Patient Safety and Risk Management Essay -- Health Care

Patient safety and put on the line management should be intertwined in the organization. Patient safety is where the patient does not experience unnecessary harm or pain or other suffering during their treatment (Youngberg, 2011). Minimizing risk is to falloff unnecessary losses or improve or implement process that will decrease adverse particular (Youngberg, 2011). The Samantha Jones adverse event is a finished example to enhance patient safety through improved process or project. To understand the event a root depth psychology needs to be done and action items are created from this analysis.Taking time to conduct a proper analysis of the cause eliminates a premature conclusion that may guide on to inadequate reverseive actions (William, 2008). A root analysis is a systematic approach to collect instruction that may identify and evaluate hazards and risks (Williams, 2008). The root analysis provides a starting point on areas that may need changing. There are three areas t o a root cause analysis of the adverse event which can enable the investigator to 1) isolate the circumstances that increased the risk of an accident or incident from occurring 2) determine who or what was involved in the attitude and (3) assess whether the facility might have control over the causes of the event (William, 2008). Using a report outline can help gather information consistency and completeness (Williams, 2008). The outline below evaluates the Samantha Jones adverse event.1.Policy or Process (system) in Which the Event Occurreda.The policy or process did not confirm the correct patienti.Nurses did not feel that they could voice their opinion about a proper time outb.Time out was not conducted thoroughly2. gentle Resources (factors and issues)a.No... ...004). Root cause analysis applied to the investigation of serious untoward incidents in mental health services Retrieved from. http//pb.rcpsych.org/content/28/3/75.Parker, D. (2008). Managing risk in healthcare und erstanding your safety culture using the Manchester Patient Safety Framework (MaPSaF) Journal of Nursing Management Mar2009, Vol. 17 Issue 2, p218-222.Ransom, E. R., Joshi, M. S., Nash, D. B., & Ransom, S. B. (2008). The healthcare quality book. (2nd ed.). Chicago, IL Health Administration Press.Rooney, J.J. & Vanden Heuvel, L. N. (2004) Root Cause Analysis for Beginners. Retrieved from. https//servicelink.pinnacol.com/pinnacol_docs/lp/cdrom_web/safety/management/accident_investigation/Root_Cause.pdfWilliams, L. (2008) The value of a root cause analysis. Long-Term sustentation For the Continuing Care Professional, Nov2008, Vol. 57 Is