Bow-Tie Analysis is one of many effective tools for communicating risk assessment. BTA not only identify the actions, inaction and gaps leading up to the error or violation, the BTA also diagrams specific factors in the resolution of the violation.
Format
- State a specific legal or ethical violation.
- Examine the violation by applying the BTA or provide another specific example of an effective tool that HCO’s use for risk assessment. Provide a reference for the method you choose.
- Describe your method and contrast it with the BTA.
- As HCO managers, which assessment tool would you implement to prevent this violation and why?
- Provide specifics on how the method would help your organization. Is there any setting that the BTA or risk assessment tool would not work?
Peers are expected to demonstrate critical thinking in their questions related to the classmates’ descriptions. See Discussion Expectations and Grading for rules on discussions.
Assigned reading materials:
- Abdi, Z., Ravaghi, H., Abbasi, M., Delgoshaei, B., & Esfandiari, S. (2016). Application of bow-tie methodology to improve patient safety. International Journal of Health Care Quality Assurance, 29(4), 425-440. doi:http://dx.doi.org.ezproxy.umgc.edu/10.1108/IJHCQA-10-2015-0121 Retrieved from http://ezproxy.umgc.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsemr&AN=edsemr.10.1108.IJHCQA.10.2015.0121&site=eds-live&scope=site
- Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A. (2017). Ethical and legal aspects of patient’s safety: a clinical case report. Journal of medical ethics and history of medicine, 10, 15.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150915/
SOLUTION
In a recent incident at a hospital in my area, they discovered that an employee viewed patient health records without authorization. This infraction violated both HIPAA standards and the hospital’s internal policies, exposing sensitive patient information and undermining trust. According to Alowais et al. (2021), the incident revealed severe vulnerabilities in the hospital’s access control and risk management procedures. To analyze and address this breach, the Bow-Tie Analysis (BTA) can be used. BTA is a visual tool that depicts potential risks to the central hazard and the resulting repercussions, as well as procedures to prevent or mitigate these difficulties.
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