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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: pssu@health.wa.gov.au

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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