Nursing 2: Healthcare Risk Officer Role and Just Culture Policy

This report delves into the responsibilities of a Chief Risk Officer (CRO) within a healthcare organization, emphasizing risk assessment, mitigation, and operational management. It highlights the CRO's role in identifying and addressing potential risks, such as those associated with medical devices like urinary catheters, and implementing risk management plans to enhance patient safety. The report also introduces the concept of a "just culture" in healthcare, advocating for an environment of trust where staff can report safety concerns without fear of personal blame, ultimately fostering a culture of continuous improvement and error reduction. The report discusses the implementation of this culture, outlining strategies to ensure patient safety, facilitate open communication, and provide safety education, all of which contribute to a safer and more supportive healthcare environment. The report references key academic sources to support its claims.

Running head: NURSING
Nursing Quality
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1. Responsibility for a chief risk officer in a health care organization
The chief risk officer is the executive who deals with the assessing and mitigating the
competitive and threats of the healthcare of an organization’s finance and capital. The CRO is
responsible for the implementation of managing the operational risk and the process of
mitigation for avoiding losses from the failed systems or policies.
The responsibilities of CRO depend on the size of the industry. Generally the CRO is responsible
for the operating the risk management which includes the identification of risks and mitigation
activities (Labelle & Rouleau, 2017).
As now-a-days the healthcare sector is developing broadly and is under a rapid transformation.
Chief risk officer are trained to manage different issues in different settings. The responsibilities
of a risk manager are determined by the organization in which they were working. The areas in
which these officers work are following:
 Finance and insurance
 Event management
 Clinical research
 Psychological and human healthcare
 Emergency preparedness
These officers identify and evaluate the risks to reduce the injury of the patients, staffs and also
the visitors in an organization. The Centers for Disease Control published that prolonged use of
the urinary catheter leads to the risk factors of urinary tract infection. On the basis of this study
the officer implemented a risk management plan which the physicians are advised for the regular
evaluation of the catheter (Skurka, 2017).

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Thus the potential risks are to be evaluated and measured by the chief risk officer of an
organization.
2. Introduce the idea of a "just culture" within a healthcare organization.
In healthcare industries sometimes an individual is lamed personally for a mistake without
judging that person whether he/she has done that mistake or not. The just culture is an
environment where the workers can trust each other and are rewarded to provide safety
information (Dekker, 2017). As a chief officer of a hospital, I had introduced the policy of just
culture and following are the ways to ensure that the workers are doing it effectively:
 To make sure that patient safety issues are to be maintained.
 To discuss with the staff about the safety issues of the patient.
 To provide safety education for new staffs and medical staffs at the orientation.
 To plan an intervention if the patients or their family is facing any issues at the hospital
and after the succession of the plan will ask the staff to share with other members of the
hospital that how this plan was accomplished.
This culture does not mean that no one will be punished, rather by the help of this approach the
problem is identified, then to understand the errors and decide what actions are needed to reduce
errors.
Thus it can be seen introducing the just culture policy in an organization reduces the errors. This
also reduces the fear of reporting which helps in not repeating the errors. This policy is also
helping to create an environment where it is safe for everyone to discuss about the vulnerabilities
for supporting and report error and failures to the organization (Petschonek et al., 2013).

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References
Labelle, V., & Rouleau, L. (2017). The institutional work of hospital risk managers:
democratizing and professionalizing risk management. Journal of Risk Research, 20(8), 1053-
1075.
Skurka, M. A. (2017). Health information management: principles and organization for health
information services. John Wiley & Sons.
Dekker, S. (2017). Just culture: Restoring trust and accountability in your organization. CRC
Press, Taylor & Francis Group.
Petschonek, S., Burlison, J., Cross, C., Martin, K., Laver, J., Landis, R. S., & Hoffman, J. M.
(2013). Development of the Just Culture Assessment Tool (JCAT): Measuring the perceptions of
healthcare professionals in hospitals. Journal of patient safety, 9(4), 190.