Week 7 Flashcards
(20 cards)
What is risk appetite
How much risk an organisation is prepared to carry before trying to mitigate it
what is risk and control self-assessment
Risk are to be identified and controls developed through self-assessment procedures and processes.
What is scenario analysis
This is usually focused on catastrophic risk, in health this would be sentinel and permanent harm adverse events.
What are key risk indicators
These indicate that a risk is changing and this provides opportunity to intervene
What is clinical risk
The easiest form of risk to identify as it forms a part of our education and training as health professionals
What is non-clinical risk
Can have a flow on effects which contribute to clinical risk
What is a high appetite risk
When people in organisations are prepared to accept a high level of risk to achieve an organisational outcome or goal
What is a low appetite risk
When the decision that a goal or outcome achievement is not worth the associated risk
What is risk management
Risk Management relates to how an organisation can effectively identify and manage the threats and opportunities that confront it.
How might a health organisation be vulnerable?
organisation /service /ward manages hazardous activities. These activities can make an organisation vulnerable.
What is Organisational Resilience
is “the ability of an organisationto anticipate, prepare for, respond and adapt to incremental change and sudden disruptions in order to survive and prosper.” It reaches beyond risk management towards a more holistic view of business health and success.
Why organisational resilience matters
- The viability and sustainability of organisations continues to be tested in a world that is constantly changing
- Many organisations are realizing that traditional corporate strategies are not protecting them from unexpected events
- Organisations need to be able to absorb an event that necessitates change, to adapt and continue to maintain their competitive edge and profitability.
What are the risk appetite principles
Complex
Needs to be measurable
Not a fixed concept
Based upon risk management
Based on strategic, tactical and operational level
Must be integrated with the culture of the organisation
How does the swiss cheese model work
Each layer is a defence against something going wrong (mistakes & failure).
There are ‘holes’ in the defence – no human system is perfect (we aren’t machines).
Something breaking through a hole isn’t a huge problem – things go wrong occasionally.
As humans we have developed to cope with minor failures/mistakes as a routine part of life (something small goes wrong, we fix it and move on).
Within our ‘systems’ thereare oftenseveral ‘layers of defence’ (more slices of Swiss Cheese).
You can see where this is going…..
Things become a majorproblem when failures follow a path through all of the holes in the Swiss Cheese – all of the defence layers have been brokenbecause the holes have ‘lined up’.
What is the full name of the swiss cheese model
James T Reason : The contribution of Latent Human Failures to the Breakdown of Complex Systems
What is formal open disclosure
The structured process to ensure communication between the patient/ family/carer, senior clinician and the organisation in response to the most serious clinical incidents.
What is clinician disclosure
An informal process where the treating clinician informs the patient/ family/carer of what has occurred, and apologises for the harm caused or adverse outcome.
Risk Appetite is:
Select one:
a. One foundational element of a risk framework
b. Explains how risks are to be identified and, controls developed through self-assessment procedures and processes
c. Refers to an organisations susceptibility to, or the probability of adverse events occurring
d. Systems and processes the organisations have to withstand major disruptions and to recover within an acceptable time period
A
Registered nurses participating by completing honest and transparent report of incidents and hazardous events that they are involved in or come across is an example of which aspect of Risk Awareness culture?
Select one:
a. Risk data collection
b. Scenario analysis
c. Self-assessment procedures and processes
A
Is it possible to fully remove risk from procedures for patients?
Select one:
a. It depends on the procedure
b. Yes
c. No
No
