Clinical risk management

Why undertake risk management?

Clinical risk management is about minimising risks and harm to patients by:

  • identifying what can and does go wrong during care
  • understanding the factors that influence this
  • learning lessons from adverse events and poor outcomes
  • ensuring action is taken to prevent recurrence
  • putting systems in place to reduce risks

The Western Australian Department of Health has a statutory responsibility to protect the government and the general community from unnecessary costs and losses. This includes the human cost of adverse incidents. Clinical risk management is also part of a good clinical governance system through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care.

In complying with its statutory responsibility, other public sector governance requirements and relevant Policy Frameworks (Clinical Governance, Safety & Quality Policy Framework and Risk, Compliance & Audit Policy Framework), the Department of Health requires all health service providers to focus on local implementation and review of clinical risk management systems.

All staff have a responsibility to understand and employ risk management in their day-to-day work to provide a safe and secure environment for patients, carers and staff. This should be an environment where there is transparent responsibility and accountability for identifying and managing risks, issues and opportunities so that excellence in clinical care may flourish.

Clinical risk management process

The systematic risk management process as outlined in the Australian/New Zealand Standard AS/NZS ISO 31000:2009 Risk Management (PDF 267KB) (external site) should be used in clinical risk management practice. The process involves five steps and two overarching processes as shown in the diagram below. 

diagram outlining the clinical risk management process

Read more about the process in the Clinical Risk Management Guidelines (PDF 721KB) which include examples to illustrate how to apply risk management in a clinical setting.

A key part of the clinical risk management process is to establish, implement and review controls to address risks. Controls are policies, processes, checklists, actions and safeguards that are actually in place to address risks. Appendix D in the Clinical Risk Management Guidelines highlights examples of WA Health clinical controls against a range of clinical areas.

Resources

More information

Patient Safety Surveillance Unit
Phone: 9222 4464
Email: PSSU@health.wa.gov.au

Produced by

Patient Safety Surveillance Unit