The Risk Management Priority – Financial Integrity Protection
Recently, when I went through a hospitalization program, a man entered the classroom and held a one-hour lecture on the role of risk man- ager. In the focus, there have been incidents that have resulted or are likely to be filed. He told us a case of a 10-year-old boy with adult cerebral paralysis that caused severe spastic paralysis throughout his body. He said, "While I acknowledge that hospital staff bothered and contributed to the terrible affair of my son, it is my job to protect the financial integrity of the institution, so we do our best to find the A senior management has decided and I follow the commands . "
The Moral Sharing
The remarkable feature of the comments was that responsibility for taking responsibility has no place in this conversation. This corporate culture is microcosmous – a man or a woman works according to his or her own potential, while ethical considerations are the responsibility of someone else. The middle managers often transfer the morals to the top management who hand it over to the CEO who hand it over to the board or the directors. Directors or trustees will only consider the financial well-being of shareholders or public confidence.
The Ideal Risk Manager
The risk manager's focus is on preventing bad faith and accidents, and not just because of lawsuits. The ideal risk manager will carefully study the common complications and injuries that occur due to hospital attendance and suggest changes that will prevent such adverse events. This activity must be started by investigating the events that have already happened and by assigning guilt. This also means identifying the mitigating circumstances that contributed to the error or omission. This utopian risk manager will submit a report that does not have anything to do with it.
The Real Risk Manager
Unfortunately, in reality, risk managers and investigators have to walk within political boundaries. Their purpose is to advise workers on documenting problematic events in such a way that the applicant does not provide any evidence to substantiate the unlawful claim. The usual tips for filling in any reports: "Just write down what you find, for example, if a patient falls, he just says" the patient is on the floor ", describe the injuries if there is one, but do not say anything about it, If you have something in your observation that may be the cause of an accident like the side rails or slippery things on the floor, do not say anything about it. We do not want to lie but we do not want to offer you any information or opinion that can help the applicant and violate our defense. "
Two definitions of" risk "
It appears that there are two definitions of" risk "in the" risk management "field. One is the likelihood of losing money, the other is the probability that the same type of accident will happen to the same or another patient. Hospitals do not have to choose between, because if they are preventing more accidents, they will save tons of money. Last year I looked at cases where the patient fell from the bed or a chair two or three times with permanent or fatal damage from the last drop. For all these scenarios, if the risk management program of the hospital or home care management objectively focuses on the case, serious injury could be avoided. Therefore, the hospital's risk management strategies have been a factor in injury generation.
Case in Point
For example, John B. was a 76-year-old man who was ambulance to a local hospital after complaining of chest pain. The admission test showed that she got home at night and went to the bathroom and fell down and had some bruising on her left elbow and hip. In the history of the disease it turned out to be a mild emphysema, which chronically reduced blood oxygen levels. Despite these obvious red flags, nurses did not perform a fall risk assessment, and prevention of falling was not part of the nursing plan. On the third night of the reception, John went out to the corridor at two o'clock in the morning and fell to the door. The nurses who testified were raised and thrown into bed. The nurse completed a report and handed it over to the nurse supervisor. The supervisor signed the report and recorded the case in the daily nursing office diary. He also sent a copy to the risk management department. No one has done any research and did not change the patient's care plan. Three days later, one nurse found John unconscious in the hall at 6 o'clock. He asked for help and helped him back with the help of two others. Six hours later, John died of major brain bleeding. The investigation revealed a serious problem in the absence of actual risk management at the bedside level. The root cause of this premature death was because of the height of security-related behavior that began and downhill toward the crew.
Should lawyers be penalized or should the actual perpetrators be held accountable?
Many doctors and politicians claim that there are too many medical malpractice lawsuits. The current rhetoric seems to be bad for personal injury lawyers because of the problem, so the attack plan is to eliminate the right of victims by creating justice, causing road closures in the legal redress procedure and reducing the plaintiffs' fees  This argument assumes that hospital business executives, doctors and nurses will do everything and make the losses inevitable. In my opinion, we have to look for federal and state law that will provide fiscal responsibility and standards for safe hospital care. This law also includes persons with personal responsibility because of negligence.
The new law call
According to the current law, if a state or local health department investigates the death of a patient following a complaint, the patient's safety at the executive level is the strictest punishment that can be imposed. In other words, when high-level health executives commit sinless negligence leading to death, the government's current response is to leave the perpetrators and take money from an institution that is already linked to cash, is a criminal offense or even adheres to dismissal.
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