Name
Capella University
NURS-FPX8012: Nursing Technology and Health Care Information Systems
Prof Name
September, 2024
Risk Mitigation Plan
A structured approach to identifying, assessing, and reducing potential risks within a healthcare setting is known as a risk mitigation plan. It starts with a detailed risk analysis based on a risk matrix where the risk is classified concerning frequency of occurrence (frequent, sometimes, never) along with possible harm (severe, mild, none) to patients or the organization. Then, some actions are recommended to mitigate the risk suggested, may it be in the form of some new protocols, increased training of staff, or advanced technology. The occurrence and severity of resultant risks will be documented to record the progress of work. Ethics and legal implications that may arise from a mishap in case the risk is left uncontrolled have been covered in the plan in terms of loss of reputation and integrity concerning safety for the patient and the integrity of the organization. All proposed actions would be justified based on evidence from the scholarly literature, and strategies for change management would also be identified so that such actions can take place throughout the organization and all stakeholders will be prepared to accept necessary practice adjustments.
Risk Management Plan
| Risk identified by SAFER Guides | Possibility of Occurrence (Frequent, Sometimes, Never) | Potential for Harm (Severe, Mild, None) | Mitigation to Address Risks | Possibility of Occurrence (Frequent, Sometimes, Never) | Potential for Harm (Severe, Mild, None) |
| Electronic Health Records Data Breaches. | Frequent | Severe | Install encrypting mechanisms, and access controls, and furnish regular training on data security. | Sometimes | Mild |
| Medication Error because of Lack of Effective Communication. | Sometimes | Serious | Develop universal forms of communication and electronic prescription orders. | Seldom | Mild |
| Inadequate training of staff on new technology. | Sometimes. | Mild | Develop continuing training programs and workshops for staff | Rarely. | None. |
| Falls in Patient Care Facilities. | Very Common. | Severe. | Improve monitoring and implement fall-risk evaluation and other intervention strategies. | Occasionally. | Normal, soft. |
| System Downtime Associated With Patient Delay Care. | Occasionally | Mild | Establish sound robust IT backup and support systems to reduce the chances of downtime. | Seldom | None. |
Ethical or Legal Issues Related to Identified Risks
Identified risks in healthcare could lead to serious ethical and legal consequences affecting patients, healthcare professionals, and their respective institutions (Čartolovni et al., 2021). Among these ethics, one of the most significant risks coming from such breaches is the case concerning patient confidentiality, mainly in EHR cases. When such breaches involving patient confidentiality occur, in the breach, the lack of specific security measures implemented by the organization puts at risk sensitive information regarding its patients. This is not only a breach of the ethical prescription of patient confidentiality but also emotionally devastating for patients whose documents are leaked. Loss of trust among health providers makes patients unwilling to disclose sensitive health information because they fear exploitation. This indirectly damages the relationship between the patient and the doctor.
From a legal perspective, failure to protect patient information may attract stiff penalties, including cases under HIPAA. Non-compliance with regulatory requirements may expose organizations to stiffer fines, lawsuits, and possible criminal cases against the perpetrators. Some of the financial consequences have been pointed out to be hugely stiffer fines bordering on crippling the organization and will severely tarnish the reputation (Pendlebury et al., 2023). Furthermore, legal disputes arising from breaches in data confidentiality or other lapses in confidentiality would also divert crucial resources from the main issue of patient care and adversely affect the service quality.
There is also an ethical concern regarding the errors in medication that can arise due to inadequate communication among healthcare professionals (Alrabadi et al., 2021). Unaddressed risks from miscommunication mean compromised patient safety and violate the ethic of nonmaleficence, which demands that caregivers “do no harm.” Mistakes in giving drugs could end up with a patient suffering unwanted effects, having to stay longer in the hospital, or, worse still, dying. The practicability of being a health-care providers is to guard patient safety by ensuring accurate and effective communication. The litigations might also rise against organizations due to malpractice for the harm that may result from preventable medication errors. Eventually, this leads to financial liabilities and factors diminishing the credibility of such an organization.
Poor training on new technologies is another ethical issue. In cases where appropriate training is not provided, healthcare providers may fail to deliver care properly, which results in poor patient outcomes. This practice violates the principle of beneficence, which requires the promotion of patient well-being. If patients are harmed by technology that was not properly trained among the staff, the organization may still suffer from legal action against it resulting in monetary compensation, tarnishing its reputation and relationship with the community.
The other risk issue in healthcare settings is patient falls, which also have ethical and legal implications. Ineffective fall prevention strategies put the patient’s safety at risk and may lead to severe injuries. From an ethical and legal standpoint, hospitals should be alarmed about patient safety and take measures against such risks ahead of time. Legally, if a patient suffers an injury because she/he was not appropriately monitored or assessed for the likelihood of falls, an organization may incur a lawsuit and liability. Such incidents can also attract regulatory review and worsen the public image of the institution.
The failure to reduce the identified risks leads to extreme ethical and legal consequences, thus causing fears over the patient’s safety, damaging the healthcare organization’s integrity as well as eroding the community’s trust. The negative consequences, which include pain of emotional costs, monetary fines, and liabilities at law, have proven that having efficient processes for mitigating risks is a crucial issue. In this case, ethical standards are protected, legal demands are met, and therefore the quality of patient care can be improved.
Justification of Actions to Address Identified Risks
Risk management identified is what strikes at the heart of healthcare settings, relating to improving patient safety, following legal standards, and establishing mutual trust within the community (Querstret et al., 2020). One basic activity towards minimizing risks associated with breaches in confidentiality in patient care is the implementation of full electronic health record security protocols. By investing in advanced encryption technologies, conducting regular security audits, and providing ongoing staff training, healthcare facilities can significantly lower the likelihood of data breaches. This not only involves protecting patients’ information but also helps organizations adhere to relevant regulations, thus minimizing the risk of legal repercussions.
But another important step in the care of this patient is medication reconciliation-a crucial measure to prevent drug errors due to miscommunication by other providers. This structured process of medication reconciliation during admission, transfer, or discharge will lead to fewer adverse drug events and safety for patients. Standardized communication tools may also facilitate collaboration among interdisciplinary teams if they ensure that the most up-to-date lists of medications have been shared with all healthcare providers (Zhou et al., 2021). An active measure that was founded on non-maleficence and facilitative effective communication to reduce harm in a patient.
Regular training programs on the adoption of new technologies are also quite essential for ensuring that health workers are in a better position to provide safe and effective care to their patients. Continuous education and training have substantially enhanced the competencies of healthcare workers, thus aiding better patient outcomes (Samuel et al., 2020). The education organization enables members of staff to adapt to new technological improvements in the workplace through technology training included in the onboarding process as well as continuous professional development. This reduces errors attributed to ignorance in the workplace.
This is also the reason why attempts to enforce fall prevention approaches would be very useful to reduce risks in the patient care environment. In fact, multifaceted interventions for fall prevention such as risk assessment, environmental modification, and education for the patient all appear to reduce the rate of falls within the healthcare settings. It is through giving importance to these priorities that an organization upholds its ethical responsibility to deliver safe care. The staff should, however, be encouraged into a culture of safety so that they can report any hazardous condition and actively participate in solving problems to create a safe healthcare environment.
Lastly, risk assessments must be performed periodically to identify newly emerging risks and evaluate the effectiveness of implemented mitigations. Risk matrices can be used to allow organizations to systematically analyze their risks and act based on priority with respect to their potential impact on patient safety and overall organizational performance (Pascarella et al., 2021). As such, ongoing evaluations ensure that efforts to mitigate risks do not lose relevance and effectiveness; thus, this best supports a culture of continuous improvement in patient care.
Summing all this up, there are aspects that would be seen to facilitate improving patient safety as well as the integrity of an organization, for instance, identification through holistic security measures, medication reconciliation processes, training, fall prevention strategies, and risk assessments, which need to be executed regularly (Beuscart et al., 2021). All these actions not only have the potential to minimize risks but, at the same time, are ethical, uphold ethos, and result in a safer culture within the healthcare organization.
Change Management Strategies
For the successful implementation of risk mitigation practices within healthcare settings, adopting effective change management measures is crucial (Harrison et al., 2021). One such strategy is creating a sense of urgency regarding the need for change among the staff. Healthcare leaders can urge employees to be more proactive in bringing about change by indicating that without the implementation of new safety measures, increased risks in the future are likely to arise. Such urgency is germane to the healthcare setting because the facility’s foremost priority is always ensuring patient safety.
Another critical strategy is effective communication. Open and effective communication regarding the proposed changes and its rationale as well as the anticipated output helps establish trust and gets staff motivated. Regular updates, forums for discussions, and avenues to input complaints or suggestions help create an interactive atmosphere. This is very crucial in healthcare because teamwork among different disciplines is important to practice new healthcare practices.
Training and education are also crucial elements of change management. Effective training programs educate employees on the application of new protocols and technologies, which reduces resistance to change. Education of all members ensures that a workforce is well-equipped with the necessary skills for adapting to new systems, especially in terms of patient confidentiality or new medication use protocols (Nazeha et al., 2020). Training is an important factor for boosting staff’s self-esteem and is directly linked to improved patient safety and delivery of care.
A feedback loop would ensure that introduced changes are monitored. Frequent seeking of views from staff in relation to the new procedures facilitates identification of the areas to be improved and successes noted. It introduces an open culture that is always under continuous improvement, thus keeping them relevant and effective to minimize risks. Mechanisms such as surveys and even focus groups assist in giving informed change directions, thus eliciting appreciation from staff for the contribution they are making through their involvement.
Finally, change initiatives could be quite effective if backed up by support from good leadership. When the leaders commit to the proposed actions and participate in training and implementation, it makes the entire team realize that those changes are really essential. Many instances can be observed whereby leaders can inspire their teams by modeling the desired changes. When it comes to healthcare, having the most effective leadership is pivotal to avoiding the complexities involved with organizational change and focusing on safety measures at all levels.
In general, the implementation of risk mitigation in healthcare facilities requires the use of structured approaches to change management, such as urgency creation, effective communication, training provision, feedback system, and leadership support from strategic leadership (Mendes & Grazielle França, 2024). Those strategies support the successful assimilation of new practices and improve patient care in general and safety within the organization as a whole.
NURS FPX 8012 Assessment 4 References
Alrabadi, N., Shawagfeh, S., Haddad, R., Mukattash, T., Abuhammad, S., Al-rabadi, D., Abu Farha, R., AlRabadi, S., & Al-Faouri, I. (2021). Medication errors: a focus on nursing practice. Journal of Pharmaceutical Health Services Research, 12(1), 78–86.https://academic.oup.com/jphsr/article/12/1/78/6065944
Beuscart, J.-B., Pelayo, S., Robert, L., Thevelin, S., Marien, S., & Dalleur, O. (2021). Medication review and reconciliation in older adults. European Geriatric Medicine, 12. https://link.springer.com/article/10.1007/s41999-021-00449-9
Čartolovni, A., Stolt, M., Scott, P. A., & Suhonen, R. (2021). Moral injury in healthcare professionals: A scoping review and discussion. Nursing Ethics, 28(5), 590–602.https://journals.sagepub.com/doi/10.1177/0969733020966776
Harrison, R., Fischer, S., Walpola, R. L., Chauhan, A., Babalola, T., Mears, S., & Le-Dao, H. (2021). Where Do Models for Change management, Improvement, and Implementation meet? a Systematic Review of the Applications of Change Management Models in Healthcare. Journal of Healthcare Leadership, 13(2), 85–108. https://www.dovepress.com/where-do-models-for-change-management-improvement-and-implementation-m-peer-reviewed-fulltext-article-JHL
Mendes, L., & Grazielle França. (2024). Lean thinking and risk management in healthcare organizations: a systematic literature review and research agenda. International Journal of Quality and Reliability Management/International Journal of Quality & Reliability Management. https://www.emerald.com/insight/content/doi/10.1108/IJQRM-06-2023-0210/full/html
Nazeha, N., Pavagadhi, D., Kyaw, B. M., Car, J., Jimenez, G., & Tudor Car, L. (2020). A Digitally Competent Health Workforce: Scoping Review of Educational Frameworks. Journal of Medical Internet Research, 22(11), e22706.https://www.jmir.org/2020/11/e22706
Pendlebury, G. A., Oro, P., Ludlow, K., Merideth, D., Haynes, W., & Shrivastava, V. (2023). Relevant Dermatoses Among U.S. Military Service Members: An Operational Review of Management Strategies and Telemedicine Utilization. Cureus . https://www.cureus.com/articles/117200-relevant-dermatoses-among-us-military-service-members-an-operational-review-of-management-strategies-and-telemedicine-utilization#!/
Pascarella, G., Rossi, M., Montella, E., Capasso, A., De Feo, G., Botti, G., Nardone, A., Montuori, P., Triassi, M., D’Auria, S., & Morabito, A. (2021). Risk Analysis in Healthcare Organizations: Methodological Framework and Critical Variables. Risk Management and Healthcare Policy, Volume 14(14), 2897–2911. NCBI.https://www.dovepress.com/risk-analysis-in-healthcare-organizations-methodological-framework-and-peer-reviewed-fulltext-article-RMHP
Querstret, D., O’Brien, K., Skene, D. J., & Maben, J. (2020). Improving fatigue risk management in healthcare: A scoping review of sleep-related/ fatigue-management interventions for nurses and midwives (reprint). International Journal of Nursing Studies, 112, 103745. https://www.sciencedirect.com/science/article/pii/S0020748920302315?via%3Dihub
Samuel, A., Cervero, R. M., Durning, S. J., & Maggio, L. A. (2020). Effect of continuing professional development on health professionals’ performance and patient outcomes. Academic Medicine, 96(6), 913–923. https://journals.lww.com/academicmedicine/fulltext/2021/06000/effect_of_continuing_professional_development_on.51.aspx
Zhou, Y., Li, Y., & Li, Z. (2021). Interdisciplinary collaboration between nursing and engineering in health care:A scoping review. International Journal of Nursing Studies, 117(3), 103900.https://www.sciencedirect.com/science/article/abs/pii/S0020748921000328?via%3Dihub
