Clinical Risk Management

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Clinical 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 31000:2018 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.
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
WA Health Clinical Risk Management Guidelines (PDF 721KB)
Risk Assessment Tables for the WA Health System (PDF 259KB)
WA Health Risk Management Policy
Clinical Governance, Safety and Quality Policy Framework
Risk, Compliance and Audit Policy Framework

More information
Patient Safety and Surveillance Unit
Email: [email protected]

Related links
Clinical governance
Patient safety surveillance
Clinical incident management
SAC 1 Clinical Incidents
Clinical incident management policy
Patient safety reporting
Coronial Liaison Unit
Review of death

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