Search

Your search keyword '"Risk management"' showing total 11 results
Start Over Descriptor "Risk management" Topic accidents Topic medical care
11 results on '"Risk management"'

1. The Compliance Guide to the OSHA GHS Standard for Hazardous Chemical Labeling

Author

Marge McFarlane and Marge McFarlane

Subjects
Industries, Health services administration, Accidents--Prevention, Public health, Accidents, Medical care, Pollutants, Hazardous substances--Classification--Handbooks, manuals, etc, Hazardous substances--Labeling--Handbooks, manuals, etc, Packaging, Organization, Risk management
Abstract

The Compliance Guide to the OSHA GHS Standard for Hazardous Chemical Labeling Marge McFarlane, PhD, MT (ASCP), CHSP, CHFM, HEM, MEP, CHEP The Hazard Communication standard is one of the most cited and penalized OSHA standards. OSHA has revamped the standard by adopting the Globally Harmonized System (GHS) of Classification and Labeling of Chemicals. The changes are intended to improve safety and save lives, but will require a well-planned process on the part of healthcare organizations to be effective. In December 2013, OSHA's new requirements for labeling chemicals in the workplace went into effect. While the changes will make these requirements more user-friendly, administrators face implementation challenges. Though the changes are expected to prevent numerous injuries and illnesses as well, healthcare organizations will need a successful process to make these changes happen. Table of Contents: Introduction BackgroundGlobally Harmonized System RationaleHazard Communication Elements Still in EffectSection 1. Safety Data Sheets Advantage of a Uniform FormatSections 1–4Sections 5–8Sections 9–12Sections 13–16Section 2: Revised Hazard Classification and Pictograms Determining Hazard Classification (Health, Flammability, Instability)PictogramsSection 3: New Labeling System Requirements Product IdentifiersPictogramsSignal WordsHazard Statement(s)Precautionary Statement(s)PreventionResponseStorageDisposalContact InformationSection 4: Timeline for Implementation and Next Steps Appendix: References and Tools

Published
2014

2. Towards Efficient Designing of Safe Nanomaterials : Innovative Merge of Computational Approaches and Experimental Techniques

Author

Jerzy Leszczynski, Tomasz Puzyn, Jerzy Leszczynski, and Tomasz Puzyn

Subjects
Accidents--Prevention, Manufactures, Health services administration, Accidents, Medical care, Nanostructured materials--Safety measures, Nanostructured materials--Design, Nanostructured materials--Data processing, Organization, Risk management, Public health
Abstract

The expanding field of nanotechnology is now one of the most promising areas of science. However, because some nanoparticles can have a negative impact on human health and the environment, the design of novel materials must always be accompanied by a comprehensive risk assessment. Until now, the information on the methods available has been fragmented and incomplete. This book is the first to provide a comprehensive review of recent progress and challenges in the risk assessment of nanomaterials by empirical and computational techniques. Topics covered include: benefits versus risks, carbon based nanomaterials, environmental detection and quantitative analysis, chemometric modelling, human exposure assessment, toxicity testing, nano-QSAR, risk assessment strategies, policy and regulatory frameworks.

Published
2012

3. Analysis of Incident and Accident Reports and Risk Management in Spine Surgery.

Author

Kazuyoshi Kobayashi, Shiro Imagama, Kei Ando, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Yoshimoto Ishikawa, Akiyuki Matsumoto, Masayoshi Morozumi, Yoshihiro Nishida, Yoshimasa Nagao, Naoki Ishiguro, Kobayashi, Kazuyoshi, Imagama, Shiro, Ando, Kei, Hida, Tetsuro, Ito, Kenyu, Tsushima, Mikito, Ishikawa, Yoshimoto, and Matsumoto, Akiyuki

Subjects
*SPINAL surgery, *SPINE abnormalities, *SPINE diseases, *DISEASE complications, *MEDICAL care, *ACCIDENTS, *MEDICAL errors, *OPERATING rooms, *RISK management in business, *SAFETY, *DISCLOSURE, MEDICAL error statistics
Abstract

Study Design: A review of accident and incident reports.Objective: To analyze prevalence, characteristics, and details of perioperative incidents and accidents in patients receiving spine surgery.Summary Of Background Data: In our institution, a clinical error that potentially results in an adverse event is usually submitted as an incident or accident report through a web database, to ensure anonymous and blame-free reporting. All reports are analyzed by a medical safety management group. These reports contain valuable data for management of medical safety, but there have been no studies evaluating such data for spine surgery.Methods: A total of 320 incidents and accidents that occurred perioperatively in 172 of 415 spine surgeries were included in the study. Incidents were defined as events that were "problematic, but with no damage to the patient," and accidents as events "with damage to the patient." The details of these events were analyzed.Results: There were 278 incidents in 137 surgeries and 42 accidents in 35 surgeries, giving prevalence of 33% (137/415) and 8% (35/415), respectively. The proportion of accidents among all events was significantly higher for doctors than non-doctors [68.0% (17/25) vs. 8.5% (25/295), P < 0.01] and in the operating room compared with outside the operating room [40.5% (15/37) vs. 9.5% (27/283), P < 0.01]. There was no significant difference in years of experience among personnel involved in all events. The major types of events were medication-related, line and tube problems, and falls and slips. Accidents also occurred because of a long-term prone position, with complications such as laryngeal edema, ulnar nerve palsy, and tooth damage.Conclusion: Surgery and procedures in the operating room always have a risk of complications. Therefore, a particular effort is needed to establish safe management of this environment and to provide advice on risk to the doctor and medical care team.Level Of Evidence: 4. [ABSTRACT FROM AUTHOR]

Published
2017
Full Text
View/download PDF

4. Leading a Patient-safe Organization

Author

Lambert, Matthew J. and Lambert, Matthew J.

Subjects
Accidents--Prevention, Health services administration, National health services, Public health, Accidents, Medical care, Medicine--Practice--Safety measures, Medical care--Quality control, Medical errors--Prevention, Risk management, Organization, Health facilities--Quality control
Published
2004

5. Achieving Safe and Reliable Healthcare : Strategies and Solutions

Author

Leonard, Michael Steven, Frankel, Allan, Simmonds, Terri, Vega, Kathleen B., Leonard, Michael Steven, Frankel, Allan, Simmonds, Terri, and Vega, Kathleen B.

Subjects
Health services administration, Accidents--Prevention, Medical care, Public health, Accidents, Organization, Health facilities--Safety measures, Medical errors--Prevention, Medical care--Quality control, National health services, Risk management
Published
2004

6. Kritische Ereignisse mit Medizinprodukten.

Author

Regner, M., Osmers, A., and Hübler, M.

Subjects
*ACCIDENTS, *DISEASE incidence, *MEDICAL equipment, *MEDICAL errors, *QUALITY assurance, *MEDICAL care
Abstract

Various vigilance systems have been established in medicine during the last two decades. The aims are the identification of critical incidents and to implement appropriate countermeasures thus decreasing the likelihood of accidents and increasing patient and user safety. The types of systems are very divergent: they are either restricted to individual departments, hospitals, specialist or occupational groups or function nationwide. The legislative provision for medical products also includes critical incident surveillance and reporting systems and focuses on the subset of events with involvement of medical products. The responsible German authority is the Federal Institute for Drugs and Medical Products which contacts manufacturers and informs users. This article describes experiences with the responsible authority. Not all users are aware that an obligation for reporting exists. A proposal is made to simplify the reporting process in order to enhance user willingness for reporting. Additionally, it is suggested that a link should be incorporated into all existing critical incident reporting systems which can forward the user to the specific reporting website. [ABSTRACT FROM AUTHOR]

Published
2012
Full Text
View/download PDF

7. Comment analyser un incident de la chaîne transfusionnelle

Author

Roussel, P. and Lassale, B.

Subjects
*BLOOD transfusion, *RISK management in business, *ACCIDENTS, *DATA analysis, *MEDICAL societies, *MEDICAL care
Abstract

Abstract: Incidents and accidents analysis is one part of risk management in healthcare organisations. It is based on methods such as healthcare process analysis and the Association of Litigation and Risk Management (ALARM) method, to understand not only immediate causes but also root causes. The goal is to implement relevant remedial and preventive actions to secure healthcare processes. The hospital''s risk management unit has to be involved in the methodological analysis of every grade zero transfusion incident. The system is based on a retrospective analysis process in compliance with the French National Authority for Health''s ongoing requirements for risk reactive approach, allowing to identify failures and start relevant actions. Healthcare teams should overcome difficulties in order to be totally involved in the process. Human factors recognition, establishment of clear and effective communication between individuals and critical points of control should provide optimum quality care services that are safe and free of unnecessary risks. [Copyright &y& Elsevier]

Published
2009
Full Text
View/download PDF

8. Patient and rescuer safety: recommendations for dispatch and prioritization of rescue resources based on a retrospective study of Norwegian avalanche incidents 1996–2017

Author

Christen Tellefsen and Albert Lunde

Subjects
Prioritization, redningsoperasjoner, education, Norwegian, Critical Care and Intensive Care Medicine, Medical care, 03 medical and health sciences, Patient safety, 0302 clinical medicine, Rescue resources, Rescuer safety, Rescue Work, ulykker, Medicine, Humans, Rescue operations, 030212 general & internal medicine, snøskred, akuttmedisin, Original Research, Retrospective Studies, Medical disciplines: 700 [VDP], pasientsikkerhet, business.industry, Norway, risikostyring, Dispatch, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, Retrospective cohort study, Emergency Medical Dispatch, Snow avalanche, lcsh:RC86-88.9, Avalanches, medicine.disease, humanities, language.human_language, Emergency response, Transportation of Patients, Risk management, Accidents, Emergency Medicine, language, Wounds and Injuries, Medical emergency, business
Abstract

Background Avalanche emergency response should address current accident scenarios to optimize survival chances of victims and to keep rescuers safe. The purpose of this article is to present a basis for evaluation and necessary adjustments in dispatch, prioritization, and management of Norwegian avalanche rescue operations. Methods This is the first peer-reviewed retrospective study of all Norwegian avalanche incidents registered by the two Joint Rescue Co-ordination Centers (JRCCs) in the period 1996–2017 that describes the characteristics and trends of rescue missions and victims. Results The Norwegian JRCCs have registered 720 snow avalanche events, with a total of 568 avalanche victims, of which 120 (21%) died. Including those fatally injured, a total of 313 avalanche victims in 209 accidents were treated as patients (55%), and we saw > 1 patient in 24% of these operations. Norwegian avalanche victims were partially or completely recovered prior to the arrival of rescuers in 75% (n = 117) of all rescue operations. In the remaining 25% of cases, the rescue service located 62% (n = 55) of the avalanche victims visually or electronically. In 50% of the 720 incidents, rescuers spent time searching in avalanches with no victims. Conclusions This survey indicates that we have experienced a shift in Norwegian avalanche rescue: from search for missing persons in the avalanche debris to immediate medical care of already-located patients. The findings suggest that a stronger focus on both patient and rescuer safety is necessary. The patients must be ensured the right treatment at the right place at the right time and the allocation of rescue resources must reflect a need to reduce exposure in avalanche terrain, especially in cases with no affirmed victims. We present a flowchart with a recommended rescue response to avalanche accidents in Norway.

Published
2019

9. Risk Factors Associated With Camp Accidents☆

Author

Tricia B. Elliott, Barbara A. Elliott, and Mark R. Bixby

Subjects
Male, medicine.medical_specialty, Adolescent, Minnesota, government.form_of_government, Population, Near miss, Medical care, Cohort Studies, Risk Factors, Epidemiology, Forensic engineering, Humans, Medicine, Prospective Studies, Child, education, Risk Management, education.field_of_study, Descriptive statistics, business.industry, Data Collection, Public Health, Environmental and Occupational Health, Backpack, Accidents, Family medicine, Athletic Injuries, Camping, Emergency Medicine, government, Female, business, Risk assessment, Incident report
Abstract

Project goals included creating a database for medical incidents at a Minnesota canoe and backpacking camp and identifying those most at risk within this population using one summer's experience.YMCA Camp Widjiwagan employed a total of 123 staff and served 725 campers in summer 2000. This resulted in 9418 camper trail days (CTD), 2497 staff trail days (STD), and 20150 participant days (PD), the evaluation units for this study. Data were collected using routine documentation: treatment logs (TL) for any event that required care, and incident reports (IR) for more serious injuries and near misses. Information was entered into an Access database and analyzed using descriptive statistics and analysis of variance.Canoe and backpack trips were compared using staff and camper days (CD). There were 582 TL and 59 IR, including 12 cases that resulted in evacuation to medical care (1/1000 PD). Canoe groups were no more at risk than backpack groups (P = .607), and campers reported more incidents than staff regardless of sex or location of injury (0.4/1000 CD compared with 0.1/1000 CD; P.001). The camper groups most at risk were those beginning a series of advanced canoe trips (10 IR/1000 CTD; P.001) and those on the longest, most advanced backpack trips (9 IR/1000 CTD; P.001).Careful tracking of health incidents and near misses over time can reveal which campers and camper groups are at greatest risk for injuries and illnesses occurring during participation.

Published
2003

10. Preventing Medical Injury

Author

Lucian L. Leape, Troyen A. Brennan, Ann G. Lawthers, and William G. Johnson

Subjects
Financing, Personal, Leadership and Management, Hospitalized patients, Iatrogenic Disease, Medical audit, Population, New York, MEDLINE, Medical care, Accident Prevention, Cost of Illness, Malpractice, Health care, Humans, Medication Errors, Medicine, Disabled Persons, Hospital Mortality, Diagnostic Errors, Adverse effect, education, Medical Audit, Risk Management, education.field_of_study, business.industry, medicine.disease, Hospitals, Outcome and Process Assessment, Health Care, Accidents, Wounds and Injuries, Medical emergency, business
Abstract

Although adverse events (AEs) are not uncommon in hospitalized patients, they are by no means inevitable. A review of records from a population-based study in New York revealed that nearly 4% of hospitalized patients suffered AEs. Two-thirds of those events were considered to be caused by errors in management, most of which were not because of negligence. A large part of the reason preventable AEs occur is that today's medical care is extremely complex, involving a variety of personnel, equipment, and procedures. By seeking to eliminate errors in the system of providing care and raising the awareness of health care providers about the potential for AEs, programs can be established to address and possibly remedy this serious problem.

Published
1993

11. Blood and Blood Products : Safety and Risk

Author

Institute of Medicine, Forum on Blood Safety and Blood Availability, Linette Sparacino, Frederick Manning, Henrik Bendixen, Institute of Medicine, Forum on Blood Safety and Blood Availability, Linette Sparacino, Frederick Manning, and Henrik Bendixen

Subjects
Medical care, Public health, Blood, Health facilities, Health services administration, Anatomy, Blood--Transfusion, Blood donors, Risk management, Risk, Congresses and conventions, Accidents, Probabilities, Accidents--Prevention, Biobanks, Blood banks--United States--Congresses, Blood--Collection and preservation--Congresses, Blood products--Safety measures--Congresses, Organ donors, Statistics, Therapeutics, Economics, Biological products--Therapeutic use, Body fluids, Organization
Abstract

This volume explores the safety and availability of the nation's supply of blood and blood components. It discusses the risks of disease transmission, methods of guarding the blood supply, new ideas on safety and monitoring, risk tolerance, risk communication, and no-fault insurance.

Published
1996

Catalog

Books, media, physical & digital resources
See catalog results