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Scenario

Introduction

Risk

Types of Risks
Speculative vs Pure

Criteria for Insurable Risks

For pure risk to be insurable, it must meet… :


Developing a Risk Management Strategy

The Risk Management Process

Management Process
1. Establish the context

Risk Management Process
2. Identify and analyze risks


Revisiting the Scenario
Risks in this scenario

Risk Management Process
Evaluate and prioritize the risks


Revisiting the scenario → Prioritize risks

Risk Management Process
Select an appropriate risk management strategy and implement the technique
Exam Q on risk management

Techniques to Manage Risks


Types of Insurance for a Pharmacy


Types of insurance rec?

Risk Management Process
Monitor decisions and update the risk management program

Risk management example

Emerging Risks Associated with Modern Pharmacy Practice

OBRA 90 (& resulting changes in state pharmacy practice acts)

HIPAA and HITECH Act

Emerging Risks
ITRR (Information Technology–Related Risks)
Exam Q - know definitions

Emerging Risks
Exam Q - know definitions

Strategic -
assess compatibility of technology with mission/goals
Performance -
uncertainty inherent in IT that may keep system from meeting its technical specifications or intended use
Operational -
inadequate or failed internal processes, people and systems, or external events
RELATES TO CYBERSECURITY
Psychosocial -
safety and health hazards that technology poses to employees in the workplace
CARPAL TUNNEL WHILE WORKING
Pharmacy Risk Paradigm

Revisiting the Scenario
Emerging risks

Risk Management in Pharmacy (Baker)

Medication Errors


The Risk Management Process
Definition → NCCMERP
Preventable → Exam Q likely

Relationship between Medication
Errors and Adverse Drug Events

Drug figure


Dispensing Errors: Calculating your Risk
Example

What are the odds?
• Is a 1% error rate realistic?

Medication Error Research:
What do we know?

Types of Medication (Med) Errors by Medication Use System Part

Dispensing Error Rate
What is the highest dispensing error rate reported in the literature?
1. less than 1%
2. 1%
3. 2%
4. 3%
5. more than 3%
5. more than 3%
The Pharmacists Mutual Claims Study: Dispensing Errors

Claims Study - Dispensing Errors
Mechanical vs Intellectual

The Pharmacists Mutual Claims Study: Dispensing Errors


FOCUS-PDCA

FOCUS-PDCA continued

Methods for Dealing with an Error

Dealing with an Error
Reporting and data gathering
Internal vs External

Dealing with an Error
Possible emotions/feelings experienced?

Med Error Disclosure Study Results

Dealing with an Error
Possible emotions/feelings experienced?

Dealing with an Error
Productive ways to deal with emotions and the error


Practice Question
