Clinical Risk management

Clinical risk management (CRM)

Clinical Risk Management is an approach to improving the quality and safe delivery of health care by:

·         placing special emphasis on identifying circumstances that put patients at risk of harm

·         Acting to prevent or control those risks.

Clinical risk management (CRM) plays a crucial role in enabling hospitals to identify, contain, and manage risks related to patient safety.

Managing the unexpected is an essential everyday concern in high-risk organizations such as hospitals. Modern medicine has led to increasingly complex forms of treatment and processes of care. This results in a range of opportunities for improved care, but also increases the risk of adverse events and patient harm. Risks associated with patient care can never be completely eliminated; therefore, clinical risk management plays a crucial role in enabling hospitals to enhance patient safety.


Risk management (RM) generally encompasses risks in the political, legal and business environment. Clinical risk management (CRM) is a specific form of RM focusing on clinical processes directly and indirectly related to the patient. Therefore, we define CRM as all structures, processes, instruments and activities that enable hospital employees to identify, analyze, contain and manage risks while providing clinical treatment and patient care .Due to this focus, aspects of overall hospital governance (e.g. financial or infrastructural RM) or health policy issues (e.g. accreditation) were not considered in developing the monitoring instrument, although they do influence patient safety. Similar to the concept of ''safety management systems’’, systematic CRM integrates both proactive and reactive approaches and frames the hospital as a system, instead of focusing on individuals and their potential for committing errors.