Risk Management In Mental Health Services Page 23

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The development of the necessary processes required to proactively
assess, identify and understand the risks inherent within the delivery of
mental health services;
The requirements necessary to ensure the systems and processes
encourage all staff irrespective of discipline or rank to identify, report
and analyse risks in their working practices and to incorporate controls
to eliminate or reduce risk.
Near miss and incident reporting are often described as the cornerstone
of quality and risk management systems (Wilson and Ti n g l e , 1 999 ,
Woloshynowych et al., 2005). It is therefore essential to ensure that an
effective incident reporting process is in place to facilitate the systematic
identification and reporting of adverse events across mental health
services. The information gained can be utilised at both a local and
national level to identify trends and patterns to enable prioritisation of the
development of safety improvement programmes. Information gained from
incident reporting can contribute to the identification of gaps in the system
that require attention. Further information on incident management is
contained in Appendix 2 of this document.
2.4 Existing Governance Structures/Processes
There is a need for services to recognise that structures may already exist
within their immediate service areas. The key is to ensure a service wide
overview that is supported by a shared philosophy/principles and service
wide commitment to manage risks and shared learning. A number of
groups may already be in place which can be harnessed to support the
governance requirements including;
Service user groups
Health and safety committee
Policy and procedure groups
Drugs and therapeutics committees
Ethics committees
Quality circles
Clinical risk management steering groups
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