Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献_第9页

President's message 总统的消息

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-01-29 DOI: 10.1002/jhrm.21495

Barbara McCarthy RN, MPH, CPHQ, CPHRM, DFASHRM

引用次数: 0

What can we learn from medical journals? 我们能从医学期刊中学到什么?

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-01-29 DOI: 10.1002/jhrm.21496

Sue Boisvert BSN, MHSA, DFASHRM

引用次数: 0

Airway management in the operating room setting: An analysis of reported safety events 手术室环境中的气道管理:安全事件报告分析

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2022-01-20 DOI: 10.1002/jhrm.21493

Kevin B. Osgood MD, Sindhu Krishnan MD, Kimberly K. Wheeler DNP, RN, CNOR, Marc P. Pimentel MD, MPH, CPPS, Joshua C. Vacanti MD, Richard D. Urman MD, MBA

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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 : 2022-01-06 DOI: 10.1002/jhrm.21494

John C. West, Christopher J. Allman

引用次数: 0

The challenge of competency assessment of the late-career practitioner 职业生涯后期从业者能力评估的挑战

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-12-08 DOI: 10.1002/jhrm.21492

Mary Steffany BA, BS, MA

{"title":"The challenge of competency assessment of the late-career practitioner","authors":"Mary Steffany BA, BS, MA","doi":"10.1002/jhrm.21492","DOIUrl":"10.1002/jhrm.21492","url":null,"abstract":"<p>Just as the general population of the United States is aging, so, too, is the population of active physicians. Training to become a physician and practice medicine is an arduous process. The competition to gain admission to medical school is fierce, the price tag of medical education is high, and waiting to learn about matching to a residency program is stressful. No wonder that physicians equate their profession with their identity. This sentiment, along with other factors, has resulted in many physicians continuing to practice well beyond the average retirement age. While each individual ages differently, there is evidence that the aging of physicians and length of time since medical school and residency is associated with deficiencies in history-taking, physical examination, record-keeping, and the ability to problem-solve. For late-career surgeons performing complex surgical procedures, there is a higher mortality rate for patients. Unlike other professions that have a mandatory retirement age, medicine does not. Health systems are grappling with how to fairly assess the competence of late-career practitioners. This article will explore that challenge from different perspectives, identify best practices, and describe how a risk manager can facilitate stakeholder discussion focused on implementing a competency-assessment process that is fair and effective.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 3","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39703590","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: 1

Use of conditional medical orders to minimize moral, ethical, and legal risk in critical care 使用有条件的医嘱，以尽量减少危重病护理中的道德、伦理和法律风险

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-11-17 DOI: 10.1002/jhrm.21487

Richard B Stuart DSW, ABPP, George Birchfield MD, Timothy E Little MD, Susan Wetstone MD, James McDermott MD

{"title":"Use of conditional medical orders to minimize moral, ethical, and legal risk in critical care","authors":"Richard B Stuart DSW, ABPP, George Birchfield MD, Timothy E Little MD, Susan Wetstone MD, James McDermott MD","doi":"10.1002/jhrm.21487","DOIUrl":"10.1002/jhrm.21487","url":null,"abstract":"<p>Risk managers and ethicists monitor adherence to codes of conduct in the delivery of medical services and proactively participate with providers to create protocols that minimize the moral, ethical, and legal risks inherent in many commonly used medical protocols. “Code/no code” medical orders work well for patients at the extremes who always or never want to undergo a procedure, but they create troubling uncertainties for others by preventing them from expressly requesting procedures under some circumstances but not others. Obeying binary orders such as DNAR (Do Not Attempt Resuscitation) can allow deaths that a patient might want to delay or can expose patients to prolonged suffering they wish to avoid. These risks can be reduced by: (1) fully explaining the nature of proposed interventions and their possible beneficial and adverse effects in varying circumstances; and (2) replacing the traditional dichotomy with a continuum of options from always, through conditionally sometime, to never orders adapted to a range of situations and preferences. The Conditional Medical Orders (CMO) form summarizes patients’ preferences regarding resuscitation, ventilation, and artificial hydration and nutrition (ANH) is an efficient way to increases the chance that patients will undergo only the treatments they want.</p>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 3","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/21/09/JHRM-41-14.PMC9543663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39723493","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: 1

The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center 报告的与三级学术中心手术室护理协调相关的安全事件的性质

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-28 DOI: 10.1002/jhrm.21491

Sindhu Krishnan MD, Kimberly K. Wheeler DNP, RN, CNOR, Marc Philip Pimentel MD, MPH, CPPS, Joshua C. Vacanti MD, Richard D. Urman MD, MBA

{"title":"The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center","authors":"Sindhu Krishnan MD, Kimberly K. Wheeler DNP, RN, CNOR, Marc Philip Pimentel MD, MPH, CPPS, Joshua C. Vacanti MD, Richard D. Urman MD, MBA","doi":"10.1002/jhrm.21491","DOIUrl":"10.1002/jhrm.21491","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Adverse event reporting systems are important tools for identifying areas of risk and opportunities for education and improvement. Our goal was to examine the nature of perioperative incident reports related to care coordination that were filed by staff at an academic tertiary care center.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>In this retrospective data review, perioperative safety reports between 2015 and 2020 were analyzed. Information examined included the type of staff who initiated the report, location of the incident, type of incident and the severity level of event, including patient harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>Out of the 7827 reports evaluated, 61.2% of reports were filed by nurses, and 5.6% by physicians. We investigated one particular category called “coordination of care” and found the specific event most commonly reported was insufficient handoff (15.0%–26.9%), with severity level reported primarily being no to minor harm reaching the patient. However, communication failures were judged to be one of leading causes of inadvertent harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <p>It is imperative for hospital incident reporting systems to collect data on issues related to communication failures and to design interventions with the help of frontline staff to provide high quality, safe care to patients and to remain compliant with regulatory requirements and hospital policies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"41 3","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39570705","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 - About ASHRM 发布信息-关于ASHRM

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-20 DOI: 10.1002/jhrm.21420

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 : 2021-10-20 DOI: 10.1002/jhrm.21422

引用次数: 0

A little help from my friends 我的朋友帮了点小忙

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2021-10-20 DOI: 10.1002/jhrm.21488

Sue Boisvert BSN MHSA, CPPS, CPHRM, DFASHRM

引用次数: 0