![]() ![]() First and foremost, the purpose of this research is to recognize that when it comes to risk management, we ought to be aware that it is a challenge that will test our ability both to assess and manage risk - as well as reduce it. This paper does not intend to replicate the many seminars and training courses on the management of health risk that have taken place in recent years. ![]() Only an integrated management of medical risk will bring about changes in clinical practice, promote an increase in health care awareness that is ever closer to both patient and operator, and contribute indirectly to a decrease in the cost of health services, thus ultimately facilitating the allocation of resources to interventions directed to the development of safe and efficient health organizations and facilities ( 5). Therefore to be effective, Risk Management should concern itself with all such areas in clinical processes that are subject to error in patient care. ![]() The Assistance may no longer be only fairly good, but should be better or even excellent. Citizens too as ‘entity customers’, are more than ever aware of medical risk and consequently demand greater guarantees in health care services. This implies having better communication with the patient, which is then directed to greater collaboration with the medical operators in order to achieve the desired clinical objective ( 3, 4). Management adhesion within a system is nothing more than the inter-active relationship existing between the people who are also its vehicle, and therefore necessitates the need for areas of co-ordination among those responsible for operating units, an integrated view of patient-centered care and a ‘walking’ down the same road of patient-care together. Thus medical services management is a participatory process initiating in the practice of a policy of communication and information exchange - both inside and outside the health structure or entity. All those professional working within an organizational entity/structure should therefore take personal responsibility for their own actions within the limits of their own personal competence and so monitor their performance according to principles of professional assessment that are shared. Therefore to bring about change, it is necessary that each and every person involved in the system, should feel himself or herself directly responsible regarding the management of, or dealing with, such risks. If there is a risk and it should be my task to find it and you consider it your duty to hide it, we would then be up against system dysfunction ( 2). This therefore calls for a profound change in the policy of how to avoid risk. It would therefore be advisable, to make an in-depth analysis and research of the causes that brought about such error in order to prevent recurrence of a one similar event or even limit damage that could have already occurred, rather than to approach the issue punitively ( 1). An error is not necessarily the consequence of a single human mistake but, quite often the result of technical, organizational and procedural interaction. The introduction of a logical systematic methodology which, by means of successive steps, would allow for the identification, evaluation, communication, monitoring and elimination of risks associated with medical activities, promoted by the consideration or ‘risk culture’ concept that if mistakes are analyzed correctly, they can become vital and valuable opportunities for learning and improvement. By “Risk Management” is meant the setting-up of organizational instruments, methods and actions that enable the measurement or estimation of medical risk and subsequently evolve strategies to handle it. ![]()
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