In the name of God, most Gracious, most Merciful

ShaukatKhanum Shaukat Khanum Memorial Cancer Hospital & Research Centre

Located in the heart of the Punjab, Shaukat khanum was founded by legendary captain of Pakistan's World Cupwinning cricket team and todays politician, Imran Khan. Shaukat Khanum has established itself as a centre of excellence providing comprehensive care free of cost to thousands of indigent cancer patients.

Shaukat khanum has certain measures to prevent different risks. Hospital is trying its best to minimize all the risks and they are successful in it to major extent

Doctors and Surgeons are also trying to their best to fulfill all the conditions to prevent all the Hazards and they also do their best in order to save the lives of their patients patients.

ISSUES IN RISK MANAGEMENT

The Legal Setting Malpractice Avoiding malpractice The medical record Patients right

Risk Management In Hospital

 Identifying and analyzing situations or practices that create financial risk for the hospital and medical staff.

 Develop strategies to eliminate, avoid or minimize the risks providing a better environment in the hospital.

Risk Management Aims

 To manage risks to the quality of services provided and the safety of patients, their carers and visitors.  To manage risks to the staff and subsequent risks to quality service.  To manage risk of falling to meet the national and local priority targets.  To manage risks to the efficiency of services.  To manage risks to the reputation of the hospital.

 Establish mechanisms to maintain and develop structures and process for a cohesive approach to the management of clinical and non-clinical risk. non Develop regular statistical and qualitative risk management reports.

 Recognition and acknowledgement of risks to patient safety and medical errors with a focus on improving process and systems.  Initiation of actions that reduce these risks.  Sharing of acknowledgement to effect behavioral changes to minimize risk to patients.

Risk Management Analysis Tools

 Root cause analysis  External assessment  Incident reports  Complaints  Claims  Clinical audit  Performance monitoring

Patient Safety Goals

Identify patients correctly Improve effective communications Improve the safety of high alert medications Eliminate wrong sites, wrong patients, wrong procedure surgery Reduce the risk of health care associated infections Reduce the risk of patient harm resulting from falls

Roles and Responsibilities

Chairperson, Quality Management System Committee:
 He approves the integrated risk management plan  He carries out risk management activities through communication with all medical committees.

Clinic, Departmental Heads And Directors:

 They are responsible for the risk management within the scope of their departments.  Ensure that all the staff within their departments are provided education regarding policies procedures, any new processes.

Medical And Hospital Staff

They are responsible to acquire and maintain the knowledge and skills they need to care for patients. Staff educated patients and their families on responsibilities regarding safety. Staff are required to report errors and perceived risks once identified.

How Are Physicians Involved In Risk Management

 Early reporting and investigations of incidents that have the potential of liability exposure.  Collaborating with risk management on strategies to reduce risks.

Reducing Risks In Clinical Practice

 By making good communication with patients  Maintain good communication with other members of health care team.  Appropriate documentation.  Clinical services policies and protocols.

Malpractice
Hospital acquired infection Improper use of anesthesia Failure to treat an illness Improper administration of drugs Failure to order proper tests Incorrect treatment of a diagnosed illness Failure to consult a specialist Failure to stabilize a patient Improper use of medical device Birth injury or birth trauma due to physician , nursing or hospital negligence Surgical procedures that are not necessary, or that are done without patient consent

Avoiding Malpractice
40-60% of all medical malpractice claims are avoidance with systemic risk management.

Two-way conversation is a key element in preventing malpractice claims.

The Physician-Patient Relation Physician Physician should introduce himself to all patients and pay attention to non-verbal cues. non Provide sufficient time to personally care for each patient. Avoid medical jargon and be punctual for meetings with patients and families. Avoid criticizing other physicians or another physicians management for his patient. NEVER guarantee the outcome of a treatment.

Medical Record Management

Document it. If you haven t documented it, you didn t do it.

Clear and unambiguous Complete Errors Alteration and late entries Limit the record to patient care Document consent discussion Document instructions to the patient

Patients Responsibilities
Be considerate of the rights of other patients and hospital personnel Refrain from the use of tobacco products while hospitalized, smoking is not allowed on the hospital campus Be careful of the property of other people and hospital Cooperate with all caregivers, ask questions if you do not understand the course of treatment and what is expected of you Keep appointments and notify the hospital if you must cancel or reschedule Provide accurate and complete information about past illnesses, hospitalization and medications Report unexpected changes and perceived risks in your care to your health care team Accept the circumstances if you refuse treatment or do not follow doctors orders Recognize that the hospital will not tolerate weapons, threats to the staff and substance abuse issues Pay hospital bills promptly, provide necessary information for insurance processing and seek answers to any questions you have about your bill Complete the patient satisfaction survey so hospital can improve service and maintain high standards of patient care

After all the measures and steps taken for the risk management in Shuakat Khanum what a patient there is offered with;
High quality hospital care Clean and safe environment Involvement in your care Protection of your privacy Help when leaving the hospital Help with your billing claims