3. What is risk?
Clinical Risk
Non Clinical Risk
Financial Risk
Organizational Risk
Significant Risk
4. Definition of risk
management
Risk is generally defined as the potential
harm that may arise from some present
process or from some future event.
In everyday usage, "risk" is often used
synonymously with "probability", but in
healthcare risk assessments, stricter
parameters must apply due to the nature
of the risks to life and health involved.
5. Definition of risk
management
Risk Management is the process of
measuring, or assessing risks and then
developing strategies to manage the risk.
6. Definition of risk
management
Planned and systematic processes to
reduce and/or eliminate the probability
of losses occurring in a specific setting:
risk identification and analysis
loss control
claims management and risk financing
7. Definition of risk
management-summary 1-
To identify the hazards rising from work activities
that employees and other people are exposed to.
To decide on the likelihood of harm or damage
occurring to people, equipment or property from
those hazard.
To determine what action needs to be taken to
control adequately the risks identified.
8. Why risk management 1/3?
Risk Management employs a number of
systems to identify and provide
notification of incidents or events that
have occurred involving patients, visitors,
staff, equipment, facilities or grounds
which are likely to give rise to potential
liability, affect the quality of patient care
or affect safety in the hospital.
9. Why risk management 2/3?
The early identification of such
occurrences allows to immediately
investigate the circumstances of the
incident, and if necessary, institute
corrective action to prevent similar
occurrences in the future.
10. Why risk management 3/3?
To have clearly defined roles and responsibilities for the
management of risk.
To improve patient safety through the adoption of a
coordinated and multidisciplinary approach to the
management of risk.
To encourage open and honest reporting of incidents through
the use of a single incident reporting system.
To establish clear and effective communication that enables
information sharing.
To foster an open culture that allows organization wide
learning.
To ensure that risks are identified, assessed and prioritized for
action
11. Categories of Risk
Patient care-related risks
Medical staff-related risks
Employee-related risks
Property-related risks
Organizational risks
Financial risks
Other risks
12. Patient Care-related Risks
Risk associated with clinical practice –
direct patient care and incident reduction.
Indirect patients care – security, personal,
infection control, management of
buildings and the environment.
13. Patient Care-related Risks
Direct association with patient care
Consequences of inappropriate or incorrectly performed
medical treatments
Confidentiality and appropriate release of information
Protection from abuse, neglect and assault
Was patient informed of risks?
Nondiscriminatory treatment
15. Admission Office
Emergency RoomOutside Clinics
DischargeTransfer to
another
facility
AdmissionAdmission
Special care
units
General
floors
Endoscopy
OR
Cath. Lab.
Radiology
Patients
Flow
19. Medication Management
Process
Physician write the
medication order
Medication prepared
by pharmacy
Registered Nurse
prepare medication
Porter send the
order to the
pharmacy
Porter send the
medication to the
nursing unit
1. illegibility
2. Use of
abbreviations
3. Incomplete orders
Registered Nurse
transcribe the
medication order
1. Wrong
transcription
Delay
Delay
Registered Nurse
administer medication
to the patient
1. Patient
identification
2. Wrong medication
3. Wrong time
4. Wrong dose
5. Wrong route
Miss label
Miss label
Delay
Miss label
20. Employee-related Risks
Maintaining a safe environment - Employee
Health Policy
reducing risk of occupational illness and
injury
providing for the treatment and
compensation of workers for work-related
illnesses or injuries
21. Employee-related Risks
Provide a healthy atmosphere for workers
Promote increase work production by
improving the health of the worker
Promote safety against health hazards
encountered in the work environment
Promote full functional capacity of the worker
22. Property-related Risks
Protect assets from losses due to fires, floods,
etc.
Paper and/or electronic records - patient,
business and financial - protected from damage
or destruction
Bonding and insurance to protect facility from
losses
25. Key reasons
Patients are more at risk than non-
patients
Medical interventions are, by their
nature, high-risk procedures - small
error margins
Medicine remains an inexact, hands-
on endeavour
28. The steps in risk management
Carrying out a risk assessment comprises of the
following 5 steps:
STEP 1: Look for the hazards.
STEP 2: Decide who might be harmed.
STEP 3: Evaluate the risks and decide whether the
existing precautions are adequate or whether more
should be done
STEP 4: Record your findings.
STEP 5: Review your assessment and revise it if
necessary.
31. Risk Analysis
Once identified, risks will be analyzed
using the risk grading matrix – risk
32.
33. Conclusion
Integrated and coordinated approach
Accountability by leadership
Environment
encourage recognition & acknowledge risk
actions to reduce risk
focus on process and systems
organizational learning
34. ALWAYS REMEMBER
Risk Management is not about pointing
blame but about promoting a culture that
fosters learning and improvement as a
result of errors.
Everyone has a right under the law to an
environment that is as risk free as
possible.