM
{"title":"Case law update","authors":"Christopher J. Allman JD, CPHRM, DFASHRM","doi":"10.1002/jhrm.21564","DOIUrl":"10.1002/jhrm.21564","url":null,"abstract":"","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 3","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099480","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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