Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management
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Many writers and organizations have postulated that health care facilities and providers may need to implement a "crisis standard of care" to deal with the exigent circumstances associated with the massive influx of patients infected with the novel coronavirus and suffering from COVID-19. There is a relative scarcity of critical resources, such as intensive care unit beds, emergency department beds, ventilators, personal protective equipment, and medications. ⋯ However, that is not without danger. Health care facilities and providers should plan carefully and then act with due deliberation in implementing a crisis standard of care to mitigate or prevent future liability.
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J Healthc Risk Manag · Feb 2020
A contemporary medicolegal analysis of perioperative vision loss from 2007 to 2016.
Perioperative vision loss (POVL) is a rare but catastrophic event. Closed claim databases are useful for investigating risk factors of POVL to help guide practices in risk mitigation and risk management strategies. ⋯ POVL often results in permanent injury with costly burden on the health care system. Risk reduction strategies need to be instituted on the provider and system level, involving a multidisciplinary health care team to develop and execute clinical protocols and patient communication strategies that will help prevent POVL.
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J Healthc Risk Manag · Apr 2019
Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care.
While team training is associated with improved hospital-based team climate, less is known about effects in the ambulatory setting. ⋯ TeamSTEPPS has positive effects in the ambulatory reproductive health care environment. Improvements persisted at 1 year.
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J Healthc Risk Manag · Jul 2017
ReviewMultimodal analgesia as an alternative to the risks of opioid monotherapy in surgical pain management.
Clinicians have long been aware of the danger of overreliance on opioids to manage acute pain, such as the pain accompanying surgery. The risk of adverse drug events is higher with opioids than with any other common class of drugs. Overreliance on opioids increases length of stay and hospital costs, while decreasing patient satisfaction. ⋯ Accordingly, multimodal analgesia is recommended as best practice by most recognized authorities. Increasingly, governmental authorities hold prescribing clinicians and institutions legally liable for the downstream negative effects of opioids, including abuse and addiction. Addressing this issue should be a top priority for hospital risk managers.