Risk Management In Mental Health Services Page 21
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54Step 5:
Monitoring and reviewing the risks
Risk is not static it is dynamic and evolutionary therefore continuous
monitoring and reviewing of the risk management control system is
essential. Risk management needs to be on every agenda of every
committee and needs to be constantly reviewed and evaluated. For
example, multidisciplinary team meetings could have risk assessment as a
standing item on their agendas, both for individual cases and for their
overall work management. Similarly, risk management should be a item on
the agenda of all mental health management team meetings. It is also
important to assess whether the nature of the risk changes over time.
Some of the areas assessed may include;
Number of incidents reported
Grades of incidents and risks identified
Categories of risks
Level of Root Cause Analysis activity across the service
Status reports in relation to the update of safety statements and other
quality improvement documents.
The risk register is an essential tool for the ongoing monitoring and
management of identified risk issues. The complete information required
to populate the risk register is detailed within the HSE document,
Developing and Populating a Risk Register Best Practice Guidance
(HSE, 2008). The risk register must contain details related to the risk such
as the type of risk, its context, the risk rating, the agreed corrective
measures/action plan, persons responsible and review dates.
The following are examples of sources of risk information that can be
used to populate the risk register:
Safety statements
Results and recommendations of clinical audits
Findings and recommendations from internal audit reports
Findings and trends from incident analysis reports
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