Risk Management Paper Essay Example for Free

Risk Management Paper Essay I interviewed James Alviar RN, the Coordinator of Risk Management at my current place of employment the Queens Medical Center West Oahu. I asked him if there were any current risk management issues at our facility that we could discuss, but he said all current issues were confidential and he could not divulge any information to me. Instead, James pointed me in the generic direction of hospital falls that is a nationwide risk management issue and also pertains to us at Queens Medical Center. This paper will be discussing risk managements role, what falls are, how falls are addressed, how risk management would remedy the problem, and how the similar situation is discussed at another facility. Queens Health Systems Risk Management (Risk Management) serves the Queens Health Systems (QHS) by developing and applying an integrated program for the preservation of QHSs capital assets and resources. The role of the Risk Management Department is to plan, direct, and coordinate the risk management and insurance function of Queens Medical Center, subject to and consistent with the Queens Health Services Mission Statement, policy and procedures, guidelines and applicable laws. Risk management is a process with four major components: identification, assessment, mitigation, and monitoring. Risk management addresses many issues that include patient safety, potential medical questions or errors, federal regulations, and legislation impacting healthcare. At Queens Medical Center, there are two options to file an event report. The employee may submit an event report anonymously or log onto the hospital intranet and utilize the RLs Risk Management software. The software is an easy step by step program for writing a thorough incident report to be submitted to Risk Management. The purpose of the occurrence report is to: Assist in identifying potential liability issues, facilitating appropriate corrective or remedial measures. To develop only information for investigation,  evaluation, and a final disposition of the reported incident. The information collected will provide management with a means of analyzing risk and quality levels. Fulfill QHSs internal reporting requirements, regulatory requirements, or insurance carriers requirements or legal obligation. Once the Risk Management department gets the report, they determine whether the situation should be investigated. If the situation needs to be examined, other departments are called upon to review the case. The other departments are but not exclusive to Falls Prevention and Protection Committee/Patient Safety, Department Managers and their nurses, Risk Managers, Human Resources, and Patient Advocate. Follow-up reports will be completed within three weeks, unless circumstances require a quicker response. I visited a smaller 57-bed hospital located central on the island to serving the residents of Central Oahu and the North Shore. Their incident reports are submitted on a form requiring the following information: How, when (date and time) and where the incident or offense took place The names of any injured persons and witnesses The nature and location of any injury or damage arising out of the incident or offense If a security report was made, a forwarded copy is required. If an incident report is written up, it would be submitted to the Risk Management where it would be reviewed. An investigation begins with a meeting with the department manager of the unit where the event occurred. If the incident was a fall, the incident is investigated to see if the ultimate cause of the fall was physiological or environmental. If the patient fell for physiological reasons, a plan of care is initiated. If it were an environmental reason like a loose handrail, they would be repaired immediately. Specifically to this paper, we will focus on patient falls. Patient falls are ubiquitous. According to the American College Of Surgeons National Trauma Data Bank 2013 Annual Report (2013), the highest mechanism of injury by region are falls with a total of 338,805 reported cases and with the second highest mechanism of injury from motor vehicle injury at a total of 234,164 reported cases. A patients fall is an unintended descend to the floor that may or may not result in any injury to the patient. A fall is when a patient lands on a surface where you would not expect to find the patient. There are many risk factors associated with falls such as:  Physiological reasons (changes in blood pressure, Parkinsons, arthritis, neuropathy, vision problems ) Environmental reasons (wet floor, rugs without non-skid backing, poor lighting) Adverse effects of medications An assisted fall is when a staff member witnesses a patients fall and attempts to minimize the impact of descend. Many patient falls occurring during hospital encounters may cause little or no harm but some can result in serious and even possibly life-threatening consequences for many patients such as hip fractures and head trauma. Even when a fall does not lead to death, it can require prolonged hospitalization. Some could suffer disability, loss of function, and lose their independence or premature death. â€Å"Patient falls in hospitals are a common and often preventable adverse event. Nurses routinely conduct fall risk assessment on all patients, but communication of fall risk status and tailored interventions to prevent falls is variable at best.† (Hurley, Dykes, Carroll, 2009). When reporting a fall, the event report should be submitted as soon as possible after the event is discovered. The employee who is involved or observes the incident should complete the report. Although employees can submit an incident report anonymously, submitting through the Risk Management Website in the QMC intranet using the RLs Risk Management program is preferred. Documentation should be objective, fact-based, and not include personal opinions or subjective information. If a visitor falls or is involved in the incidence, the Security Department should be called to take statements, names, and any necessary evidence, such as photographs. An incidence report should be complete including names of witnesses and any pertinent information. If a visitor is injured, he or she should be encouraged to be treated in the Emergency Department. After submitting the report, Risk Management and the designated managers are notified immediately. The responsible manager will review all submitted reports, investigate the events as indicated, and institute any necessary corrective action. If its indicated, the incident report may be presented to the Performance Improvement Coordinator for analysis. Risk management periodically reports event information to the hospital Patient Safety Committee. These activities are considered quality improvement related and a patient safety work product. The event reports are intended for  administration use. If it were a patient here should not be any reference to the incident report in the patients medical record. The event, effects on the patient, and action taken must be documented in the medical record for patient care purposes. Prevention of falls in inpatient settings requires a multidisciplinary, multifaceted approach. There is not one definitive factor that is the silver bullet in preventing falls. Even though hospitals have devoted quality improvement and research efforts to prevent falls, patient falls consistently compose the largest single category of reported incidents in hospitals. (Rowe, 2013). It is important that hospitals maintain a safe and effective environment to prevent or limit falls and/or fall-related injuries by patients, visitors, and staff. Departments such as Risk Management, Falls Prevention and Patient Safety, and Patient Advocate were created to help maintain a hospital’s safe, healing environment. References American College of Surgeons National Trauma Data Bank 2013 Annual Report. (2013). Retrieved from https://www.facs.org/~/media/files/quality%20programs/trauma/ntdb/ntdb%20annual%20report%202013.ashx Hurley, A., Dykes, P., Carroll, D. (2009). Fall Tip : validation of icons to communicate fall risk status and tailored interventions to prevent patient falls. Studies in health technology and informatics, 146(), 455-459. University of Phoenix Online Library. Rowe, J. (2013, June). Preventing Patient Falls What are the Factors in Hospital Settings that Help Reduce and Prevent Inpatient Falls?, Home Health Care Management Practice, 25(3), 98-103. University of Phoenix Online Library

Eriksons Psychosocial Theory Of Development: Young Adults :: Psychology Young Adult Development

The young adult has numerous stresses placed upon them through the route of development. Erikson has theorized developmental stages of growth into tasks. Of Eriksons' theoretical tasks, one task describes the theory of intimacy versus isolation. This task theory can be examined using the normative crisis model. The knowledge of developmental tasks of the young adult can be beneficial to the nurse especially associated with their ability to relate to the young adult. One of the stages in life is the young adult, which suggests significant changes and an increase of responsibility. This stage of development is described as between twenty and forty years, where "...the potential for furtherance of intellectual, emotional and even physical development occurs". (Gething, 1995, p.377). As people age the progress of the developmental stages can differ, so they have formulated to assess the progression by using two principal crisis models. The first, are the normative crisis model and the second includes the timing of events crisis model. The normative crisis model has been powerful in shaping the psychology of the developmental stages as it has allowed theorists to imply that stages of development can follow an age related time sequence. (Gething, 1995). The normative crisis model suggests that human development has a built in ground plan in which crisis as describe by Erikson are seen as a requirement that must be resolved by the person before successful progression from one developmental stage to another. Such achievement of this task crisis should provide the young adult with the ability to challenge previous ideas held by the adolescent about intimacy and isolation. This model is adapted for progression of the tasks to follow the chronological age of the adult, while the related social and emotional changes progress through a sequence that Erikson characterises in to eight specific crisis tasks over the life span. (Kozier, erb, blais & wilkinson, 1995.). The second crisis model depends upon the timing of events and is not dependant upon resolution of crisis or a ground plan, but stresses the importance of each event that occur in the young adults life. Life events that proceed as expected will encourage development, where as life events that are unexpected can result in anxiety and a slow progression of development. (Gething, 1995.). The young adult according to Erikson's theory of personality should be progressing through the psychosocial crisis of intimacy versus isolation. The tasks for this stage of life consist of courting and selecting a "mate", marriage and associated choices, e.g. children and monogamous relationship, career choices and lifestyle changes and furthering intellectual abilities to accommodate choices. (Turner & Helms, 1987.).

Criminal Justice theory of crime Essay

There is no single cause of crime, it is rooted in a diversity of casual factors and takes a variety of forms, depending on the situation in which it occurs. Nonetheless, some theories of human behavior help us understand why certain people engage in acts that society defines as criminal or deviant, while others do not. A theory is a kind of model. Theories posit relationships, often of a casual sort, between events and things under study. Theories once created must be tested to determine whether they are valid and modern criminology has become increasingly scientific. There are many different theories that suggest why people commit crimes. Each of which has there own scientific explanation. Early biological theories of crime tried to establish a connection between physical deformity, disability and ugliness with crime. While borderline scientific disciplines such as physiognomy attempted to establish a link between facial features, personality and crime. Explanation of biological theories of crime favors biological traits as a dominant factor that will affect human behavior and actions. Biological theories of crime which in past years has fallen into disrepute are beginnings to experience something of a contemporary resurgence. Most early theories of the biological school of crime causation, which built on inherited or bodily characteristics and features, made certain fundamental assumptions. Basic determinants of human behavior, including criminal tenancies. The basic determinants of human behavior, including criminality, may be passed on from generation to generation. In other behavior is the result of biords, a penchant for crime may be inherited. Biological theories tended towards seeing crime as a form of illness, caused by pathological factors specific to certain classes of individuals. We assume people were born criminals Cesare Lombroso famous criminologist, rejected the classical school or rational choice model because he believe criminality was inherited.

The Ancient Roman World - 1759 Words

Thomas Su Mr. Harrington World History 28 November 2015 The Ancient Roman world, the various Germanic and Norse barbarians, and Christianity all played a big role in the creation of the society, politics and ideas in the Middle Ages. You may have not known but the beginning of the Middle Ages (5th to 15th century) is marked when the Western Roman Empire is invaded (1000 B.C) by the Germanic barbarians who were from Northern Europe (â€Å"Middle Ages†). The Germanic people specifically the Goths, Vandals, Saxons and Franks adapted most of the Romans ideas and ways of living and combined it with their own creating a new medieval culture in Western Rome. The Huns started to invade the territory north of the Black Sea which was where the Germanic People had settled. (â€Å"Middle Ages â€Å"). This led to the invasion of Western Rome which then led to the fall of the Western Empire who had lost almost all their power to be able to defend themselves. During the Middle Ages Catholic churches specifically the Popes were the ones who rul ed much of the society as there was not one government that untied all the people in Western Rome during the Middle Ages (â€Å"Christianity In The Middle Ages.). The society was greatly influenced by the Catholic Church at the beginning of the Middle ages due to its power over the people and the government which allowed them to create rules that were â€Å"from God†. After the collapse of the Roman Empire which occurred in the 5th century the only church that existed inShow MoreRelatedAncient Greek And Roman Worlds1502 Words   |  7 Pages1302 4 November 2015 Greco-Roman Aesthetics The ancient Greek and Roman worlds made important contributions to both religion and philosophy, the study of the nature of truth, knowledge, and moral values. In fact, the word philosophy is Greek origin, containing the world s philia or to love with Sophia or wisdom. Two of the most powerful empires in the ancient world were Greece and Rome. In order to understand these two different yet similar worlds, you have to understand the religionRead MoreThoughts Of Ancient Roman Man Of The Modern World1112 Words   |  5 PagesThoughts of an Ancient Roman Man of the Modern World An ancient Roman man of A.D. 100, walks throughout the hustle and bustle of New York City and instantly is reminded of how diverse in culture and peoples Roman provinces were. He would take a seat in Central Park and observe people who are talking in Spanish and another group of people talking in English. He picks up a few words here and there because he has rigorously studied Latin and Greek language and literature. He is comforted by the roadsRead MoreHow The Ancient Greeks And Romans Still Influence Our Modern World869 Words   |  4 PagesIt is important for students to understand how the ancient Greeks and Romans still influence our modern world. Ancient Greece was the birthplace modern mathematics, science, philosophy, architecture, literature, theater, art, architecture, Democracy, Law, and competitive sports. The term mathematics was invented by Pythagoras. It means that which is learned. In turn, mathematical theories were applied to building the great architecture of Greece. The great Greek temples are visual representationsRead MoreBen Hur : A Classical World Film That Represents The Ancient Roman Civilization1815 Words   |  8 PagesIntroduction to Essay The movie, Ben-Hur is a classical world film that represents the ancient Roman civilization. The film was directed by William Wyler as an epic historical drama movie in 1959. The main cast features Charlton Heston who plays the role of Judah Ben-Hur, Stephen Boyd as Messala, Jack Hawkins as Quintus Arrius, Haya Harareet as Esther and Hugh Griffith as Sheik Ilderim (Wallace 5). The plot idea pegs back to the beginning of the 1st century where a merchant and a rich Jewish princeRead MoreContributions of Ancient Greece and Rome to the Western World: Who contributed more to the modern world - the Greeks or the Romans?2085 Words   |  9 PagesWhile both Roman and Greek cultures greatly influenced Western Civilization, Greeks contributed more to the western world than the Romans. The Greeks used their own ideas and thought of new ways to add to their culture, while the Romans mostly mixed and matched ideas from other civilizations and cultures to make their own. The Romans took up the inheritance of the Greeks adapted it to their own language and national traditions. (Grant 2)The Greeks introduced many new ideas and traditions, the mostRead MoreAncient Greeks And The Ancient Romans1150 Words   |  5 Pages The Romans had one of the most innovative and influential ancient civilizations. Although arguments can be made for the Ancient Greeks and the Ancient Egyptians, it can be seen that the modern world had adopted many of the values and ideas of the Ancient Romans. The achievements, ideas, and values of the Ancient Romans have had a lasting impact on the modern world. The majority of people don’t know that many of the things they take for granted came from Ancient Rome. Architecture One of theRead MoreAncient Greek And Romes Impact On Western Literature1642 Words   |  7 Pagesimpact greek and roman culture had on western civilization The ancient Greeks and Romans were two of the greatest civilizations of the ancient world. The two civilizations thrived in their ancient environments which eventually led to a large amount of wealth within these two cultures. It is because of this that these ancient cultures were able to make a variety of advancements in literature, architecture, art and many other fields. These two civilizations also produced some of the ancient world’s greatestRead MoreComparing Ancient Greek and Ancient Roman Architecture Essay1132 Words   |  5 PagesThe two ancient civilizations of ancient Greece and Rome were the best of the best during their time periods. Ancient Greece began around 2000 B.C. by the inhabitants known as the Mycenaean’s, followed by the Minoans. The Minoans built the foundation of Greece. The Roman Empire was founded around 753 B.C. by the two twins, Romulus and Remus. Romulus ended up killing Remus and built the city of Rome on one of seven rolling hills. Arch itecture was very important to both civilizations and they wereRead More Ancient Romes Contribution to Western Civilization Essay582 Words   |  3 PagesAncient Rome has contributed to the development of Western Civilisation. Ancient Rome was a sophisticated country that helped us build up this society that we now live in ? Western Civilisation by lending attributes that have made our world into what it has become. The government of Ancient Rome was (one of) the first to be created. If Romulus had not set down laws and chosen people to govern Rome, we would probably be all living in a very different way now. Also, Ancient Roman architecture has influencedRead MoreThe Powerful Roman Empire On Ancient Times1118 Words   |  5 PagesJayan Joshi History 9 Mrs. Santosuosso 2/10/16 The Powerful Roman Empire The Roman Empire was one of the most well known empires in history. It was the most powerful of all of the empires and covered at least a part of over fifty present-day countries. It covered the most area out of all of the empires in history. Other than the Spartans, the Roman Empire had the most powerful army of the ancient world and contained over 20% of the world population back then. The Roman’s ingenuity created many inventions