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Risk Management Consultancy Services

Risk assessments for clinical services

We help clinicians and teams complete formal assessments of risk in a clinical service and complete documentation of the assessment in a risk register. We help clinicians and teams develop ongoing action plans to address significant risks identified and recorded in the risk register.

Root cause analysis of a serious adverse event or complaint

On request, usually for sensitive or extremely serious circumstances or events, we lead or facilitate root cause analysis of a serious adverse event or complaint. We:

  • gather or direct the gathering of detailed information about the event, including identifying whether or not there is a cascade of previously unrecognized or unaddressed incidents or events
  • obtain or direct the obtaining of any materials, equipment, devices, supplies and detailed information about the location(s) involved of the event, staffing levels at the time(s) involved, documentation in relevant patient records, and the recollection of the people involved in the event
  • describe in detail the key processes or systems related to the event, specifically the intended process, the process staff usually follow and the process followed in the actual event
  • analyse the information gathered to identify the causes of the breakdown in work processes or systems that enabled the event to occur, or that didn’t act to prevent the event from occurring
  • devise the actions needed to prevent the same type of event from occurring again and an action implementation plan
  • measure the effectiveness of implementation of the actions to minimize the recurrence of the same or similar event.

We document the entire analysis and provide a report to those responsible.

Failure mode and effects analysis for a clinical service

We lead or facilitate failure mode and effects analysis (FMEA) of high-risk clinical processes. We:

  • help organizations and clinical services identify high-risk clinical processes in which risk could be reduced or minimized through the FMEA process
  • work with clinical teams to describe in detail exactly how a high-risk process is carried out now
  • identify with clinical teams where and how the current process could fail
  • work with clinical teams to make judgements about the potential impact of each potential failure and identify the most serious failures that need to be prevented or minimized
  • develop the actions needed to prevent any failure that would have a serious impact on patients and support teams in implementation of the actions
  • measure the effectiveness of implementation of the actions to minimize the impact of potential failures in the process.

We document the entire analysis and provide a report to those responsible.

Risk management strategies, policies and procedures

We work with risk managers and relevant committee chairs and clinical leads to review existing risk management-related strategies or frameworks for healthcare organizations and identify how such strategies or frameworks can be improved. We develop strategy documents on assessing and handling risk, along with performance objectives related to risk management and work programmes to achieve the objectives.

We also develop specific policies related to risk management such as how risk assessments are to be carried out and maintained or how root cause analysis of actual or potential high-risk events is carried out. We also have recommended contents for local intranet sites on risk management.

Mentoring risk management staff

We coach and serve as mentor for risk managers and coordinators, guiding individuals in meeting their organizations’ needs and developing their knowledge and skills related to risk management activities.

Analysis of data on incidents and adverse events

On request, we analyse a healthcare organization’s data on the occurrence of incidents and adverse events. We identify patterns and trends in the data, and use run charts and control charts to track the effectiveness of actions being taken to prevent or control the occurrence of significant incidents and events. We use analysis of data to identify areas requiring action to minimize the recurrence of incidents and adverse events

 

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