There can be several factors that can lead to poor communication regarding risks. For one, patient safety can be defined differently among healthcare staff. Per your example, one may not understand how vital it is to wash your hands prior to and after patient contact to prevent healthcare acquired infections; as they may think it's a hospital rule that can occasionally be broken without consequences. This behavior can also be influenced by a culture of low expectations. A culture of low expectations may develop when leaders tolerate mediocre standards and issues are explained away with excuses; which result in the possibility that the error can be repeated many times (Kerfoot, 2010). In these instances, one person—the risk manager, cannot change the culture alone. Good communication is essential to having an effective risk management program and involves everyone in the organization. Therefore, the risk manager needs to inform and educate about risks; and foster an awareness of risk management practices and techniques among senior management and the government body, medical staff members, and employees on all organizational levels.
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Ideally the risk manager reports directly to the CEO, or at least to another member of the senior administrative team (Carroll, 2009). Therefore, I would report directly to the CEO and my chain of command would also include the CNE (Chief Nursing Executive), quality and patient safety director, process improvement director, corporate compliance officer, infection control director, medical director, senior nursing
Ideally the risk manager reports directly to the CEO, or at least to another member of the senior administrative team (Carroll, 2009). Therefore, I would report directly to the CEO and my chain of command would also include the CNE (Chief Nursing Executive), quality and patient safety director, process improvement director, corporate compliance officer, infection control director, medical director, senior nursing