Risk Management In Mental Health Services Page 8
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54Chapter Three focuses on clinical risk assessment and management and
outlines how the risk management process should be applied and how
this process facilitates decision making and positive risk taking. The use
of a range of evidence based tools to assist with this process is
considered and links to various tools are provided.
Chapter Four provides practical guidance on communication, personal
safety and staff training and addresses some of the key clinical risks in
mental health practice such as vulnerability, violence and suicide.
1.2 Policy and Regulatory Framework
“Patient safety has become both a national and
international imperative in recent years, with increased
emphasis across the world on patient safety in policy
reform, legislative changes and development of standards
of care driven by quality improvement initiatives.”
Report of the Commission on Patient Safety and Quality Assurance
(DoH&C, 2008)
Contemporary health strategy and policy articulate the need for services
to be quality and safety driven at all levels, demanding a strong and
unambiguous focus on safe and effective care. Relevant strategy
documents include Quality and Fairness, DoH&C (2001); A Vision for
Change, DoH&C (2006); Quality Framework, Mental Health Services in
Ireland, MHC (2007); and Building a Culture of Patient Safety,
Commission on Patient Safety and Quality Assurance (DoH&C, 2008).
The legislative requirements for provision of mental health services in
Ireland clearly outline the need to have in place risk management systems
and processes (Regulations for Approved Centres and the Rules of the
Mental Health Commission).
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