Student Dissertation

Agency : Risk Register; Incident Reporting; Risk Management; JCI Guidelines

Objective : The objective of this study is: 1. To identify risks for the hospital register (The identification of risk, and use of a risk register, enables senior management of the organisation to prioritize individual risks and to structure efforts and resources into reducing risk and thereby improve quality and standards of care). 2. To understand methods of risk management (Once identified and assessed, risks need to be managed. Some risks can be managed others cannot and need mitigating). 3. To understand methods of risk management (Once identified and assessed, risks need to be managed. Some risks can be managed others cannot and need mitigating).

Background : Risk is unavoidable and present in every human situation. Risk refers to the uncertainty that surrounds future events and outcomes. It is the expression of the likelihood and impact of an event with the potential to influence the achievement of an organization's objectives. Robust risk management is critical in reducing preventable errors or adverse events esp. in healthcare. Neglecting to have comprehensive risk management plans in place can compromise patient care, increase liability risks, and result in financial losses. Risk register compilation is one component in the risk management process and allows for risks to be identified that pose a threat to an organization in achieving its goals. Each risk that is identified is recorded in a register that summarizes the description, cause, impact, likelihood and existing controls for a particular risk.

Methodology : ï‚· The study is a descriptive cross-sectional study conducted in the following departments: CSSD, Biomedical, Housekeeping, Facility Management Services, Nursing, Pharmacy, OPD, Physiotherapy, Patient Affairs Department, Patient Relations Office, Nutrition and dietetics and Human Resource department, for a period of 3 months’ 2 March 2016 to 26 May 2016. ï‚· Tools and Techniques:  Tool- Risk Register template  Technique- ï‚· QCO (Quality Control Officer) meetings. ï‚· Brainstorming sessions with designated staff of each department. ï‚· Interviews with Quality Control Officers (QCOs). ï‚· Process mapping and process evaluation of the departments. ï‚· Observation during hospital rounds. ï‚· Tracking Incident Reports for the past 1 year.

Findings : The risk register is an integral element of decision making and prove to be useful in implementing effective governance mechanism. It enables a strong focus on the management of key risks and issues in a manner that allows a shared understanding of the prioritization of control and mitigation activity in addition to the allocation of appropriate resources. Once an organization has implemented risk Management, it will begin to reap the benefits of improved visibility into all incidents, faster response time to all events, and increased safety in the workforce.


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