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Topic 6
Understanding and managing
clinical risk

Patient Safety Curriculum Guide
1
Why clinical risk is relevant to
patient safety
Clinical risk management specifically is concerned with
improving the quality and safety of health-care services
by identifying the circumstances and opportunities that
put patients at risk of harm and acting to prevent or
control those risks

Patient Safety Curriculum Guide
2
Four-step process to clinical risk
management





Identify the risk
Assess the frequency and severity of the risk
Reduce or eliminate the risk
Cost the risk

Patient Safety Curriculum Guide
3
Learning objective

Know how to apply risk-management principles by
identifying, assessing and reporting hazards and
potential risks in the workplace

Patient Safety Curriculum Guide
4
Knowledge requirements

 The activities used for gathering information about risk
 Fitness-to-practise requirements
 Personal accountability for managing clinical risk

Patient Safety Curriculum Guide
5
Performance requirements

 Keep accurate and complete health-care records
 Participate in meetings to discuss risk management and
patient safety

 Respond appropriately to patients and families after an
adverse event

 Respond appropriately to complaints
 Maintain their own health and well-being
Patient Safety Curriculum Guide
6
Gathering information about risk

 Incident monitoring
 Sentinel events
 The role of complaints in improving care
 Complaints and concerns where the individual is
responsible

 Coronial Investigations

Patient Safety Curriculum Guide
7
Sentinel events
Unexpected occurrence involving death or serious
physical or psychological injury and including any
process variation for which a recurrence would carry a
significant chance of serious adverse outcome

Source: Joint Commission on Accreditation of Healthcare Organizations, 1999

Patient Safety Curriculum Guide
8
Complaints
 Assist in maintaining standards
 Reduce the frequency of litigation
 Help maintain trust in the profession
 Encourage self-assessment
 Protect the public
Patient Safety Curriculum Guide
9
Fitness-to-practise requirements
 Credentialing
 Accreditation
 Registration

Patient Safety Curriculum Guide
10
Professional development and selfassessment
 Role of fatigue and fitness to practise
 Stress and mental health problems
 Work environment and organization
 Supervision
 Communication
Patient Safety Curriculum Guide
11
How to understand and manage
clinical risks
 Know how to report known risks or hazards in the workplace
 Keep accurate and complete health-care records
 Know when and how to ask for help from an instructor,
supervisor or appropriate senior health-care professional

 Participate in meetings that discuss risk management and
patient safety

 Respond appropriately to patients and families after an
adverse event

 Respond appropriately to complaints
Patient Safety Curriculum Guide
12
Summary
All health-care professionals should:

 Be responsible for their patients – not just the seniors
 Be personally accountable to prevent harm
 Identify areas prone to errors
 Work to maintain a safe clinical working environment by
looking after their own health and responding
appropriately to concerns from patients and colleagues

Patient Safety Curriculum Guide
13

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Psp mpc topic-06

  • 1. Topic 6 Understanding and managing clinical risk Patient Safety Curriculum Guide 1
  • 2. Why clinical risk is relevant to patient safety Clinical risk management specifically is concerned with improving the quality and safety of health-care services by identifying the circumstances and opportunities that put patients at risk of harm and acting to prevent or control those risks Patient Safety Curriculum Guide 2
  • 3. Four-step process to clinical risk management     Identify the risk Assess the frequency and severity of the risk Reduce or eliminate the risk Cost the risk Patient Safety Curriculum Guide 3
  • 4. Learning objective Know how to apply risk-management principles by identifying, assessing and reporting hazards and potential risks in the workplace Patient Safety Curriculum Guide 4
  • 5. Knowledge requirements  The activities used for gathering information about risk  Fitness-to-practise requirements  Personal accountability for managing clinical risk Patient Safety Curriculum Guide 5
  • 6. Performance requirements  Keep accurate and complete health-care records  Participate in meetings to discuss risk management and patient safety  Respond appropriately to patients and families after an adverse event  Respond appropriately to complaints  Maintain their own health and well-being Patient Safety Curriculum Guide 6
  • 7. Gathering information about risk  Incident monitoring  Sentinel events  The role of complaints in improving care  Complaints and concerns where the individual is responsible  Coronial Investigations Patient Safety Curriculum Guide 7
  • 8. Sentinel events Unexpected occurrence involving death or serious physical or psychological injury and including any process variation for which a recurrence would carry a significant chance of serious adverse outcome Source: Joint Commission on Accreditation of Healthcare Organizations, 1999 Patient Safety Curriculum Guide 8
  • 9. Complaints  Assist in maintaining standards  Reduce the frequency of litigation  Help maintain trust in the profession  Encourage self-assessment  Protect the public Patient Safety Curriculum Guide 9
  • 10. Fitness-to-practise requirements  Credentialing  Accreditation  Registration Patient Safety Curriculum Guide 10
  • 11. Professional development and selfassessment  Role of fatigue and fitness to practise  Stress and mental health problems  Work environment and organization  Supervision  Communication Patient Safety Curriculum Guide 11
  • 12. How to understand and manage clinical risks  Know how to report known risks or hazards in the workplace  Keep accurate and complete health-care records  Know when and how to ask for help from an instructor, supervisor or appropriate senior health-care professional  Participate in meetings that discuss risk management and patient safety  Respond appropriately to patients and families after an adverse event  Respond appropriately to complaints Patient Safety Curriculum Guide 12
  • 13. Summary All health-care professionals should:  Be responsible for their patients – not just the seniors  Be personally accountable to prevent harm  Identify areas prone to errors  Work to maintain a safe clinical working environment by looking after their own health and responding appropriately to concerns from patients and colleagues Patient Safety Curriculum Guide 13