Management of Risk

• “Across a diverse range of high risk environments, the promotion of

safety generally proceeds through the identification, and control of
risk.” (Parker, 2009)
• "...continued existence of shortcomings in professional competence
clearly undermines the capacity to care for patients (Learning from
Bristol, 2001, pp. 322–323, cited in Alazewski 2002)."
• Be aware of, and reduce as far as possible, any potential for harm
associated with your practice (NMC Code 2018)
 Why Manage Risk?

• Protect staff
• Protect patients
• Legal requirement
• Preserve organisational/ occupational reputation
• Prevent litigation
• Reduce costs
 What Risks Need to be Managed?

• Medications
• Environment
• Waste
• Sharps
• Manual handling
 Legislation

• Health and Safety at Work Act 1974

• Control of Substances Hazardous to Health
• Reporting of Injuries, Diseases and Dangerous Occurrences
Regulations 2013
• Health Act 2006
 References

• The impact of the Bristol Royal Infirmary disaster and inquiry on public services in
the UK - ANDY ALASZEWSKI - JOURNAL OF INTERPROFESSIONAL CARE, VOL. 16, NO. 4,
2002 - http://web.a.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=2&sid=3dfdc19f-
b8b3-4018-8f47-52e509848965%40sessionmgr4009http://www.hse.gov.uk/riddor/
• https://www.england.nhs.uk/commissioning/wp-
content/uploads/sites/12/2016/05/clncl-waste-factsht.pdf
• https://www.gosh.nhs.uk/health-professionals/clinical-guidelines/sharps-disposal-used-
sharps
• http://www.hse.gov.uk/coshh/
• http://www.hse.gov.uk/legislation/hswa.htm
• https://www.legislation.gov.uk/ukpga/2006/28/contents
• https://www.legislation.gov.uk/ukpga/2009/21/contents
• Dianne Parker - Managing risk in healthcare: understanding your safety culture using the
Manchester Patient Safety Framework (MaPSaF) - Journal of Nursing Management, Vol 17, issue
2, pg 218-222 March 2009 - https://doi.org/10.1111/j.1365-2834.2009.00993.x