Managing Clinical Risk
Managing Clinical Risk

Author: Caroline Logan

Publisher: Taylor & Francis

Published: 2023-12-01

Total Pages: 565

ISBN-13: 1003811736

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The second edition of Managing Clinical Risk is an authoritative guide on how to engage in risk assessment and management practice in evidence-based, accountable and effective ways. Over the course of a dozen chapters, each oriented around a brief case study reflecting a different area of risk, practitioners are offered guidance on how to read referrals, how to decide what information matters to their evaluations, how to speak to a person who may be reluctant to engage in an assessment of this kind, how to organise the information they have gathered in order to prepare a risk formulation that will in turn guide risk management, and how to communicate opinions and recommendations in ways that have an impact. The book provides an evidence-based understanding of risk assessment and management in key areas of practice – violence, sexual violence, suicidal and self-harmful behaviour, as well as family and relationship violence, organised criminal and group-based violence, and violent extremism. Practices relevant to understanding violent behaviour in individuals are contrasted with those better suited for working with groups and organisations. How practitioners can take account of the diversity of the clients with whom they work is a central consideration in every chapter. And helping practitioners develop the skills to enable them to formulate risk where there may be multiple areas of concern is a key objective of this book. All the contributors to this updated guide to effective practice are scholar-practitioners – experienced professionals with a track record of writing and teaching about risk assessment and management practice in their respective fields. Therefore, this book contains realistic rather than idealistic representations of the work required to prevent harmful behaviour by the kinds of clients they work with. Together, contributors combine theoretical and research knowledge with a wealth of practical skills, emphasising the collaborative and recovery-focused nature of modern risk management.

Health Information Systems
Health Information Systems

Author: Adrian Stavert-Dobson

Publisher: Springer

Published: 2018-03-30

Total Pages: 305

ISBN-13: 9783319799803

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This is a practical book for health and IT professionals who need to ensure that patient safety is prioritized in the design and implementation of clinical information technology. Healthcare professionals are increasingly reliant on information technology to deliver care and inform their clinical decision making. Health IT provides enormous benefits in efficiency, communication and decision making. However a number of high-profile UK and US studies have concluded that when Health IT is poorly designed or sub-optimally implemented then patient safety can be compromised. Manufacturers and healthcare organizations are increasingly required to demonstrate that their Health IT solutions are proactively assured. Surprisingly the majority of systems are not subject to regulation so there is little in the way of practical guidance as to how risk management can be achieved. The book fills that gap. The author, a doctor and IT professional, harnesses his two decades of experience to characterize the hazards that health technology can introduce. Risk can never be eliminated but by drawing on lessons from other safety-critical industries the book systematically sets out how clinical risk can be strategically controlled. The book proposes the employment of a Safety Case to articulate and justify residual risk so that not only is risk proactively managed but it is seen to be managed. These simple techniques drive product quality and allow a technology’s benefits to be realized without compromising patient safety.

Textbook of Patient Safety and Clinical Risk Management
Textbook of Patient Safety and Clinical Risk Management

Author: Liam Donaldson

Publisher: Springer Nature

Published: 2020-12-14

Total Pages: 496

ISBN-13: 3030594033

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Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Clinical Risk Management
Clinical Risk Management

Author: John Williams

Publisher: BMJ Books

Published: 2001-02-08

Total Pages: 588

ISBN-13: 9780727913920

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The aim of this book is to reduce the risks of medical treatment and enhance the safety of patients in all areas of healthcare. The first section discusses human error, the incidence of harm to patients, and the development or risk management. Chapters in the second section discuss the reduction of risk in clinical practice in key medical specialties. The third section discusses features of the healthcare systems that are essential to safe practice, such as communication of risk to patients, the design of equipment, supervision and training, and effective teamwork. The fourth section describes how to put risk management into practice, including the effective and sensitive handling of complaints and claims, the care of injured patients and the staff involved, and the reporting, investigation and analysis of serious incidents.

Managing Suicidal Risk
Managing Suicidal Risk

Author: David A. Jobes

Publisher: Guilford Publications

Published: 2016-06-20

Total Pages: 290

ISBN-13: 1462526918

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This book has been replaced by Managing Suicidal Risk, Third Edition, ISBN 978-1-4625-5269-6.

Clinical Practice Guidelines We Can Trust
Clinical Practice Guidelines We Can Trust

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-16

Total Pages: 217

ISBN-13: 030921646X

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Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.

Preventing Patient Suicide
Preventing Patient Suicide

Author: Robert I. Simon

Publisher: American Psychiatric Pub

Published: 2010-08-24

Total Pages: 235

ISBN-13: 1585629472

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Today's psychiatrists practice in an environment that poses difficult challenges. Both treatment time and duration are limited by insurance requirements; many facilities are understaffed; split treatment arrangements are typical; and high-risk, acutely suicidal patients are admitted to inpatient units for short lengths of stay. In addition, law now plays a pervasive role in the practice of psychiatry. The doctor-patient relationship is no longer defined solely by the involved parties. Clinicians must juggle these requirements and limitations while providing the very best care to their patients, especially those at high risk. Preventing Patient Suicide: Clinical Assessment and Management provides the wisdom of Dr. Robert I. Simon's vast clinical experience, combined with the latest insights from the evidence-based psychiatric literature, to offer a cutting-edge survey of suicide prevention and management techniques. The author: Addresses sudden improvement in high-risk suicidal patients, a phenomenon both common and perilous, with techniques for determining whether the improvement is real or feigned. Explores in depth the misuse of suicide risk assessment forms, with emphasis on their inherent limitations. Examines the many entrenched myths and traditions about suicide, exposing them to the critical light of evidence-based medicine, including the concept of "imminent suicide risk" and the myth of "passive suicide ideation". Discusses the continuum of chronic and acute high-risk suicidal patients, the fluidity with which one can become the other, and the difficulty in assessing these patients. Explores how the law and psychiatry interact in frequently occurring clinical situations, and the importance of therapeutic risk management. In addition, the book contains a variety of features that illuminate the subject and enhance the reader's understanding, including: Inclusion of illustrative case studies, combined with commentary on commonly occurring but complex clinical situations. Key points at the end of each chapter that identify critical information. A Suicide Risk Assessment Self-Test, a teaching instrument that consists of fifty questions designed to enhance clinician suicide risk assessment by incorporating evidence-based risk and protective factors. Dr. Simon provides a nuanced, empathic, yet pragmatic perspective on identifying, assessing, and managing the suicidal patient while successfully navigating a complex legal and clinical environment that poses its own risks to the practitioner.

Ethical Conduct of Clinical Research Involving Children
Ethical Conduct of Clinical Research Involving Children

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2004-07-09

Total Pages: 445

ISBN-13: 0309133386

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In recent decades, advances in biomedical research have helped save or lengthen the lives of children around the world. With improved therapies, child and adolescent mortality rates have decreased significantly in the last half century. Despite these advances, pediatricians and others argue that children have not shared equally with adults in biomedical advances. Even though we want children to benefit from the dramatic and accelerating rate of progress in medical care that has been fueled by scientific research, we do not want to place children at risk of being harmed by participating in clinical studies. Ethical Conduct of Clinical Research Involving Children considers the necessities and challenges of this type of research and reviews the ethical and legal standards for conducting it. It also considers problems with the interpretation and application of these standards and conduct, concluding that while children should not be excluded from potentially beneficial clinical studies, some research that is ethically permissible for adults is not acceptable for children, who usually do not have the legal capacity or maturity to make informed decisions about research participation. The book looks at the need for appropriate pediatric expertise at all stages of the design, review, and conduct of a research project to effectively implement policies to protect children. It argues persuasively that a robust system for protecting human research participants in general is a necessary foundation for protecting child research participants in particular.

Risk Management Handbook for Health Care Organizations
Risk Management Handbook for Health Care Organizations

Author: American Society for Healthcare Risk Management (ASHRM)

Publisher: John Wiley & Sons

Published: 2009-03-27

Total Pages: 672

ISBN-13: 0470443715

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Risk Management Handbook for Health Care Organizations, Student Edition This comprehensive textbook provides a complete introduction to risk management in health care. Risk Management Handbook, Student Edition, covers general risk management techniques; standards of health care risk management administration; federal, state and local laws; and methods for integrating patient safety and enterprise risk management into a comprehensive risk management program. The Student Edition is applicable to all health care settings including acute care hospital to hospice, and long term care. Written for students and those new to the topic, each chapter highlights key points and learning objectives, lists key terms, and offers questions for discussion. An instructor's supplement with cases and other material is also available. American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association with more than 5,000 members representing health care, insurance, law, and other related professions. ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking, and interactions with leading health care organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, preserving financial resources, and maintaining safe working environments.

Risk Management in Blood Transfusion Medicine
Risk Management in Blood Transfusion Medicine

Author: J. Mills Barbeau

Publisher: Elsevier Health Sciences

Published: 2019-01-03

Total Pages: 181

ISBN-13: 0323548385

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Get a quick, expert overview of risk management in transfusion medicine from Dr. James Mills Barbeau. This practical resource presents a summary of today's state-of-the-art techniques for reducing harm during all phases of transfusion practice, including blood collection, testing, processing, clinical assessment, and transfusion. It's an easy-to-read, one-stop resource for managing and mitigating the various levels of risk in a variety of transfusion settings and scenarios. - Presents a well-rounded perspective on quality assurance, blood supply testing, clinical risk, ethical and legal considerations, and transfusion-transmitted infectious diseases. - Demonstrates how transfusion risk-management programs add value to health care institutions by enhancing a culture of safety, improving the institution's reputation, and improving the bottom line. - Consolidates today's available information on risk management in blood transfusion medicine into one convenient resource.