Risk evaluation and mitigation strategies: Assessment of a medical center’s policies and procedures

Childs, Lindsey M.; Alexander, Earnest; Duong, Minh-Tri

doi:10.2146/ajhp110356

Cited by 5 publications

(5 citation statements)

References 1 publication

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“…In some cases, policy-related interventions were performed by external government entities or networks, such as professional colleges or funding bodies (Canaway et al, 2017;Deasy et al, 2016;Dharampal et al, 2016;Dumartin et al, 2011;Fanelli et al, 2017;Heitmann et al, 2017;Jorgensen et al, 2010;Ju et al, 2015;Lambert et al, 2015;Martínez et al, 2009;McClain et al, 2017;Molina et al, 2016;Morrow et al, 2012;Shiloach et al, 2010;Weeks et al, 2014). In other policy implementation examples, hospital clinicians and staff developed interventions internally to link policy directives and requirements with 'real-life' application often in the form of official policies or procedures (Childs et al, 2012;Coleman et al, 2007;Gasparini et al, 2015;Hauschildt et al, 2017;Iorio, 2015;Iorio et al, 2016;Ketko et al, 2015;Nisly et al, 2013;Padula et al, 2015;Smith and Metzger, 2011;Wiig et al, 2013;Yelland et al, 2017;Yu et al, 2017), with these tools often endeavouring to take ambiguous or generalised policy content and translating or contextualising information into clearer, more actionable instructions.…”

Section: Goalsmentioning

confidence: 99%

A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control

Havers

Martín

Wilson

et al. 2020

Journal of Infection Prevention

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Background: Government-directed policy plays an important role in the regulation and supervision of healthcare quality. Effective implementation of these policies has the potential to significantly improve clinical practice and patient outcomes, including the prevention of healthcare-associated infections. A systematic review of research describing the implementation of government-directed policy in the hospital setting was performed with the aim to identify policy intervention characteristics that influence implementation. Methods: A systematic search of four electronic databases was undertaken to identify eligible articles published between 2007 and 2017. Studies were included if published in the English language and described the implementation of government-directed policy in a high-income country hospital setting. Data on policy and implementation were extracted for each article and interpretive syntheses performed. Results: A total of 925 articles were retrieved and titles and abstracts reviewed, with 69 articles included after review of abstract and full text. Qualitative synthesis of implementation data showed three overarching themes related to intervention characteristics associated with implementation: clarity; infrastructure; and alignment. Conclusion: Better understanding and consideration of policy intervention characteristics during development and planning will facilitate more effective implementation although research describing implementation of government-directed policy in the hospital setting is limited and of variable quality. The findings of this study provide guidance to staff tasked with the development or implementation of government-directed policy in the hospital setting, infection prevention and control professionals seeking to maximise the impact of policy on practice and improve patient outcomes.

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Section: Goalsmentioning

confidence: 99%

A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control

Havers

Martín

Wilson

et al. 2020

Journal of Infection Prevention

View full text Add to dashboard Cite

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“…Anyone who has ever tried to implement a Risk Evaluation and Mitigation Strategies (REMS) program in their pharmacy or health system, let alone multiple, knows how challenging it can be. [1][2][3][4] There are many various programs that are all different and ever-changing. The actions required can involve several stakeholders and moving parts.…”

Section: The Background and Challenges With Risk Evaluation And Mitigation Strategies (Rems) Programsmentioning

confidence: 99%

Optimization of REMS Program Compliance in a Large Academic Health System

Kostrzewa

2021

Innov Pharm

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Ensuring compliance with all applicable Risk Evaluation and Mitigation Strategies (REMS) programs within a health system is challenging. These FDA-mandated programs are numerous, unique, and ever-changing. Actions require several stakeholders and moving parts. In addition, the effectiveness and impact of these programs has been challenged and is not always clear, which hampers buy-in and therefore compliance. F&MCW is a health network in southeastern Wisconsin that includes five hospitals and almost 40 clinics. Since 2014, several system-wide approaches to medication use, including formulary alignment and REMS program optimization, have taken place with an over-arching goal of providing efficient, safe, and consistent care for the patients and populations served. This manuscript describes the steps that took place over the past six years or so related to REMS program optimization. It also offers practical tips for other health systems based on lessons learned through this one institution’s experiences.

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“…Specifically, the overarching goal of clinical risk management is the development and implementation of processes to identify and prioritize risks in a way that they can be reduced or eliminated. This entails the protection of the hospital, patients and professionals; the reduction of adverse effects that can represent significant costs and damage to the image and credibility of the hospital; and the development of indicators to measure and improve the healthcare services quality provided by the hospital (Childs et al, 2012).…”

Section: Risk Management His and Rmismentioning

confidence: 99%

“…The methodology for planned risk management should therefore rely on the timely reporting of adverse events and safety concerns. In other words, risk awareness should have pro-active phases such as identification and evaluation on the one hand, and reactive phases such as adverse event reporting and analysis on the other (Childs et al, 2012).…”

Section: Risk Management His and Rmismentioning

confidence: 99%

Risk Management Information System Architecture for a Hospital Center

Costa

Santos

Varajão

et al. 2013

International Journal of Healthcare Information Systems and Informatics

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In modern day’s institutions, risk management plays a crucial role as it aims to minimize the likelihood of adverse events and contributes to improve the quality of services delivery. In health care, an effective risk management is only possible if supported by information systems that can produce high quality measures and meaningful risk indicators. These indicators will then allow the healthcare organization to self-assess by identifying critical gaps and opportunities for improvement in several frontiers. Such an organizational thrust is not only warranted for competitiveness but also fundamental for the purpose of benchmarking, accreditation and certification. Additionally, monitoring of specific indicators is often required by the tutelage. However, the development of a risk management system can be an arduous process due to the inherent complexity of clinical systems. This paper presents an architecture for the implementation of a risk management information system, using as example the case of CHTMAD, a Portuguese hospital center.

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Risk evaluation and mitigation strategies: Assessment of a medical center’s policies and procedures

Cited by 5 publications

References 1 publication

A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control

A systematic review and meta-synthesis of policy intervention characteristics that influence the implementation of government-directed policy in the hospital setting: implications for infection prevention and control

Optimization of REMS Program Compliance in a Large Academic Health System

Risk Management Information System Architecture for a Hospital Center

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