NHD Episode 13 – Risky Business

Welcome to No Harm Done Episode 13 hosted by Cathy Balding and Cathy Jones, from Melbourne, Australia. In this episode we wade into the clinical risk management swamp where danger lurks…

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1:00 Quality Quandary The QQ is a big issue we unpack, argue about, talk about conflicting perspectives etc. As befits Episode 13, we thought we’d go with something scary, so it’s CLINICAL RISK MANAGEMENT!

Quality in Australian Healthcare Study.  https://www.ncbi.nlm.nih.gov/pubmed/7476634

WHO CRM overview https://www.who.int/patientsafety/education/curriculum/who_mc_topic-6.pd

Coronial communique on defensive medicine.
http://vifmcommuniques.org/wp-content/uploads/2019/02/FLC-January-19.pdf

Risk Management Standard ISO 31000 https://en.m.wikipedia.org/wiki/ISO_31000

ACSQHC Sentinel event list and hospital acquired complications list

Australian Sentinel Events List

Hospital-acquired complications

FMEA
http://www.ihi.org/resources/Pages/Tools/FailureModesandEffectsAnalysisTool.aspx

18:15 TOO LONG DIDN’T READ (TLDR)

London protocol   
https://www.imperial.ac.uk/patient-safety-translational-research-centre/education/training-materials-for-use-in-research-and-clinical-practice/the-london-protocol/

26:30 DID READ, DO READ (DRDR)   

Patient Safety: Where should patient safety be installed? By David M. Sine, DrBE, ARM,CSP, CPHRM, and Doug Paull, MD, MS
2017 American Society for Healthcare Risk Management of the American Hospital Association.
Published online in Wiley Online Library (wileyonlinelibrary.com) • DOI: 10.1002/jhrm.21285

34:30 THE POINT   
Origin of the Patient Experience journal
https://www.theberylinstitute.org/default.aspx

Patient guide to open disclosure
https://www.safetyandquality.gov.au/wp-content/uploads/2013/05/SAQ083_Patient_guide_OPEN_DISCLOSURE_INTERNALS_V5.pdf

38:20 LIFE HACK UnrollMe software.https://unroll.me/