Risk Assessments - PowerPoint PPT Presentation

Loading...

PPT – Risk Assessments PowerPoint presentation | free to download - id: 6bca2e-ZWNjN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Risk Assessments

Description:

Title: Risk Assessments Author: Judy Courtemanche Last modified by: Christina Martin Created Date: 8/7/2010 7:50:53 PM Document presentation format – PowerPoint PPT presentation

Number of Views:13
Avg rating:3.0/5.0
Slides: 76
Provided by: JudyCour
Learn more at: http://www.courtemanche-assocs.com
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Risk Assessments


1
Risk Assessments
  • Environment of Care
  • Emergency Management
  • Life Safety

2
Disclosure Slide
  • Courtemanche Associates Healthcare Synergists
    is an Approved Provider of continuing nursing
    education by the North Carolina Nurses
    Association, an accredited approver by the
    American Nurses Credentialing Centers Commission
    on Accreditation.
  • Continuing Education Contact Hours will be
    awarded upon full attendance of the program and
    receipt of the participant course evaluations.
  • There are no influencing financial relationships
    or commercial support relating to this activity.
  • Participation in an accredited activity does not
    imply endorsement by the provider or NCNA of any
    commercial products displayed in conjunction with
    this activity.
  • Courtemanche Associates does not discuss any
    products for use for a purpose other than that
    for which they were approved by the Food and Drug
    Association.

3
Why Perform?
  • Improve Patient and Staff Safety
  • Improve Efficiency
  • Identify Training Issues
  • Evaluate when answers unclear
  • Justify a Need

4
TJC Risk Assessments
  • Safety
  • Hazardous materials and Waste
  • Security
  • Hazard Vulnerability Analysis (HVA)
  • Statement of Conditions and ILSM
  • Medical Equipment
  • Utility
  • Proactive Infection Control (PICRA)

5
Risk Assessment Cycle
6
Document
  • No particular form required by TJC
  • Spreadsheets
  • PRO/CON listing
  • Rating System
  • Organizations will be held to the documentation
    requirements that are in their own policies.

7
Internal and External Data
  • Data can be used as part of the Risk Assessment
  • PI Data
  • Staff, Patient and Family Feedback
  • Environmental Tracers
  • Root Cause Analysis
  • JC publications

8
Simplifying ProActive Risk Assessment
  • Identify Issues
  • Develop arguments that support a process
  • Develop arguments that disagree with a process
  • Evaluate both arguments
  • Reach a Conclusion
  • Document the process
  • Monitor and Reassess

9
How to Conduct a Risk Assessment
  • Create a Multidisciplinary Team to include
  • Subject Matter Experts
  • Departments Directly Effected
  • An Administrative representative
  • Individual critical to implementation

10
  • Environment of Care Risk Assessments

11
Safety Risk Assessments
  • Review Data
  • Incident Reports
  • IC Data
  • PI Data
  • Patient Satisfaction
  • Complaints
  • Literature
  • Previous Assessments

12
Targeted Attention
  • New Construction
  • Renovations
  • Environmental Tours
  • Worker Safety Job Hazard Analysis

13
Environmental Tours
  • Ongoing Environmental Tours
  • Identify hazardous conditions
  • Observe Safety Practices
  • Observe Behavior
  • Eliminate potential hazards
  • Monitor Staff Knowledge

14
Formalize Tour Process
  • Establish a schedule
  • Conduct annually in non-patient areas and
    semiannually in patient care areas
  • Create a form or checklist
  • Respond to information Collected
  • Train others in departments to conduct their own
    mini-tours

15
(No Transcript)
16
Job Hazards Analysis
  • Assessments that examine the safety risks
    associated with specific job tasks.
  • NOT required by TJC but required by the
    Occupational Safety and Health Administration
    (OSHA).

17
Conducting a JHA
  • Review history of accidents, workers comp, work
    loss days occupational illnesses
  • Conduct job reviews/observations
  • Correct any immediate danger situations
  • Rank jobs risks posed, likelihood of occurrence
    and severity of consequences

18
(No Transcript)
19
Suicide Safety Risk Assessment
  • Environment plays a key role in prevention of
    suicide.
  • Deficiencies in the Evironment can contribute to
    suicide events.

20
Identification of Suicide Risks
  • Conduct Walk throughs
  • Create Behavioral Checklist
  • Hanging Risks
  • Suffocating Risks
  • Weapon Risks
  • Elopement/Jumping Risks

21
Behavioral Tours Ideas
  • Wall protrusions such as fire sprinkler heads,
    air vent grills cover with small holed screens
  • Secure lay-in ceiling tiles
  • Removed exposed wires, blind cords, telephone
    cords, tubings and lines
  • Install anti-suicide doors
  • Remove plastic trash can liners

22
Behavioral Tours Ideas
  • Cont.
  • Use flushed cloth shower curtains attached to
    above threshold or breakaway rods
  • Use heavy furniture that cannot be easily lifted
  • Install shatterproof glass in windows
  • Remove hangers and closet rods
  • Use sloping hardware
  • Use convex mirrors to prevent blindspots

23
Smoking Risk Assessments
  • Although many Organizations and their campuses
    are smoke free, there are conditions where
    smoking is allowed.
  • Define clearly exceptions to the no smoking
    policy
  • Insure that practice and policy are the same
  • Monitor policy
  • Develop and implemented strategies to eliminate
    smoking violations

24
  • Hazardous Materials and Waste Risks
  • Assessments

25
What are Hazardous Materials?
  • Materials whose handling, use and storage are
    guided or regulated by local, state or federal
    directives.
  • Examples radioactive waste, hazardous vapors,
    bloodborne pathogens

26
Conducting the Hazardous Risk Assessment
  • Easy! Easy! Easy!
  • Annual inventory hazardous chemicals
  • Identifiy those used
  • How stored
  • Monitoring
  • Disposal

27
Conducting the Inventory
  • Department managers should conduct their own
    inventory
  • Define for Department Managers what materials
    should be included
  • Create a standardized Form
  • Key Department to spearhead project Material
    Department
  • Create a database

28
Using the Inventory to Lower Future Risk
  • Identify safer alternatives to hazardous
    chemicals where possible.
  • Identify better storage practices for chemicals
  • Identify additional security methods when needed.
  • Facilitate the elimination of unneeded or
    outdated chemicals.

29
Using Inventory
  • Verify appropriate MSDS.
  • Monitor hazardous gases and vapors associated
    with dangerous chemicals.
  • Submit the organizations inventory to the
    appropriate local, state and federal government
    agencies.

30
Security Risk Assessments
31
Why perform a Security Risk Assessment?
  • Improve patient and staff safety
  • Improve Health
  • Improve Satisfaction

32
Data for Security Assessment
  • Number and severity of security incidents in an
    area or department
  • Level of access to area
  • Security hardware present in the area
  • Degree of public traffic through and in an area
  • Potential degree of loss associated with a
    security issue taking place (i.e. abduction of
    baby, loss goods)

33
Data for Security Assessment
  • Cont.
  • Risks present in the community
  • Security needs of particular patient population
  • Risks associated with times of day.
  • Risks associated with security sensitive
    departments
  • Involve managers, various departments, local
    police when gather information about the
    environment.

34
Workplace Violence Considerations
  • Likelihood of Community members to carry a weapon
  • Presence of gangs and gang activity
  • Presence of drugs and money in Facility
  • Facility Shift changes and the times of day
  • Lighting of campus
  • Landscaping of campus
  • Accessibility of panic/alert systems

35
Special Patient Population Considerations
  • Infant and Pediatrics
  • Behavioral Health
  • Alzheimer patients
  • Forensic Patients

36
Emergency Management
37
What does an EM plan do for an organization
  • The Plan defines for the Organization a
    comprehensive approach to identifying risks in
    order to mobilize an effective response within
    the organization as well as in collaboration and
    coordination with essential response partners in
    the community.

38
Defining Emergencies
  • Human made
  • Terrorist made
  • Mother Nature made
  • Events that escalate
  • Assessing risks allows the Organization to plan
    and act during emergencies. The best way is
    through the Hazard Vulnerability Assessment.

39
Emergency Management Hazard Vulnerability
Analysis
  • Planned
  • Structured
  • Flexible
  • Scalable
  • The HVA is a method for evaluating the
    Organizations vulnerability to specific hazards.

40
A Big Difference
  • Community Planning and Involvement!
  • This assessment requires community involvement
    for coordination and prioritization within the
    HVA. Match perspectives of the Organization with
    the perspectives of the Community.

41
All Hazards Approach
  • List possible disasters
  • List possible emergencies
  • List pandemics
  • List terrorist event

42
Categorize Hazards
  • Natural hazards
  • Technical hazards
  • Human events
  • Hazardous materials

43
Assess Impact
  • Determine Probability of event occurring
  • Evaluate extent of the impact
  • Rank the event
  • Assess current ability to respond
  • Remember Events never experienced does not mean
    zero potential for the event. Be objective in
    evaluation.

44
Considerations during Prioritization
  • Short Term Effects
  • Long Term Effects
  • Influx of Patients/Community
  • Changing/ Shifting Probability of Events

45
(No Transcript)
46
Responding to the Threats Identified
  • Design activities to reduce the risk of potential
    damage due to the emergency
  • Plan activities to mobilize essential resources
    and organize efforts
  • Test plans
  • Develop recovery strategies

47
HVA Uses
  • Effective HVAs are linked to the Emergency
    Operations Plan (EOP).
  • Focuses preparedness efforts
  • Drive the Emergency Drills and Tabletop Exercises
  • Identify Vulnerable populations (dialysis,
    nursing home, etc.)
  • Accurately understand self-sustainability

48
Fire Safety Risks The Life Safety (LS)
Assessment
49
Statement of Conditions
  • What is it?
  • A proactive tool helping the Organization perform
    a critical self-assessment of its fire safety
    risks and current level of compliance with the
    Life Safety Codes.

50
SOC Value
  • Identifies areas for fire safety focus efforts
  • Assist in developing Plans for Improvement (PFI)
  • Creates timelines and focus for activities
  • Educate staff on the Life Safety Code
    requirements
  • Remember All Organizations are required to
    complete an electronic SOC and BBI.

51
Conducting a Life Safety Assessment
  • Lead by Competent Individual(s)
  • Knowledgeable about the building, fire protection
    features occupancy types and construction type of
    the building
  • Start at the top of the building and work down
  • Verify each feature of fire protection
  • Examine fire and smoke barrier above the ceiling

52
Conducting a LSA
  • Include inspection process as part of hazard
    surveillance rounds
  • Through engineers and maintenance staff who are
    making repairs and rounds
  • Construction/Renovation sites daily inspections
  • Follow-up on Contractors jobs
  • Findings during fire drills and/or fire events

53
Medical Equipment
54
Medical Equipment
  • Assessing and Managing Medical Equipment Risks

55
What is Medical Equipment?
  • Life Support anesthesia machines, ventilators
  • Monitoring bedside monitors, telemetry momitors
  • Diagnostic laboratory analyzers, radiology
    equipment
  • Patient Support hospital beds, specialty beds,
    lifts

56
Where are the risks for Equipment?
  • Selection
  • Use
  • Maintenance

57
Equipment Selection
  • Establish a process for selection and acquisition
  • Identify a review process for each request, to
    include clinical engineering
  • Identify space and special utilities reqd
  • User training

58
Create a Risk Based Inventory
  • Criteria to use
  • What is the function of the equipment?
  • What are the physical risks associated with
    equipment use?
  • What are the maintenance requirements?
  • What is the incident history?

59
Maintenance is Risk Based
  • No longer requires PM inspections of all
    equipment.
  • PM inspections should be based on proactive risk
    assessment, sound professional judgement, and
    organizational experience.

60
Multidisciplinary Approach
  • Joint Effort between clinical care, clinical
    engineers and clinical staff
  • Include all departments and vendors as necessary
  • Equipment treated the same without regard to
    ownership

61
Utility Systems
  • Creating a Risk-Based inventory, consider
    utilities impact on
  • Life Support Systems
  • Infection Control Systems
  • Environmental Support Systems
  • Equipment Support Systems
  • Communication Systems

62
Utility System Examples
  • Electrical
  • Emergency power
  • Elevators and Escalators
  • Heating, Ventilating and airconditioning (HVAC)
  • Plumbing
  • Boiler and steam
  • Piped gases
  • Communication

63
Addressing Risk
  • Assessing and monitoring the operational
    reliability
  • Identify/Rate the potential of failure
  • Create Contingency Plans
  • Test Contingency Plans
  • Include Utilities in Emergency Management Exercise

64
Infection ControlProactive Risk AssessmentPICRA
65
PICRA
  • Manages Safety during construction process by
    conducting proactive risk assessments as part of
    the planning phase of building construction and
    renovation.
  • Identifies hazards that may compromise patient
    care
  • Determines the extent and nature of the risk

66
PICRA Criteria for Consideration
  • Air Quality
  • Infection Control
  • Utility requirements or interruptions
  • Noise
  • Vibration
  • Emergency procedures

67
Construction Issues to Assess
  • Disruption to essential services
  • Relocation of patients
  • Barriers to control airborne contaminants, reduce
    noise and vibrations
  • Debris cleanup and removal
  • Traffic Flow

68
CDC Suggested Considerations
  • Design and Function of the new area
  • Risk of Airborne disease transmission
  • Preventive measures to contain dust and moisture

69
Performing PICRA
  • Individual or Team depending on the scope, size
    and complexity of project
  • Identify type of construction
  • Conduct regular meetings till project completed

70
Summary of Concerns
  • Nature of Project
  • Patients affected
  • Risks Involved
  • Mold
  • Fungi
  • Hazard Material
  • Noise and Vibration
  • Emergency procedures
  • Utility Disruption
  • Hygiene
  • Storage

71
(No Transcript)
72
Objectives
  • Identify Risks
  • Mitigate Risks
  • Recover/Respond to Risks

73
Other Risk Assessments
  • Construction Risks
  • Building Projects Risks

74
Conclusion
  • Nothing is an exact science. Conduct risk
    assessments to prevent or reduce dangers to
    patients, family and staff. Design the process
    and form to work for you and always follow your
    own policies.

75
Questions? Contact Us At
  • Info_at_courtemanche-assocs.com
  • (704) 573-4535
About PowerShow.com