Risk Management In Mental Health Services Page 22

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Findings and recommendations from inspection reports
Non-compliance with standards
Non-compliance with regulations, rules and codes of practice.
2.3 Service Considerations
Having a strategic framework for risk management allows for the
development of appropriate structures and processes to manage risk
within the mental health services. The HSE Quality and Risk Standard
( 2 0 07) and Mental Health Commission (MHC) Quality Fr a m e work p r o v i d e
the direction as to how this is to be achieved i.e. by creating the necessary
systems and processes that will reduce or eliminate risks to service users,
staff and the organisation.
It is not sufficient to manage risk at the individual activity level or in
isolated components of the organisation. Integrated risk management is a
continuous, proactive, systematic process which allows mental health
services to understand, manage and communicate risks. It contributes to
strategic decision making and allows a service to achieve its overall
service objective. Integrated risk management requires an ongoing
identification and assessment of potential risk at every level throughout
the service and then aggregating results to facilitate priority setting to
improve decision making. Integrated risk management should become
embedded in mental health services.
In order to achieve the highest standards of quality and safety in mental
health services, the necessary systems and processes must be in place
and these must be inclusive of all clinical and non-clinical risks. A service-
wide perspective is needed, that includes multiple sources of information
for analysis including audit, inspections, claims management, health and
safety issues, complaints, internal audit, incident reports, incident reviews
and risk management. Each service area needs to consider the following;
Structures/groups that may already be in place within their service area
and identify those groups that may require to be established;
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