Annual Report 2010 - St. James's Hospital

Programmes Division Reports I Quality Programme
Quality Programme
Ms. Angela Fitzgerald
Deputy CEO/Operations Manager
Ms. Shannon Glynn
Risk Manager
Ms. Muireann O’ Briain
Legal and Insurance Manager
Ms. Carol Hickey
Quality Initiative Offi cer
Ms. Mary Fogarty
Accreditation Manager
Mr. Dermot Daly
Health and Safety Offi cer
Mr. Neville Bradley
Fire Services Manager
Risk Management Programme
The Risk Management Programme within St. James’s
Hospital continues to promote a proactive risk management
culture within the organisation. The Risk Management
Committee receives information and reports from sub-groups
in respect of all risk issues. Overall corporate governance of
the programme lies with the Quality Safety and Risk Steering
Group, which is a sub-committee of the Hospital Board.
The importance of reporting risks has been highlighted to staff at
all levels of the organisation. This facilitates a culture of openness
and a just and fair system of analysing risk is practiced.
Risks reported hospital wide are trended and analysed and
reports issued to Directorates and Departments as well as to
the Risk Management Committee by the Risk Manager.
Key Risk Initiatives in 2010
• More than 4800 adverse incidents were reported by St.
James’s Hospital staff in 2010. These are electronically
submitted in almost all cases, some permissible exceptions
exist where staff submit by hard copy which is then
electronically uploaded. This allows immediate notifi cation to
the Risk Manager, Line Manager and relevant departments
and safety groups responsible for the specifi c incidents.
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