CPHRM case studies
CPHRM · Put your knowledge to work in context.
The Certified Professional in Health Care Risk Management (CPHRM) is a professional credential for people who manage risk inside health care organizations. ASHRM, the American Society for Health Care Risk Management, lists the CPHRM among its certification offerings and publishes supporting materials - a CPHRM exam study guide, a separate guide for each exam domain, and a live virtual CPHRM exam prep course - while pointing candidates to the AHA Certification Center for certification administration. The CPHRM case studies are 5 cases and about 3,563 words.
1Foot Drop After Positioning: A Demand, a Missing Record Entry, and a Notice Deadline
A 58-year-old woman underwent a laparoscopic gynecologic procedure at a 240-bed community hospital. In the recovery room she reported left foot drop; electromyography three weeks later confirmed a femoral nerve injury consistent with intraoperative positioning.
686 words, about 3 min2Barcode Scanning, a Cluster of Wrong-Patient Events, and a Manager Who Wants to Fire Someone
A 320-bed hospital went live on a new EHR and barcode medication administration system 11 weeks ago. Pharmacy reports that the reported medication administration error rate rose from 0.9 to 2.6 per 1,000 doses, and three wrong-patient administrations occurred in a single week, all on the 5 West night shift.
699 words, about 3 min3Observation Unit Proposal: Eleven Percent Left Without Being Seen
A 180-bed hospital's emergency department has a left-without-being-seen rate of 11% and a median boarding time of 7.5 hours for admitted patients. Administration proposes converting 14 inpatient beds into an observation unit staffed by hospitalists, projecting a 20% reduction in boarding.
705 words, about 4 min4A Minor in the ED: Consent, a Police Request, and a Subpoena
A 16-year-old is brought by ambulance to the emergency department after a single-car crash. She is hemodynamically stable with a closed femur fracture requiring operative fixation within 24 hours.
745 words, about 4 min5Renewal at $12.6 Million: Raise the Deductible or Form a Captive?
A three-hospital system with 1.4 billion in net patient revenue is renewing its professional liability program. Current structure: 250,000 per-claim deductible, 1 million per-claim limit, 5 million aggregate, commercial premium 12.6 million.
728 words, about 4 min