This paper outlines a step-by-step approach to implementing an integrated risk management program in a healthcare setting. The paper argues for a corporate approach to risk management, based on centralized analysis of incidents and a focus on proactive management of risk factors. The paper discusses implementation from both structural and process perspectives and within the context of Canadian accreditation standards and the National Patient Safety Steering Committee recommendations.
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References
1.
Performance Management Network.A review of Canadian best practices in risk management. Report for the Treasury Board of Canada Secretariat; 1999.
2.
NottinghamL. A conceptual framework for Integrated Risk Management. Ottawa: Conference Board of Canada Publications; 1997.
3.
SalesAMoscovieILurieN. Implementing CQI projects in hospitals. Journal on Quality Improvement2000; 26(8): 476–487.
4.
Canadian Healthcare Association.Patient Safety and Quality Care: Actions required now to address adverse events. A backgrounder report; 2002.
5.
National Steering Committee on Patient Safety.Building a safer system: A national integrated strategy for improving patient safety in Canadian health care. Ottawa: Royal College of Physicians and Surgeons; 2002.
6.
BryantJHagg-RicketS. Development of a Risk Management Program. In: CarrollR., ed. Risk Management Handbook American Society for Healthcare Risk management. San Francisco (CA): Jossey-Bass Inc. Publishers; 2001.
7.
BakerRNortonP. Patient safety and healthcare error in the Canadian healthcare system: A systemic review and analysis of leading practices in Canada with reference to key initiatives elsewhere. Ottawa: Health Canada; 2002.
8.
GervaisBL, LLP. Risk Management Health Law Seminar. Ottawa; November 2002.
9.
Saxe-BraithwaiteM. Walking the walk: Practical tools for a culture of safety. Paper Presentation to the 5th Joint National Conference on Quality in Health Care (CCHSA, CHE), Toronto; 2003.
10.
DevittRMcLellanBA. Improving patient safety through lessons learned. Paper Presentation to the 5th Joint National Conference on Quality in Health Care (CCHSA, CHE), Toronto; 2003.
11.
WuAW. Medical Error: The second victim. British Medical Journal2000; 320(7237): 726–727.
12.
WuAWCavanaughTAMcPheeJLoBMiccoGP. To tell the truth: Ethical and practical issues in disclosing medical mistakes to patients. Journal of General Internal Medicine1997; 12(12): 770–775.
13.
HebertPCLevinAVRobertsonG. Bioethics for clinicians: Disclosure of medical error. Canadian Medical Association Journal2001; 164(4): 509–513.