Authors (including presenting author) :
Leung PNC, Aboo GH, Lau CW
Affiliation :
Quality & Safety Office, Hong Kong East Cluster, Hong Kong
Introduction :
HKEC hospitals were providing a wide range of healthcare service, acute, convalescent, infirmary hospitals and out-patients clinics. A systematic and proactive risk register was essential for safety and quality healthcare service.
Objectives :
- Strengthen the framework in risk identification, monitoring, reporting, reduction and evaluation
- Provide a common risk language for better communication
Methodology :
Risk register was a systematic and proactive communication process for risk identification, monitoring, reduction and evaluation. Departmental quality and safety coordinators worked with department staff and heads to identify the risks with reference to the incident reporting, complaints, safety rounds, performance reports and benchmarking. They adopted the HA risk taxonomy to conduct a board scan on both clinical and non-clinical risk sources to identify risks that were relevant to department / service. They categorized the risks and information for planning, monitoring and evaluation. A structured list of common risk categories facilitated communication. Each identified risk was rated by risk quantification matrix and prioritized with the risk scores. Cluster hospital risk register was formulated from bottom-up and top-down approaches. The online risk register was easily accessed by all staff to get their involvement.
Result & Outcome :
HKEC prioritized the fall prevention, medication safety and patient identification at top risk taxonomy. Multidisciplinary cluster working groups implemented fall preventive strategies; red flag system, and safe mobilization of fragile patient with significant improvement. Continued enhancement of electronic medication safety system (IPMOE) was implemented in two acute hospitals and to be extended to all cluster hospitals. Use of two core identifiers in correct patient identification was emphasized, working groups were reviewing and promulgating the surgical safety and bedside procedure safety; and conducting audit on deceased identification.
A systematic and proactive HKEC risk register was developed with common risk terms and prioritized the risk migration actions objectively and practically. Risk reduction performance were effectively monitored and evaluated regularly with stakeholders.
Co-location with:
