Module 5: Week 5 Introduction
Overview
The operating room is the largest revenue generator and highest risk department for all healthcare institutions. It is impossible for one person to manage all risks associated with the OR; it takes a team approach. You will explore the risks associated with the OR and infection prevention.
Learning Outcomes
Upon successful completion of this module, you will be able to:
Discuss risk management issues associated with infection prevention and the operating room.
Understand the ways in which an institution can mitigate the risks associated with select high-risk departments.
Implement strategies to identify casual factors in a risk management crisis.
Synthesize and implement strategies to effectively mitigate risk during a crisis in a high-risk department.
ASSIGNMENT :
Discussion Thread: Surgical Site Infections
After reviewing the Learn items and any additional research you choose, answer the following questions.
You are the risk manager at a tertiary care hospital. The director of surgical services has just informed you that they are seeing an alarming increase in the number of orthopedic surgical site infections (SSIs). After preliminary investigations, you discover a multitude of issues including: an increased number of revision surgeries, high turnover rate amongst sterile processing department staff, increased average patient BMI, several surgeons with inordinately long operating times, low staff morale, a recent change in the linens contractor, and several surgeons who have recently switched implant vendors. At first glance, the surgical services department appears to be a hot mess. How do you plan on addressing the reported problem of increased SSIs?
Consider these items when crafting your post: Can the issue be solved by one person, or is a team approach more ideal?
What other departments or personnel would be of help to find a solution?
Are all of the identified issues contributing factors to SSIs, or are some non-contributing incidental findings?
How would you differentiate between the two?
Are SSIs a never event, or an inevitable consequence of surgery?
Does the concept of relative risk apply?
What degree of risk is appropriate?
DISCUSSION ASSIGNMENT INSTRUCTIONS
The student will complete 8 Discussions in this course. The student will post one thread of at
least 750 words by
MIN 5 SCHOLARLY CIATION in 5 year (APA 7 FORMAT)
LEARNING 1:Week 5, module 5, risk management and Health Sciences. Congratulations. Halfway through the course. This is by far my favorite module. You cannot have a discussion of risk management without including the operating room and infection prevention. Now the operating room, It's the largest revenue generator and the highest risk department for all healthcare institutions. Technology is abound in a form of operative techniques, equipment, implants, robotics, and biologics. Furthermore, it's constantly evolving. It's impossible for just one person to manage all the risks associated with the operating room. It truly takes a team approach, a healthcare institution risk managers should routinely have the operating room on their radar, as well as have constant communication with the infectious disease officer, the chief medical officer, the director of surgical services, the lead perioperative nurse, and a departmental chiefs. During this module, where we will explore the risks associated with the operating room and infection prevention. Learning objectives. Discuss risk management issues associated with infection prevention. Any operating room. Understand the ways in which the institution can mitigate the risks associated with select high-risk departments. Implement strategies to identify causal factors in a risk management crisis. And synthesized and implement strategies to effectively mitigate risk during a crisis in a high-risk department. There's a lot going on with this assignment this week, but the focus is only going to be on high-risk departments, specifically the operating room because there is no higher risk department than the operating room, as well as infection prevention. So in your discussions and replies this week, really focus on taking a team approach to risk management. It's impossible for one person to know everything about every technical matter in infection prevention, any operating room. Use subject matter experts to your benefit, reach out to them, being constant communication with them. One of the other difficult concepts this week is the concept of relative risk. So the operating room is a high risk department. If the hospital was completely averse to any risk, they just simply wouldn't have an operating room. But in this week and in this scenario that's not the case in operating room exists. Therefore, there will be risk. But what degree of risk are we? Are we as risk managers willing to accept? Another thing is that efficiency and safety are a double-edged sword. So when you start putting up a lot of policies and procedures to reduce risk, you're also going to be reducing your efficiency, which affects your bottom line. So where's that happy medium? We never want to compromise patient safety. But there are areas where we do need to take some risk, not only to better patient care, but also to meet a bottom line. So ultimately know that risk is inevitable. But this week really trying to grasp your understanding of what degree of risk is permissible for high-risk departments. This week's assignments include reading the Cavalier and Alexander texts, chapters 11 and 12, watching the watch videos and completing the discussion and two replies in a discussion. Imagine you are a risk manager at a tertiary care hospital. The director of surgical services is just inform you that they're seeing an alarming increase in the number of orthopedic surgical site infections. After preliminary investigation, you discover a multitude of issues. These issues include an increased number of revision surgeries, high turnover rate among sterile processing department staff. In increased average patient BMI, several surgeons with an inordinately long operating times, low staff morale, a recent change in a linens contractor and several surgeons who have recently switched implant by vendors. At first glance, the surgical service department is a mass. How do you plan on addressing the reported problem of increased surgical site infections? And we'd like you to consider these items when crafting your discussion. Can issue be solved by one person or as a team approach more appropriate? What other departments or personnel would be of help in finding a solution or all of the identified issues contributing factors to surgical site infections or some of the issues non contributing an incidental findings. How would you differentiate between the two surgical sites? Infections and never event or an inevitable consequences surgery. How does the concept of relative risk apply? And what the degree of risk is appropriate in your replies, reply to two other students, critically analyze their recommendations. Does their approach and recommendations make sense? Are there any differences or similarities between your recommendations and getting to yes. And there's Are there any unknown second or third order effects from their recommendations? Remember to remain professional and to support your discussion replies with academic sources. This week I would like to share a verse as well as a painting, Isaiah 4110. Fear not for I am with you. Be not dismayed. Frame your God. I will strengthen you. I will help you. I will hold you with my righteous right hand. And I think that this verse goes hand in hand with Nathan greens painting entitled chief of the medical staff. For me personally, I find this painting very moving. I pray each before each and every surgery that God will be with me, helping guide me through difficult decisions in the operating room, as well as helping my hands to make sure that they're accurate and precise.
Learning 2:rRead: Kavaler & Alexander: Chapters 11, 12, 14
learning 3:https://www.youtube.com/watch?v=3gkqAUf6Hrk&t=4104s&ab_channel=HuskyOrthopaedics
https://pubmed.ncbi.nlm.nih.gov/30977890/
https://www.jointcommission.org/resources/patient-safety-topics/infection-prevention-and-control/surgical-site-infections/
https://www.halyardhealth.com/wp-content/uploads/patient_risk_factors_best_practices_ssi.pdf
https://www.europeanreview.org/wp/wp-content/uploads/224-239.pdf
https://www.uptodate.com/contents/overview-of-the-evaluation-and-management-of-surgical-site-infection
LEARNING 6:https://apic.org/Resource_/TinyMceFileManager/Implementation_Guides/APIC_ImplementationPreventionGuide_Web_FIN03.pdf
IMPORTANT POINTS:
1-ORTHOPEDIC SERVICE SURGICAL SITE INFECTION PREVENTION
2-JOINT COMMISSION
3-SURGICAL SERVICE INFECTION RISK MANAGEMENT TEAM
4-PREOPERATIVE RISK MANAGEMENT DUE TO TOO MANY PATIENTS..
WHY TOO MANY PATIENTS.?
5-OPERATION ROOM (OR) MASS
6-relative risk