HOLY FAMILY HOSPITAL RISK MANAGEMENT WORK PLAN

N0. DESCRIPTION OF NON CONFORMITY ACTION/ACTIVITY RESPONSIBLE TIMELINE STATUS

PERSON

1. A qualified/experienced individual/team is Ensure every committee member has appointment Francis 5 days in progress
responsible for risk management letter and duties and responsibilities.

2. All risks, both clinical and non-clinical, are Avail risk registers to all departments and ensure the Nelson 2 weeks implemented
identified and recorded in a risk register risk owners are held accountable for identified risks

3. Based on the identified risks corrective and/or Ensure mitigation action in risk registers are Beverly Completed
preventive actions (CAPA) are defined and implemented
(defined in
implemented
risk register)

4. All staffs receive on-going in-service training Conduct a C.M.E on risk register, policy statement Metrine 30 days Ongoing
about risk management and risk management manual
5 There are documents that describe the Develop a risk policy statement and risk Brian 30 days In progress
organization’s response to likely emergencies and management manual
risks as identified in the risk management plan