A new frontier in healthcare risk management: working to reduce avoidable patient suffering. | AHRQ Patient Safety Network

A new frontier in healthcare risk management: working to reduce avoidable patient suffering. | AHRQ Patient Safety Network

• Commentary
 
• Published January 2016

A new frontier in healthcare risk management: working to reduce avoidable patient suffering.

Card AJ, Klein VR. J Healthc Risk Manag. 2016;35:31-37.

Patient harm related to health care can be physical, financial, or emotional. This commentary discusses the role of risk management in reducing avoidable patient harm and solutions such as root cause analysis to identify system-level improvements.

• PubMed citation
• Available at

Related Resources

BOOK/REPORT

Root Cause Analysis Playbook.

Chicago, IL: American Society for Healthcare Risk Management; 2015.

JOURNAL ARTICLE › STUDY

"SWARMing" to improve patient care: a novel approach to root cause analysis.

Li J, Boulanger B, Norton J, et al. Jt Comm J Qual Patient Saf. 2015;41:494-501.

JOURNAL ARTICLE › COMMENTARY

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

Williams EA, Nikolai DA, Ladwig L, Miller C, Fredeboelling E. Jt Comm J Qual Patient Saf. 2015;41:508-513.

JOURNAL ARTICLE › STUDY

Root cause analyses of suicides of mental health clients.

Gillies D, Chicop D, O'Halloran P. Crisis. 2015;36:316-324.

BOOK/REPORT

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.

Washington, DC: United States Government Accountability Office; July 29, 2015. Publication GAO-15-643.

View More