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RiskManagementintheHSE;AnInformationHandbookDocumentreferencenumberOQR011DocumentdevelopedbyQualityandPatientSafetyDirectorateRevisionnumber5DocumentapprovedbyNationalDirector,QualityandPatientSafetyRevisiondateOctober2011ResponsibilityforimplementationAllHealthSectorEmployeesReviewdateOctober2013ResponsibilityforreviewandauditQualityandPatientSafetyDirectorate2TableofContentsPage1.0Introduction31.1Objective31.2RolesandResponsibilitiesforRiskManagement42.0TheRiskManagementProcess62.1Communicateandconsult62.2Establishthecontext72.3Identifytherisks82.4AnalysetheRisks92.5EvaluatetheRisks92.6TreattheRisks92.7MonitorandReview93.0LinkstoQuality10Appendix1HSERiskAssessmentTool11Appendix2CategoriesofRisk123IntroductionManagementofriskisanintegralpartofgoodmanagement.Itisaniterativeprocessofcontinuousimprovementthatisbestembeddedintoexistingpracticesorbusinessprocesses.Itemphasises[potentialgainsaswellaspotentiallosses.Thefirststageincreatingaqualityserviceismakingthatservicesafeandmanagingriskappropriately.Effectiveriskmanagement,anintegralcomponentofgoodorganisationalmanagement,minimizesnegativeoutcomesandidentifiesopportunitiesforqualityimprovement.Throughthesystematicapplicationofriskmanagement,theHSEwilldemonstrateitscommitmenttothevisionoutlinedabovethusprovidingassurancetobothstaffandserviceusers.In2007theHSEadoptedtheAustralianNewZealandRiskManagementStandard(AS/NZS4360:2004)whichwassubsequentlyupdatedtotheISO31000:2009Riskmanagement–Principlesandguidelines.1.1ObjectiveItisessentialthatrisksareproperlymanagedtoachieve•improvedqualityandsafetyofservicesdeliveredtoserviceusersandenhancedqualityofworkingenvironmentforstaff•amoreconfidentandrigorousbasisfordecision-makingandplanning•betteridentificationofopportunitiesandthreatstoourhealthservice•gainingvaluefromuncertaintyandvariability•pro-activeratherthanre-activeriskmanagement•moreeffectiveallocationanduseofresourceswithinthehealthservice•improvedincidentmanagementandreductioninlossandthecostofrisk,includinghealthserviceinsurancepremium•improvedstakeholderconfidenceandtrust•improvedcompliancewithrelevantlegislation•bettercorporategovernanceTheHSErecognisestheinterdependenciesofrisks,e.g.therelativesafetyoftheserviceuserandstaffisdependentonthesafetyoftheenvironmentinwhichthatcareisdelivered.Consequently,therearemanycategoriesand/orareasofrisks(strategic/operational)tobeconsidered(seeappendix2fordetails),theseinclude:•Risksofinjury(topatients,staffandthepublic).•RiskstotheServiceUserExperience.•RiskstothecompliancewithStandards(statutory,clinical,professionalandmanagement).•RisktoObjectivesandProjects.•RisktoBusinessContinuity.4•RisktoReputation.•RisktoFinances.•RisktotheEnvironment.RiskmanagementshouldbeappliedtodecisionmakingatalllevelsforanyactivityorfunctionoftheHSE.Itshouldbeparticularlyappliedwhenplanningandmakingdecisionsaboutsignificantissues,e.g.changesinpolicy,introducingnewstrategiesandprocedures,managingprojects,expandinglargeamountsofmoneyormanagingpotentiallysensitiveissues.1.2RolesandResponsibilitiesforRiskManagementTheRiskCommitteeisasubcommitteeoftheBoard,ItfocusesprincipallyonassistingtheBoardinfulfillingitsdutiesbyprovidinganindependentandobjectivereview,inrelationtonon-financialrisks.Inparticularitwill:�reviewprocessesrelatedtotheidentification,measurement,assessmentandmanagementofri...