Risk Management In Healthcare Setting Week 4 Project

Risk Management In Healthcare Setting Week 4 Project

Running head: RISK MANAGEMENT 1



Risk Management Incident in The Emergency Room Setting

Angelica F Davis

South University Online


HCM4002 Risk Management in Healthcare Setting


In the world today, risk has been defined by many scientists within various fields as an undefined occurrence or situation that has either a beneficial impact (opportunity) or a harmful impact (threat). Meanwhile, risk management concerns piloting risk management preparation, credentials, study, reactions and observing, and controlling the particular risk whenever it occurs.

Therefore, based on risk at the emergency room in a hospital and how we can manage that particular risk, it is advisable to check on some of the factors that generally lead to risk in an emergency room. They include; lack of communication between the doctors and nurses at the emergency room during surgery operation, for instance, lack of adequate knowledge or even experience among the doctors and the nurses in the emergency room, failure to perform recommended examination or operation in an emergency room it’s also one of the factors, inadequate clinical history documented about the patient by the assessment nurse or the triage in an emergency room and inability to interpret radiology examinations about the patient being attended to among other risk management factors.

Additionally, as a risk manager in a health institution, it is usually called upon to analyze the specific risk to determine the potential risk in developing the risk management plans. The process should answer some questions like: How could the risk possibly occur? How severe will the outcome if the risk occurs? What can be done to reduce the impact? What is the potential for exposure to such a risk? Therefore, based on the research, three different scenarios are clearly explained below to understand how, when, where, and why risk occurs in an emergency room and the causes of such occurrences.

Firstly, there is a change of shifts by the healthcare providers or the assessment nurses, for instance, those during the day with those at night. For example, when a patient at the emergency room is at risk of being prescribed a different medication from the earlier nurse or doctor attending to them before prescribed. Since the patient in an emergency room would not tell but to wait for the medication, the risk will be if the assessment nurse did not provide pertinent information about the patient’s progress. (“5 Steps to Any Effective Risk Management Process”, 2020)

Additionally, under change of shifts, a scenario where the patient is advised to revisit the emergency room at a particular day would be a hazard when the patient finds another doctor who didn’t advise them to come on the very day. The doctor may ignore the patient since he has patients to attend to that day. It would be difficult for the patient to fully receive the recommended medication than when the doctor or assessment nurse advises the patient for a revisit.

Therefore, this would be risky for patients and doctors since the patient might die because of not getting the recommended medication according to what was diagnosed. Based on this scenario, it can be clearly stated that the factor or the cause that leads to this kind of risk is lack of adequate information.

Therefore, when the information was wrongly taken from one assessment nurse to the other, it could be a big blow to the patient since he or she will be at a high risk of losing his or her life because he or she might receive the medication that isn’t meant for him or her, or maybe cases of overdose or higher health care costs at the end of the operation, it would also lead to delay in the medical diagnosis by the assessment nurses.

Based on the change in shifts by the assessment nurses, there would be another dissatisfaction with the patient. It is whereby sometimes the assessment nurse or doctor is friendly to the patient or harsh as compared to the night shift and vice versa; this will cause dissatisfaction among the patient and even lead them to change hospital to where the assessment nurses or doctors at the emergency room are kind and trustworthy to the patient.

Furthermore, the shift of doctors or nurses would also lead to loss of some of the information as the handling process of patient information from one nurse to the other would easily be distracted as some nurses will hand over or give the information. In the process, they find disclosing the information to the public hence no privacy.

The change of shift would also result in incorrect decisions of whom to admit and who opt to be discharged. This will lead to high risk since the current nurse or doctor might discharge the wrong patient to get further medication based on their knowledge yet might not fully heal the patient. (“5 Steps to Any Effective Risk Management Process”, 2020) Another one is if the patient admitted to an emergency room is not supposed to be admitted because he or she might have minor accidents compared to those in the life support machine.

Furthermore, there would be on ownership of the patient by the nurses or the doctor from the shift change. This is also a factor leading to high risk since the arriving physician does not often examine the patient. Therefore, orders at the end of the current nurse may not have done even though the incoming nurse assumes they have been attended to. Additionally, it’s when some assessment nurses entirely have done the recommended medication but fail to document it; thus, when the incoming nurse takes charge, they will be attempted to give the same medication twice; thus, it’s a risk.

Finally, there would be misdiagnosed the patient currently in the emergency room or ward under the change of shift due to a lack of enough evidence-based assessment. It usually happens in many emergency wards since the nurse might forget to provide enough evidence-based on the patient’s progressive assessment when he or she was changing shift.

Another scenario is the overcrowding of patients in the emergency room. For instance, when you visit an emergency room, you will find that many people are waiting to be attended to at the same time with an almost similar types of medication. Therefore, in a scenario where there is a nurses shortage at the emergency rooms; every patient is supposed to be attended to by one nurse or physician, the nurses won’t be allowed to increase the number of the patient they are attending to; however, patients will increasingly visiting the emergency room thus overcrowding. (Vanessa Milne, 2020)

Moreover, a scenario where there is a prolonged stay by the patient who visited the emergency room a long time ago because of a critical operation. Therefore, whenever some two or three patients of the same disease, they will have to wait or revisit the hospital for another day or even visit another health care facility. (Vanessa Milne, 2020). In consideration of overcrowding, it would be a scenario where a health care facility and the emergency beds are few like let’s say they are 50 in numbers for every patient and the total number of patient with a critical condition that has informed to visit the emergency room are 100; in numbers, they will have to overcrowd since it would not be possible to attend to two patient in a single bed.

Additionally, it same applies when the emergency rooms are not enough. You may find that there is only one emergency room from the community in a single health care facility; let’s say two thousand patients who are taken to the emergency room, which can accommodate approximately two hundred and fifty patients at ago. Therefore, as a risk manager, several causes resulting from overcrowding are It can quickly spread an airborne disease or infection such as tuberculosis, common flu, etc. Meanwhile, as the airborne diseases spread, anyone can acquire it, thus adding up costs in the emergency room. Even the assessment nurses and doctors are at risk of getting the diseases if they do not wear proper protective equipment during their time in the rooms. It can be seen passing through different patients with different diagnosis if they are not appropriately locked under ventilations.

Based from the emergency room, whenever there is overcrowding, it will increase mortality in some rooms and health care facilities; since some of the diseases if they are not diagnosed earlier, the patient may end up dead, for instance, those that require ICU attention for illness such as stroke among other dangerous diseases. Additionally, overcrowding has been found to reduce the quality of care. The number of patients keeps increasing; and the doctor may do some of the examinations or even investigate in a hurry, thus not providing quality care to the emergency room patients.

Furthermore, it has led to an increase in medical errors. How the prescription is being done may have many errors; thus, patients will be given the wrong medication or overdose instead. However, some patients may decide to go home from the emergency room without getting treatment since they will take too long or many hours waiting to be diagnosed, yet it will not be the case. Thus, overcrowding will hinder them at large.

Based on overcrowding, it will lead to incomplete demographic information collected at the emergency room registration; thus, this may lead to some patients losing their owner if it happens. They were in a critical condition by the time they are taken in for the admission emergency room. Additionally, from those already admitted at the emergency rooms, bed overcrowding usually affects them to have to wait for a day longer or some other day if they had to get discharged. For instance, if they were to get discharge by Tuesday, they may be discharged on Thursday, increasing their medical bills and costs for no benefit because many patients are also waiting to be discharged ahead.

The third scenario is about advanced technology within the emergency rooms. For example, some cameras monitor the patient’s whereabouts from the primary doctor’s office or physician’s room. The modern technology is very usual majorly during operation and critical circumstances that needs serious attention. The assessment nurse in charge of the patient at the ICU needs to be knowledgeable to perform every task correctly and command the machines to work very correctly as per the way the patient was supposed to get diagnosed. (“What is Risk Management and Why is it Important?”, 2020)

Today, physicians are required to be well educated and handle patients with lots of care, for example, while performing x rays. They are supposed to know how to use them and to whom they are supposed to perform what type of operation they are only needed tom command the machines.

Additionally, nurses, doctors, and the machines operators at the emergency room can be so concentrated on data from the screens that they quickly overlooked potential and significant delicate variations in health and clinical status. Therefore, problems may develop based on the new devices’ share capacity, the low edge between numerous tools at the bedsides, and new devices’ overview at every bedside.

It was a significant risk since some nurses and doctors are not that knowledgeable about using the new machines at the emergency rooms; thus, patients may die. Furthermore, it also calls upon the very nurses and emergency room attendants to familiarize themselves with the new modern technology to save more lives than the many years back when technology was a serious problem. Based on alarm management, the alarm could mislead the nurses and doctors and give a wrong impression to the patient whom some may think they are about to die, which is not the case. (“What is Risk Management and Why is it Important?”, 2020)

Additionally, with modern technology, infection from the contaminated equipment that is not correctly satirized and not adequately cleaned may lead to patients getting some other infections. However, with the coming of modern technology in the emergency room, it has led to a loss of jobs to some nurses who have been replaced by machines in performing duties and they are very fast as compared to human labor, thus reducing the rate of cases of deaths from the emergency rooms as well.

Furthermore, there are untagged instruments; this when many patients have different IVs attached to them on time. When they have not correctly labeled, they may lead to incorrect flow rates of fluids such as blood, which can jeopardize the patient’s health. The dangers of radiation exposure are another because that has led to nuclear imagers, CT scanners, which could pose a high risk to a patient’s health in any case of overexposure.

According to the emergency room, the life of health workers such as the assessment nurse or doctor has become easy since they can monitor the patient’s progress from where they are to save on time and help save many people in the emergency room. Some use robots in performing their duties on their behalf.

Finally, with the coming of the new and modern technology, medical expenses have become expensive for some patients to afford, so it hinders them from accessing the emergency rooms; thus, they end up suffering more from the diseases, and when the disease persists, they end up losing their lives.

In conclusion, risks management based in the health care center and emergency rooms, in particular, are of benefit to some point and also they what keeps the facility to create more awareness and be keen always in passing medical information since they are very critical and if miss handles can even cause death. The nurses and the physicians must be knowledgeable enough and ensure everything is in order at the emergency room to avoid confusion and misinterpretation of data.


4 Best Practices for Hospital Risk Management: Maureen McGovern, RN, director of risk management and patient safety officer of South Nassau Communities Hospital in Oceanside, N.Y., shares four best practices for managing risk at a hospital. (2020). Retrieved 7 October 2020, from https://www.beckershospitalreview.com/quality/4-best-practices-for-hospital-risk-management.html

5 Steps to Any Effective Risk Management Process. (2020). Retrieved 7 October 2020, from https://www.lucidchart.com/blog/risk-management-process

Vanessa Milne, J. (2020). Emergency room overcrowding causes and cures. Retrieved 7 October 2020, from https://healthydebate.ca/2017/06/topic/emergency-room-overcrowding

What is Risk Management and Why is it Important? (2020). Retrieved 7 October 2020, from https://searchcompliance.techtarget.com/definition/risk-management

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