Part 1Discussion #1:
In your role, you will likely find yourself in another manager’s domain. For example, worker’s
compensation is in the domain of human resources or personnel management, yet it
represents significant financial loss. Issues like this that overlap departments often cause
managers to view things from completely different perspectives, because they are familiar with
their own area of expertise. Consider how you might work with the other managers to best
resolve this issue.
Write a 250- to 300-word response to the following:
•
•
•
As the risk manager, what will your reaction be to the risk management effort in regard
to navigating overlapping domain?
As a risk manager, how will you overcome these reactions?
Include your own experience as well as two citations that align with or contradict your
comments as sourced from peer-reviewed academic journals, industry publications,
books, and/or other sources. Cite your sources using APA formatting. If you found
contradicting information to what your experience tells you, explain why you agree or
disagree with the research.
Discussion #2:
Write a 250- to 300-word response to the following:
•
•
Analyze the employees’ and nurses’ experiences in the cancer center.
Evaluate the whistleblowing process and the breakdown of this system.
Part 2
Student Responses:
Student Response 1: Student response 1: Review the classmates’ posts and respond to at
least one in a minimum of 150 words. Explain why you agree or disagree. Then, share an
example from your professional experience to support your assertions.
Professor and classmates,
Strong management and leadership capabilities are crucial elements in enhancing health
system performance (Clearly et al., 2018). One way to enhance health system performance is to
decrease threats. Risk management in healthcare is complex clinical and administrative
systems, processes, procedures, and reporting structures created to detect, assess, monitor,
and prevent risks (McGowan et al., 2023). Risk managers need to prioritize effective
collaboration with other management as an important step to reducing safety risks as well as
financial loss. Worker’s compensation is a complicated component involving risk management
and other healthcare higher-up staff. Because worker’s compensation can cause significant
financial loss, effective collaboration between management and leadership is required to
reduce the occurrence.
When there is an overlapping domain between managers, friction can take place instead of
unity. While risk managers have a responsibility to reduce risks, such as workers’ injuries, they
also have a responsibility to communicate with a focus on teamwork. Additionally, aware that
every department has individual duties and goals, risk managers need to keep understanding
at the forefront of their collaborations. The best direction a risk manager can take to reduce
workers’ injuries is to work with department managers in giving the necessary knowledge of
how to decrease harmful events and explain the various negative outcomes associated. Simply
stating what needs to change is not enough and causes more issues than solutions. Risk
managers should work with other department managers in creating a positive dynamic that
aids in a progressive and safe environment for staff and patients alike. For example, effective
safe patient handling and mobility programs are known to reduce staff lower musculoskeletal
injuries (Pieretti, 2020). Risk managers should share this vital information with managers and
leadership so they have the knowledge required to make the necessary changes.
Cleary, S., Toit, A. D., Scott, V., & Gilson, L. (2018). Enabling relational leadership in primary
healthcare settings: lessons from the DIALHS collaboration. Health policy and planning, 33(2), 65–
74. https://doi.org/10.1093/heapol/czx135
McGowan, J., Wojahn, A., & Nicolini, J. (2023) Risk Management Event Evaluation and
Responsibilities. StatPearls Publishing https://www.ncbi.nlm.nih.gov/books/NBK559326/
Pieretti, L. F., Sylvester, R. A., & Siegfried, K. V. (2020). Medical Cost of Workers’ Compensation
Claims Related to Patient Handling and Mobility Tasks Within Skilled Nursing Facilities,
Continuing Care Retirement Communities and Assisted Living Facilities: An Exploratory
Analysis. Journal of Occupational and Environmental Medicine, 62(12), 738–747.
https://doi.org/10.1097/JOM.0000000000002048
Student Response 2: Student response 1: Review the classmates’ posts and respond to at
least one in a minimum of 150 words. Explain why you agree or disagree. Then, share an
example from your professional experience to support your assertions.
In Book III, “Coping with the Nebraska Outbreak,” of A Never Event, the employees and nurses
in the cancer center experience a range of emotions and challenges. The nurses, in particular,
were faced with an extremely difficult situation. They were aware of the high number of
infections and deaths but were afraid to speak out for fear of retaliation. This fear was
exacerbated by the culture of silence in the hospital, where employees were discouraged from
speaking out against management or questioning their decisions (Wachter, 2012). The nurses’
experiences highlight the importance of a safe and supportive work environment where
employees are encouraged to speak up and voice their concerns (Leape & Berwick, 2017).
The whistleblowing process in the hospital was deeply flawed and ultimately contributed to the
breakdown of the system. The hospital’s management had created a culture of fear and
intimidation, where employees were discouraged from reporting problems or speaking out
against their superiors (Wachter, 2012). This made it difficult for employees to raise concerns
about the outbreak of infections and contributed to a lack of transparency and accountability
within the hospital (Leape & Berwick, 2017).
Furthermore, the whistleblowing process itself was ineffective. The hospital’s anonymous
reporting system was not widely known or utilized, and there were concerns about the
confidentiality of the reporting process. As a result, employees were not confident that their
problems would be taken seriously or addressed appropriately.
The breakdown of the whistleblowing system in the hospital had tragic consequences. The lack
of transparency and accountability within the hospital allowed the infections to continue
spreading, resulting in the deaths of multiple patients. The experiences of the employees and
nurses in the cancer center highlight the importance of creating a culture of openness and
accountability within healthcare organizations. This can be achieved by implementing effective
whistleblowing systems where employees feel safe to report concerns without fear of
retaliation (Lerner, 2010).
In conclusion, the experiences of the employees and nurses in the cancer center in A Never
Event highlight the importance of creating a supportive work environment where employees
feel safe to speak out and report concerns. The breakdown of the whistleblowing system in the
hospital contributed to a lack of transparency and accountability, which had tragic
consequences for patients (Leape & Berwick, 2017). Healthcare organizations must implement
effective whistleblowing systems to address concerns promptly and appropriately and foster a
culture of openness and accountability.
References:
Leape, L. L., & Berwick, D. M. (2017). Five years after to err is human: what have we
learned? Journal of the American Medical Association, 317(23), 2373-2374.
https://doi.org/10.1001/jama.2017.7240
Lerner, B. H. (2010). The story of “patient zero” revisited: The ethics of naming in public health.
American Journal of Public Health, 100(4), 541-544. https://doi.org/10.2105/AJPH.2009.179558
Wachter, R. M. (2012). Understanding patient safety (2nd ed.). McGraw-Hill Education.
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