Compare potential risk categories and strategies to reduce them. Finally, professional practice is an area that may raise ethical concerns for correctional nurses. Nurses are encouraged to refer to the ANA`s scope and standards for correctional care and their state`s nursing practice law to address practice issues. The practice of risk management in health care is an ongoing balancing exercise between ethical duties and their conflicts. Currently, risk managers face these dilemmas alone, without the support of an agreed ethical principle, let alone a formal code of ethics. This could make risk managers less effective in advocating for ethical choices, which not only affects their ability to support the health mission, but can also lead to a sense of futility and ethical failure.29 This document does not attempt to develop a formal code of ethics, but it does provide an ethical basis for risk management practice and, Hopefully, the discussion will continue to be revival of what constitutes ethically informed risk management. Among risk managers, only lawyers benefit from a widely accepted code of ethics.15 However, neither the limits nor the freedoms (within these limits) of legal ethics apply to the rest of the risk management community, and although the American Society for Healthcare Risk Management has briefly advocated a code of ethics for all risk managers,16 That is no longer the case. Determine the role of job descriptions in reducing people-related risks. Managers, particularly when developing program proposals, feasibility studies or business plans, can use risk management as a «holistic» opportunity to look at all parts of the business from a somewhat negative perspective of potential losses, as shown in Activity 11.1. This process identifies insurmountable obstacles or risks that could destroy an exciting or promising business. More likely, it will result in a more impressive and well-thought-out plan. Conway J, Federico F, Stewart K, Campbell M. Respectful management of serious clinical adverse reactions.
2nd edition. Cambridge, MA: Institute for Healthcare Improvement; 2011. www.macrmi.info/files/7813/6784/6262/IHIRespectfulManagementofSeriousClinicalAdverseEventsOct11.pdf. Retrieved 17 September 2020. American Hospital Association Certification Center. Certified Professional Candidate Manual and Application in Healthcare Risk Management. documents.goamp.com/Publications/candidateHandbooks/AHA-CPHRM-handbook.pdf. Effective June 2017. Retrieved 17 September 2020. Equity. Equality is clearly implied by the principle of fairness, but pervasive inequalities in the distribution of patient safety risks, the benefits of improvement initiatives,32,33,34,35,36,37,38,39,40,41, and the burden of blame in safety reviews (e.g., privileged members of the lower-status clinical team)42,43,44 warrant recognition of a separate principle. Another objective of risk managers as risk managers is to ensure excellence and effectiveness in risk management.
Health care organizations pursue their mission primarily by providing clinical care; You could hire another clinician as well as a risk manager. To justify this opportunity cost, risk managers must ensure that they deliver the most value through their work. Achieving this goal requires evidence-based practice21 and continuous development, rather than complacent implementation based on status quo benchmarks. It also requires making the most of the unique and specialized skills that the risk management profession brings: systemic risk assessment and participatory systems design. Risk managers should do their best to actually manage risks, rather than simply collecting, categorizing and communicating those risks. These activities alone do not help protect the health and safety of patients. Only when they inform the design, implementation and sustainability of effective solutions do they have an impact on results. To meet their obligations under this principle, risk managers must adopt an evidence-based practice and excellence.
Unfortunately, there is no checklist or algorithm to ensure that the «right» balance is found. If not all ethical obligations can be fully met, the risk manager should try to find a solution that best meets these requirements in the context47 (sufficiently met). What, then, is the socially and ethically desirable goal of protecting a health organization? It is intended to serve the mission of public health: to improve the health (or at least the health trajectories) of patients.19 Health organizations, of course, also do other things; Some are organized to make a profit and all play an important role as employers. But these facts also apply to glaciers. The special privileges of health organizations that allow them to tinker with the mechanisms of life themselves are granted to them by society because these organizations provide care to improve health. Ethically informed risk management includes both ethical risk management and ethical risk management (professional ethics). This article aims to revive the dormant discussion on professional ethics in health risk management. It defines ethical-based risk management as patient-centred, evidence-based practice, aligns its scope with biomedical ethics, and proposes specific ethical obligations to guide risk management practice.