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Physicians in the United States and Canada generally report that they support disclosing medical errors to patients.
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To encourage physicians to fully disclose errors, health care risk managers must understand that the adverse event can place the doctor in what feels like an untenable situation.
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Evolving notions of health and wellness have introduced a plethora of new services to patients, many of which have less to do with medical necessity than with cosmetic appearance.
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Risk managers must assure that the fast changing face of health care does not draw their organizations into the "corporate practice of medicine," which brings significant liability risk.
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A 70-year-old patient sought relief for respiratory problems. The woman consulted with various physicians, and she decided to undergo angioplasty and coronary stenting.
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New standards for the credentialing and privileging of practitioners call for a more objective and evidence-based process for monitoring performance.
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Quality professionals are making great gains using free resources to compare their performance against other hospitals, and publicly reported data can be a powerful tool to get "actionable" data for decision makers.
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Project Dulce, a diabetes care management program housed at Whittier Institute for Diabetes in La Jolla, CA, has successfully addressed not only the difficult challenge of helping patients manage their diabetes, but also another issue of growing concern to quality managers: improving outcomes among minority populations.
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At Baltimore-based Harbor Hospital, quality professionals were challenged to get staff to wash their hands 100% of the time. "Hand hygiene is the one action that protects everyone we provide care to, and also protects our own safety," says Patricia Moorhouse-Getz, RN, MSN, the organization's clinical analyst.
