Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献_第2页

Translation of the agency for health care research and quality nursing home survey on patient safety for Swedish conditions 翻译卫生保健研究机构和高质量养老院关于瑞典条件下病人安全的调查。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-09-29 DOI: 10.1002/jhrm.70013

Ulla Näppä , Lilly-Mari Sten PhD, Ingela Bäckström , Pernilla Ingelsson , Marie Häggström

{"title":"Translation of the agency for health care research and quality nursing home survey on patient safety for Swedish conditions","authors":"Ulla Näppä , Lilly-Mari Sten PhD, Ingela Bäckström , Pernilla Ingelsson , Marie Häggström","doi":"10.1002/jhrm.70013","DOIUrl":"10.1002/jhrm.70013","url":null,"abstract":"Patient safety culture is a critical component of health care quality in nursing homes. Surveys on patient safety culture can be helpful tools to evaluate care. The aims of the study were to translate a survey on patient safety culture, namely, the Nursing Home Survey on Patient Safety Culture (NHSOPS 1.0) from English into Swedish and to adapt it to Swedish conditions and to validate the translation. The survey was translated into Swedish following the TRAPD translation process —translate, review, adjudicate, pre-test, and document, as suggested by the provider of the original survey. The validity of the items was measured by Cronbach's alpha. Some changes in wording were made according to Swedish conditions. A pre-test with staff working in nursing homes showed adequate results for the translation. In this pilot study, all items and questions were considered valuable for measuring patient safety and were therefore retained in the Swedish version. The translated survey may be a helpful tool for measuring patient safety in nursing homes and prompting staff to reflect on their workplaces.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187170","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

Independent contractors in hospitals: Liability, consent, and patient safety 医院的独立承包商：责任、同意和病人安全。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-09-29 DOI: 10.1002/jhrm.70016

Tariq K. Alhasan LLB, LLM

{"title":"Independent contractors in hospitals: Liability, consent, and patient safety","authors":"Tariq K. Alhasan LLB, LLM","doi":"10.1002/jhrm.70016","DOIUrl":"10.1002/jhrm.70016","url":null,"abstract":"This paper examines the legal complexities surrounding hospital liability for malpractice committed by independent-contractor physicians, particularly within high-risk emergency care contexts. Through rigorous doctrinal analysis of landmark US decisions including Stelzer v. Northwest Community Hospital (2023), Popovich v. Allina Health System (2020), and Estate of Essex v. Grant County Public Hospital District No. 1 (2024) alongside seminal Commonwealth judgments such as Woodland v. Swimming Teachers Association (UK, 2013) and Kondis v. State Transport Authority (Australia, 1984), the study evaluates how courts apply the doctrines of vicarious liability, nondelegable duty, and apparent authority in cases involving explicit consent disclaimers. Findings reveal significant judicial inconsistencies regarding whether clear contractual disclaimers fully absolve hospitals of institutional liability. To address this doctrinal ambiguity, the paper proposes a novel hybrid liability model that maintains the protective legal force of explicit disclaimers when patients genuinely comprehend their scope, while preserving hospitals’ overarching nondelegable obligations to patient safety, particularly in emergency care. By aligning doctrinal reform and policy recommendations, such as multilayered consent strategies, rigorous contractor oversight, integrated communication protocols, and comprehensive governance-level audits with the aims of SDG3, this study offers an actionable framework to enhance healthcare transparency, accountability, and patient safety across contemporary health systems.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187152","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

From framework to frontline: Embedding enterprise risk management into emergency department fall prevention 从框架到一线：将企业风险管理融入急诊科防摔工作。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-09-17 DOI: 10.1002/jhrm.70012

Yalcin Golcuk MD, Ömer Faruk Karakoyun MD

{"title":"From framework to frontline: Embedding enterprise risk management into emergency department fall prevention","authors":"Yalcin Golcuk MD, Ömer Faruk Karakoyun MD","doi":"10.1002/jhrm.70012","DOIUrl":"10.1002/jhrm.70012","url":null,"abstract":"This letter to the editor responds to Bailey and Delchamps’ recent article on integrating enterprise risk management (ERM) in fall-related injury prevention. We extend their framework to emergency departments (EDs), emphasizing the strategic advantage of initiating individualized fall risk assessment at the point of triage. Many high-risk indicators—such as anticoagulant use and cognitive impairment—are already accessible in ED settings and can be embedded into machine learning–supported tools like the Rothman index or fall triage score. We also highlight the financial implications of fall-related injuries originating in or near the ED, noting their potential to increase hospital length of stay and trigger non-reimbursable costs. The authors’ inclusion of risk matrices and heat maps presents scalable opportunities for safety prioritization in dynamic ED environments. We conclude by recommending prospective validation of ERM-based approaches within level 1 trauma centers and invite collaboration to test the framework's effectiveness in real-world emergency settings.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"24-25"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082038","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

Evidence-based framework for the management of disruptive physician behavior 破坏性医生行为管理的循证框架。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-09-09 DOI: 10.1002/jhrm.70010

Allen M. Chen MD, MBA

{"title":"Evidence-based framework for the management of disruptive physician behavior","authors":"Allen M. Chen MD, MBA","doi":"10.1002/jhrm.70010","DOIUrl":"10.1002/jhrm.70010","url":null,"abstract":"The consistent promotion of a culture of respect and accountability in the workplace is vital to the success of healthcare organizations. However, the existing literature on practical strategies for addressing misconduct, particularly with respect to physician behavior, is relatively sparse. The aim of this review was to thus devise an evidence-based, empirical framework for the management and remediation of disruptive physician actions. Core themes on which to center the framework were initially 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 unprofessionalism with the goal of building a foundational basis. Articles published from January 2014 to March 2025 and restricted to the English language were included. Among the 1123 original articles that entered the final selection process, 1112 were excluded because they were focused solely on the characterization of disruptive behavior (n = 429); limited to trainees (n = 277), limited to ancillary staff (n = 150); concentrated on prevention (n = 148); and described consequences (n = 108). A total of 11 original publications thus met criteria for inclusion and differed in their design, methods, and endpoints. The core themes that emerged for framework construction were expectation setting (four studies); climate/organizational analysis (three studies); peer involvement (two studies); and professional training (two studies). The feasibility of developing an evidence-based framework to address disruptive physician behavior was demonstrated. The management implications specific to risk are discussed.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030730","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 risk managers role in building comprehensive obstetric safety programs 风险管理者在建立全面产科安全规划中的作用。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-09-09 DOI: 10.1002/jhrm.70011

Adriane Burgess PhD, RNC-OB, CCE, C-ONQS, CPHQ, C-LSSGB, FAWHONN, Dianne Moore MSN, RN, Jay Bringman MD, MBA

{"title":"The risk managers role in building comprehensive obstetric safety programs","authors":"Adriane Burgess PhD, RNC-OB, CCE, C-ONQS, CPHQ, C-LSSGB, FAWHONN, Dianne Moore MSN, RN, Jay Bringman MD, MBA","doi":"10.1002/jhrm.70011","DOIUrl":"10.1002/jhrm.70011","url":null,"abstract":"The United States has the highest rate of maternal mortality of all industrialized countries. Maternal mortality is considered the “tip of the iceberg” and about 80% of cases are considered preventable. Approximately, 60,000 birthing people experience severe maternal morbidity each year. These cases provide hospitals an opportunity to identify areas to improve the quality and safety of care provided. Due to the highly specialized nature of obstetric care, the specialty is fraught with risk and associated with the most paid claims driving high organizational overhead costs related to legal defense, awards, and settlements. Risk Managers are well-positioned to support their organizations in improving the safety of perinatal care by advocating for the need to prioritize and intentionally focus and invest resources toward mitigating obstetric risk. This paper provides an overview of the strategies risk managers can deploy to support the development of a comprehensive obstetric safety program that can decrease malpractice claims, reduce health care costs, and ultimately improve patient outcomes specifically, via a proactive perinatal risk assessment.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 3","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030791","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

Developing in situ large-scale simulation strategies for enhanced patient safety 开发现场大规模模拟策略以提高患者安全。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-07-30 DOI: 10.1002/jhrm.70009

Hadas Katz-Dana MD, Ayelet Shles MD, Nir Friedman MD, Ortal Erez-Granat MD, Rotem Shiri Mrs, Jabeen Fayyaz MD, Elad Dana MD, Ehud Rosenbloom MD

{"title":"Developing in situ large-scale simulation strategies for enhanced patient safety","authors":"Hadas Katz-Dana MD, Ayelet Shles MD, Nir Friedman MD, Ortal Erez-Granat MD, Rotem Shiri Mrs, Jabeen Fayyaz MD, Elad Dana MD, Ehud Rosenbloom MD","doi":"10.1002/jhrm.70009","DOIUrl":"10.1002/jhrm.70009","url":null,"abstract":"The transition to a new emergency department (ED) facility can pose significant challenges to patient safety. This study utilized Colman et al.’s simulation-based clinical systems testing approach to identify latent safety threats (LSTs), ensure operational readiness, and enhance staff confidence in a newly constructed ED at an urban hospital. A three-stage framework comprising development, implementation, and evaluation phases was employed. A large-scale “day in a life” in situ simulation was conducted to test system integration and identify LSTs. Data from participants, observers, and facilitators were collected and analyzed to develop action plans. The simulation included 63 scenarios over 4 h, engaging 125 participants and 50 standardized patients. A total of 113 LSTs were identified, leading to the development of a detailed action plan. Feedback from staff was positive, with participants reporting increased confidence in providing safe patient care in the new facility. This approach successfully identified safety threats and enhanced staff preparedness, potentially informing future operational plans for transitions in healthcare facilities. The methodology and findings are generalizable to other healthcare facilities undergoing similar transitions, where system integration, safety evaluation, and staff readiness are key concerns.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"45 2","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745393","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 : 2025-07-03 DOI: 10.1002/jhrm.70008

Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM

引用次数: 0

Editor's Letter: From apprentice to architect: Designing your path in risk 编者按：从学徒到建筑师：在风险中设计你的道路。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-06-30 DOI: 10.1002/jhrm.70007

Josh Hyatt DHS, MHL, CPHRM, DFASHRM

引用次数: 0

Reducing the cost of inpatient falls: An ERM perspective 降低住院病人跌倒的成本：ERM视角。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-05-22 DOI: 10.1002/jhrm.70003

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":"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.","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}

引用次数: 0

Lessons in leadership: Developing a longitudinal evidence-based teaching curriculum on professionalism in healthcare 领导力课程：发展医疗保健专业的纵向循证教学课程。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2025-04-24 DOI: 10.1002/jhrm.70005

Allen M. Chen MD, MBA

{"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":"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 (N = 131); conflict resolution (N = 120); collaboration (N = 107); interpersonal communication (N = 70); empathy (N = 57); and wellness (N = 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.","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}

引用次数: 0