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 qual...
Four-step process to clinical risk
management





Identify the risk
Assess the frequency and severity of the risk
Red...
Learning objective

Know how to apply risk-management principles by
identifying, assessing and reporting hazards and
poten...
Knowledge requirements

 The activities used for gathering information about risk
 Fitness-to-practise requirements
 Pe...
Performance requirements

 Keep accurate and complete health-care records
 Participate in meetings to discuss risk manag...
Gathering information about risk

 Incident monitoring
 Sentinel events
 The role of complaints in improving care
 Com...
Sentinel events
Unexpected occurrence involving death or serious
physical or psychological injury and including any
proces...
Complaints
 Assist in maintaining standards
 Reduce the frequency of litigation
 Help maintain trust in the profession
...
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
...
How to understand and manage
clinical risks
 Know how to report known risks or hazards in the workplace
 Keep accurate a...
Summary
All health-care professionals should:

 Be responsible for their patients – not just the seniors
 Be personally ...
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Psp mpc topic-06

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Psp mpc topic-06

  1. 1. Topic 6 Understanding and managing clinical risk Patient Safety Curriculum Guide 1
  2. 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. 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. 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. 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. 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. 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. 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. 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. 10. Fitness-to-practise requirements  Credentialing  Accreditation  Registration Patient Safety Curriculum Guide 10
  11. 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. 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. 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
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