Risk Management

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Risk Management

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  ?
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RM QA CQI

• ???????
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• ??? monitor ???????????????????
• Action
• ??????????? -gt QA ?????????????????????????????
• ??????????????? -gt RM ????? ??????????????????????
  ?
• ????????????????? -gt CQI

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RM ????????????????????????? 1

• ???????????
• ?????????????????????? ?????????????
• ???????????????????????????? ?????? ??????? -gt
  ???????
• ???????????????????????????????????????? -gt ????
• ????????????????????????????? root cause
• ?????????????????????????????????????????????
• ?????????????? ??????????????????????????????
  CPR ???????
• ?????????????????? CPR
• ??????????????????????????????????????/???????????
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• ??????????????????????? (?????????)
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Clinical CQI ????????????????

• ?????????????????? (??????, ?????????,
  ????????????, ?????????????, ????????)
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  (Clinical Indicator)
• ??????????????????????????????????????
• ????????????????/????????????????????????????????
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• ???????????????????????????? (Gap
  Analysis/Evidence Based)
• ????????????????????????? (Indicator Monitoring)
• ??????????????????????????????????????????
  (Adverse Event/Root Cause Analysis)
• Best Practice Sharing/Benchmarking

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Context ???????/????????/??????????
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Criteria/Standard????????????????????????????????
Core Value ???????????/??????/?????????/?????????
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Context for Hospitals

• The Hospital
• Organization structure
• Mission, vision, philosophy, goals, objectives,
  plan
• Service activities
• Patients needs (health problem/risk profile)
• Staffs
• Environment
• Learning improvement
• Networking other healthcare providers, other
  organizations, communities
• Communities
• Important health problems
• Important target groups
• Key drivers social asset

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Visionary Leadership System Perspective
???????? ???????? ??????? ???????? ??????????
Patient Focus Patient Safety Focus on
Health Community Responsibility
Value on Staff No Blame Individual Commitment
Risk Manager Teamwork Ethic Professional
Standard
Creativity Innovation Management by
Fact Continuous Process Improvement Focus on
Results Evidence-based Approach
Learning Empowerment
Core Value ????????????? ??????????? ??????
??????? ?????
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Criteria Standards

• (1) ?????????????????????????????????
  ???????????????????????????????????
• (2) ??????????????????????????????????????????????
  ???? (Risk MIS)
• (3) ?????????????????????????/????????????????????
  ????????????????????
• (4) ???????????????????????????????????
• - ???????????????????????????????????????
• - ???????????????????????????????????? ??.
• - ???????????????
• (5) ?????????????????????????????????
• (6) ??????????????/?????????????????????

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Scoring Guideline
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